The two main types of treatments are simple laser treatment and endovenous laser treatment.
Simple laser treatment is best for treating small spider veins and varicose veins that have formed just below the skin. It typically takes more than one treatment session to completely remove the affected veins; treatments are usually scheduled every six to 12 weeks. The doctor begins by treating the large veins that feed the smaller varicose veins, until eventually the entire area is closed off.
In endovenous laser treatment, a small laser fiber is inserted into the vein. This fiber is then used to close off the vein to help it slowly die. This procedure does require a light sedative or local anesthesia. It is an effective alternative for larger varicose veins that would typically require surgery to remove.