comparison of small spider, medium-sized reticular, and larger varicose veins

Reticular veins appearance

Reticular veins are medium sized veins generally 2-3 mm in diameter. They are typically larger than spider veins, but smaller than varicose veins. Reticular veins are usually a blue-green or purple color and may form areas of unattractive clusters of veins predominantly located on the inner part of thighs or ankles and on the back of the legs. Sometimes, they don't protrude above the skin's surface, but they can be associated with symptoms of pain and discomfort.

Reticular networks are important because they are often the veins feeding those annoying networks of purple veins on the sides of the thighs. Many patients come to our clinic with a history of having had many different treatments on their veins, but with no success. It turns out, it is difficult to get rid of those spider veins unless those reticular networks are treated first. That way, there is no "feeder" of the spider veins to open them up again after they are treated!

Reticular veins treatment

Reticular veins are typically treated the same way spider veins are using sclerotherapy injection. However, like spider veins, reticular veins exist for a reason. Sometimes (though not always) there is underlying venous insufficiency which causes them to occur. If venous disease is present and left untreated, they will continue reoccur. Therefore, it is important to determine if venous insufficiency exists and treat it first.

If you are suffering from reticular veins, Dr. Aquino will order a venous ultrasound to determine if the cause is venous insufficiency. No matter the cause, the San Francisco Vein Center team can help you improve the appearance and reduce the symptoms of reticular veins.