Spider veins and small varicose veins can be treated with laser vein treatment applied from the surface of the skin. The laser applies an intense energy that essentially destroys the small blood vessels in the surface of the skin. Results are variable, and multiple treatments may be necessary to acquire some benefit. It may be used for cosmetic purposes, but it is most commonly used to help alleviate related symptoms such as aching, swelling, skin irritation, discoloration or inflammation. Endovenous ablation is safe, less invasive than conventional surgery, and leaves virtually no scars. A cosmetologist can use a laser to treat varicose veins. Laser heat damages a vein, which causes the varicose vein symptoms and causes scars. The scar discontinues the blood supply to the vein which dies and disappears after one or two years. The cosmetologist may suggest laser surgery if your varicose veins are sore, or red and swollen (inflamed). Laser surgery may also be recommended if the skin over your varicose veins is irritated. The laser vein treatment usually takes less than an hour and is performed as an outpatient procedure. The patient can go home after the treatment after suggestions from the doctor of things to do and precautions to take for a few days. Laser vein removal may require additional treatments that can be either by avulsions or foam sclerotherapy. These additional treatments usually take time of 4-6 weeks. If you have extensive varicose veins on both legs, it is very unlikely that you will be able to undergo all the additional treatments.