Small varicose veins (sometimes called reticular veins) are not just a visual concern. While they may not cause the same level of discomfort as larger, bulging veins, they can still lead to symptoms like aching, burning, or heaviness in the legs. Fortunately, today’s vein specialists have safe and effective ways to remove small varicose veins and restore both comfort and confidence.
What Causes Small Varicose Veins?
Small varicose veins, sometimes called reticular veins, develop when vein valves weaken and blood begins to pool instead of flowing smoothly back to the heart. Over time, this pressure causes veins to swell, creating visible clusters under the skin. Risk factors include:
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Genetics
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Hormonal changes
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Prolonged standing or sitting
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Pregnancy
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Age
While some see them as a cosmetic nuisance, untreated small varicose veins can sometimes progress and contribute to larger vein issues.
Treatment Options for Small Varicose Veins
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1. Sclerotherapy
The most widely used method for small varicose veins, sclerotherapy involves injecting a safe solution into the vein. This causes it to collapse and fade over time.
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Quick procedure with no downtime
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Best for small to medium varicose or spider veins
2. Endovenous Laser Therapy (EVLT/EVLA)
Though often used for larger veins, EVLT can also treat smaller problematic veins by closing them off with laser energy.
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Performed in-office under local anesthesia
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High success rate with fast recovery
3. Microphlebectomy
For veins close to the surface, a specialist may use microphlebectomy—removing the vein through tiny incisions.
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Minimally invasive with minimal scarring
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Effective for superficial small veins causing symptoms
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Why Diagnosis Matters for Small Varicose Veins
Not all small varicose veins are the same. Some may be purely cosmetic, while others signal underlying venous insufficiency. A duplex ultrasound exam performed by a vein specialist is the gold standard for determining the best course of treatment.
Is it Time to Get Your Symptoms Checked?
Final Thoughts on How to Remove Small Varicose Veins
If you’re wondering how to remove small varicose veins, the answer depends on your unique condition. Sclerotherapy is often the go-to option, but EVLT, microphlebectomy, and other treatments may be more effective in certain cases. The first step is always a personalized vein evaluation.
By treating small varicose veins early, you can improve both the look of your legs and your overall vein health.
