Top Long Island Vein Doctors
How Do You Fix Blue Veins on Legs? The Top 6 Methods in 2023
1. Sclerotherapy
Whether you have blue spider veins or blue varicose veins, sclerotherapy is one of the best ways to eliminate them. Book an appointment with our Long Island vein specialists to learn why sclerotherapy is a first line of treatment for spider veins and small varicose veins. The procedure is minimally invasive and requires no anesthesia. Vein doctors clean the area above the vein and insert a small, hollow needle into the vein. They inject a sclerosing solution, which is like detergent, into the vein. It irritates the vein walls, causing them to swell and seal shut.
The reason sclerotherapy is so well-liked is that it’s a gentle, low-risk, quick, and effective way to treat varicose veins and spider veins. It’s also a very versatile treatment. Sclerosants can be liquid, foam, or premixed foam, which means they can treat blood vessels in a variety of shapes and sizes. For larger veins, a foam concentration works best because it expands and fills the vein without increasing the dosage too much. Foam coats vein walls well and deactivates quickly, so it’s powerful without causing damage to connecting veins.
Liquid sclerosants work well for spider veins and small varicose veins that don’t need as much of the solution to resolve. Sclerotherapy takes about 15 minutes to perform. It’s painless, non-surgical, and outpatient. Our patients routinely get sclerotherapy on their lunch break or between errands and carry on with their day.
2. Radiofrequency Ablation
For larger blood vessels, radiofrequency ablation is often the first choice. This treatment is also non-surgical, minimally invasive, and outpatient. It requires an injection of a local anesthetic, but no spinal or general anesthesia. This type of anesthetic does not inhibit mobility. Patients can walk around immediately after radiofrequency ablation and resume their usual routine, including moderate exercise.
For this treatment, vein doctors cleanse the area and insert a tiny catheter into the vein. They inject tumescent anesthesia around the vein to protect the surrounding area from heat. Then, they deliver thermal energy from sound waves to the vein walls, heating them until they seal shut. This improves circulation because closing the faulty blood vessels causes blood to flow into healthy leg veins that can pump it back to the heart. This is a preferred treatment for varicose veins because it takes 30 minutes or less and produces quick and permanent results.

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3. Mechanochemical Ablation
Mechanochemical ablation is an innovative treatment for varicose veins that combines sclerotherapy with mechanical manipulation of the vein. Vein specialists insert a special catheter into the vein that releases a sclerosant and also rotates against the vein walls. This dual approach helps ensure that the vein walls collapse and close, so that blood can flow into viable veins instead.
Mechanochemical ablation does not require anesthesia because it’s non-surgical and non-thermal. It takes 20-30 minutes, and patients can move around right after the procedure. Sitting or standing for too long is part of the reason people develop unhealthy veins and blood clots, so our treatments eliminate sedentary recovery periods. Like all of the vein treatments at our Long Island vein clinics, this one is gentle, fast, and effective, and it requires no recovery time.
4. Vein Adhesives
Medical adhesives have long been used to control bleeding in surgery and in cardiac procedures. Now, they’re used to close off malfunctioning veins and improve circulation. Vein doctors inject cyanoacrylate glue into varicose veins to occlude them, so blood can no longer enter the treated blood vessels. Over time, the vein shrinks from sight and is no longer part of the circulatory process.
Our Harvard-trained vein doctors can use ultrasound guidance to position the adhesive where it belongs and observe the treatment to guarantee closure. We use Duplex and Doppler ultrasound for many of our vein tests and vein treatments to ensure accuracy and precision. You won’t find this technology at cosmetic vein clinics. Choose an accredited vein clinic with board certified vein doctors for safe and effective treatment.

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5. Endovenous Laser Treatment
Endovenous laser treatment uses a similar approach to radiofrequency ablation. Doctors numb the area around the blood vessel and insert a hollow needle into the vein. But in this case, they thread a laser fiber through the needle and heat the vein with laser energy, instead of radiofrequency. That scars the vein shut so blood is rerouted into adjacent veins. Some patients prefer endovenous laser treatment. But our vein specialists find that most patients prefer radiofrequency over lasers. Both are forms of thermal energy, but soundwaves don’t get as hot as light energy, so radiofrequency causes less ecchymosis (bruising) and discomfort than lasers.
It’s important to note the difference between endovenous laser treatments and surface laser treatments. Some facial spider veins can be treated through the skin with surface lasers. But blue leg veins are often the result of Chronic Venous Insufficiency. This involves valve failure in deeper veins, which can’t be treated through the surface of the skin. Surface lasers aren’t strong enough, and they would need to produce so much heat to treat a large or deep vein, that they would damage the skin.
So, if you’re wondering, “How do you fix blue veins on legs,” don’t opt for surface lasers. They won’t work for large or deep veins, and they could cause skin damage. Cosmetic clinics only offer surface treatments, so avoid these clinics if you want to treat varicose veins or spider veins in your legs.
6. Customized Approach
The best vein doctors aren’t limited to a singular approach. If you have spider veins, you have a higher likelihood of developing varicose veins and vice versa. These issues often run in families, and genetics are the top predictor of vein disease. Many patients with varicose or spider veins have Chronic Venous Insufficiency. This needs to be treated too, to prevent an ongoing proliferation of unhealthy veins.
Our Long Island vein doctors frequently combine methods for flawless results. We might close a varicose vein with an adhesive and erase a spider vein near it with a sclerosant. Since we have the vein mapping tools to analyze all of your veins, we spot problems before they become visible. We’ll also discuss tactics to prevent more vein damage, like how to improve circulation when you must sit or stand for long periods of time. Our vein doctors are caring, knowledgeable, and eager to answer your questions, so book your vein consultation today.
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