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They form when the small valves inside veins weaken, allowing blood to pool and the veins to enlarge and become visible. Risk factors include genetics, age, pregnancy, prolonged standing, and being overweight.

No. Spider veins are small, thin, web-like veins near the skin’s surface and are usually a cosmetic concern. Varicose veins are larger, raised, and rope-like, and can cause aching, heaviness, or swelling, sometimes signaling an underlying vein condition.

Many medspas treat cosmetic spider veins with sclerotherapy or laser. Larger varicose veins and any veins causing pain or swelling are best evaluated by a vein specialist (a phlebologist or vascular doctor), since they may indicate a medical condition.

Sclerotherapy is a well-established treatment for spider veins and small varicose veins. A solution is injected into the vein, causing it to close and fade over time. Most people need more than one session, and results vary.

Purely cosmetic vein treatment is usually not covered, while treatment for medically necessary varicose veins that cause symptoms sometimes is. Coverage depends on your plan and diagnosis, so check with your provider and insurer.

You cannot always prevent them, but staying active, maintaining a healthy weight, elevating your legs, avoiding long periods of standing or sitting, and wearing compression stockings can help reduce risk and ease symptoms.