Leg telangiectasias, often called spider veins or broken capillaries, are small dilated superficial vessels on the legs, appearing red, blue or purple. They are not only a cosmetic concern: in some cases, they may be associated with microcirculatory fragility or superficial venous insufficiency.
They correspond to dilated small skin vessels on the legs, more common in women and favoured by genetic and hormonal factors, pregnancy, standing work and overweight. Typical signs include visible capillaries on thighs, calves or ankles, sometimes with heaviness, burning or evening discomfort. A specialist vascular assessment is essential to distinguish between a purely superficial aesthetic issue and signs of deeper venous disease.
Treatment options
At MAVIT Clinic, management starts with a focused phlebology/angiology consultation, often supported by a venous duplex ultrasound (Doppler) when indicated. Depending on the findings, the following options may be proposed:
• Sclerotherapy, using micro-injections of a sclerosing agent to gradually close the treated veins.
• Vascular laser, suitable for very fine telangiectasias or areas that are difficult to inject.
• A combination of laser and sclerotherapy in mixed or more complex situations.
The goal is to visibly reduce spider veins, relieve the feeling of heavy, tired legs and improve the overall appearance of the lower limbs, through individualised protocols and planned treatment cycles.
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