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[music]hello, i’m dr. neal schultz [pause] and welcome to dermtv. spider veins are also called broken capillariesand all they are is just enlargements of the small blood vessels ofthe skin. they are enlarged so much that you can actually see the red bloodand that’s why you can see these red squiggly lines. they occur becausethe wall of the blood vessel weakens and, as it weakens, it stretches outand fills up with more blood. spider veins occur either on the face or onthe legs. the most common cause

for spider veins on the legs is female hormones,estrogens either during pregnancy or from birth control pills, hereditybecause you have spider veins just because your mother had them. andalso trauma, knocking into your legs, athletics or women even tend toget them on the inside of their knees where they cross their legs. on theface, the usual cause for spider veins is either sun exposure or else femalehormones. the best treatment for spider veins depends on where they are.on your legs, the best treatment is spider vein injections. don’tlet the word “injections” scare you. they’re not painful. because the needle,which is very tiny, is put

very high up in the skin, that’s where theseblood vessels are, and it’s almost above the level of the nerves. it maybe one treatment or it may be several treatments. after the treatment, youwear tight compression stockings for three days and that helps thespider veins go away faster. if the spider veins are on your face, the besttreatment is lasers. i’m a laser specialist and, despite that, i restrictlaser treatments to the face, not to the legs because, on the legs,laser treatments take longer to heal, are more painful and more expensivebut, on the face, they usually work the first time, and they’re not painfulon the face because the blood

vessels are higher up and they work very well.so, if you have spider veins, they’re easily treated. you don’thave to tolerate them. see your dermatologist for a treatment that will getrid of your spider veins.

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