Varicose veins and capillary veins in the legs.

Vein Treatments

Home » General Dermatology » Vein Treatments

Veins that appear just beneath the skin’s surface can be very noticeable. Dr. Koreen of the Dermatology and Cosmetic Laser Center in Huntington, New York, treats spider veins and facial veins with proven technology.

Spider Veins

Spider veins are tiny clusters of purple, red, and blue “threads” on the legs, chest, neck, and face. Almost anyone can have these superficial vessels, which are an inherited condition. Spider veins that occur in the legs are sometimes accompanied by varicose veins. When found alone, spider veins are more of a cosmetic concern than a health risk. This condition can be easily treated in the office of your experienced dermatologist.

For many years, sclerotherapy was the only way to treat spider veins. Today, we use a therapeutic combination of sclerotherapy and vascular laser to produce the best possible results.

Sclerotherapy treatment involves injections of a sclerosing solution into visible veins. This solution causes inflammation and swelling in the walls of treated vessels, which leads to closure. Immediately after injections, we further treat veins with laser light, which heats the vessels containing the sclerosing agent, accelerating the process.

Each of our patients is treated based on their particular needs and wishes. Spider veins may be treated with one of these therapies or with a combination of the two. We make this determination during the initial consultation for care.

Vein treatments produce progressive results that get better through a series of treatments. With each minimally invasive session, veins will appear a little lighter, and after a month or two, they will no longer be visible at all. Sclerotherapy and laser treatment for veins are only minimally uncomfortable, creating a mild pin-prick or stinging sensation as the medication is administered. Treating veins not only improves your physical appearance but also your confidence.

Patients of the Dermatology and Cosmetic Laser Center in Huntington can expect the very best when they visit Dr. Roger Koreen. Our office is equipped with proven technologies like the Cynosure Cynergy Multiplex vascular laser. Spider veins can be treated efficiently and more quickly thanks to the larger spot size available with this device.

Facial Vein Treatment

Small veins that appear on the face can be treated with laser therapy. This form of treatment is safe and effective, treating pigmented and vascular structures beneath the skin while leaving surface skin cells intact. Pigmented and vascular structures absorb the intense light of the laser, which is converted into heat within the vessels. Heat damages the walls of the vessels, causing them to gradually fade away. Many smaller vessels and spots may be eliminated with one or two laser treatments. Larger spots are likely to require multiple treatments for full resolution.

Laser treatments may be used to treat smaller areas of concern or to improve the skin on the entire face. Full-face laser treatments continue to grow in popularity. Many people who have developed broken capillaries on the cheeks and nose will also have smaller areas of concern on other parts of the face, such as the chin. Treating the entire face allows us to address all areas and achieve a more uniform texture and tone.

The two lasers in the Cynosure Cynergy Multiplex aesthetic workstation, 585 nm pulsed-dye, and 1064 nm Nd:YAG, are proven to improve the appearance of the skin, diminishing spider veins and broken capillaries while prompting the regeneration of collagen for better support from the inside out.

What to expect during treatment

In our office, Dr. Koreen or one of his trained, experienced staff will apply a topical numbing cream to the skin before proceeding with treatment. Treatment itself consists of moving a handpiece across the skin. As the handpiece moves, pulses of laser light pass through the skin. Depending on the size of the treatment area, the treatment session may last from 15 to 40 minutes. Following treatment, we may apply a cold compress to the treatment area to soothe the skin and minimize side effects like redness or swelling.

Achieving optimal results

Every person’s skin is different. This means that laser therapy for facial veins may consist of a few or several sessions. An estimated number of treatments is recommended after a thorough consultation and examination of the skin. How many treatments one needs will depend on the location and size of the vessels, as well as their color. These factors may also dictate the frequency at which sessions are scheduled.

Most patients benefit from treatment sessions scheduled three to four weeks apart. Some people achieve optimal results with just one or two sessions. Typically, however, it takes three to five sessions to accomplish the goal of clearer skin.

Laser vein treatments provide men and women of all ages a non-invasive way to better maintain youthful, healthy skin. The intense pulsed light and medical lasers used today can correct many benign conditions, including uneven pigmentation, sun spots, rosacea, port wine stains, birthmarks, spider veins, and raised or broken capillaries on the face. This safe and effective treatment can allow you to enjoy rejuvenated skin and improved confidence.

Side effects of laser vein treatments

There are very few side effects of laser treatments for skin rejuvenation. We discuss temporary side effects during the consultation, such as the immediate darkening of spots or a flushed appearance for care, so there are no surprises after laser treatment.


Varicose and spider veins can be emotionally and physically distressing. These problems may be caused by several factors, including heredity, prolonged sitting or standing, pregnancy, and more. Existing veins may become more visible with age. At the same time, new veins may emerge. Spider veins, small clusters of tiny veins, are often noticed on the legs but may also develop on the face. Fortunately, there is a proven solution to spider veins: sclerotherapy.

Vein Treatments explained by Dr. Roger Koreen

Vein Treatments explained by Dr. Roger Koreen
In this video, Dr. Roger Koreen from Dermatology and Cosmetic Laser Center Huntington, NY explains about Veins in the two main areas; Face and Legs. When it comes to laser treatments facial veins tend to be much thinner than leg veins. Watch the full video to learn more about how Dr. Roger Koreen performs laser treatments to heal face and leg veins. For more details about laser treatments for veins call Dr. Roger Koreen today!

Face and legs are the two main areas with veins.

Facial veins tend to be much thinner than leg veins and they are very responsive to laser treatments. Usually it needs about 2 treatments to get significant healing on facial veins, whereas, the leg veins need more treatment as the veins in the legs are much thicker.

Laser is usually used on leg veins as patients find it comfortable than Sclerotherapy.

With laser treatment there won’t be any fluids and it will not be necessary for the legs to be wrapped up after the treatment.

Today, we have more options for the removal of unsightly veins than we have had in the past. Call the Dermatology and Cosmetic Laser Center for your consultation with Dr. Roger Koreen.

What to expect from sclerotherapy treatment

Sclerotherapy has been used for over half a century to eliminate unsightly veins. This treatment remains very popular due to its efficiency. Treatment sessions, of which several may be needed, can take 15 to 45 minutes, depending on how many veins are treated in a single session.

Sclerotherapy works by introducing a sclerosing solution into affected veins. This solution generates irritation within the walls of the vessel. In time, the vessel decomposes and fades away as the body naturally heals the “damage” done by the sclerosing agent.

Throughout the recommended number of treatments, most patients see 60 – 80 percent resolution of visible vessels. Because the body naturally breaks down veins, clearer skin is noticed gradually and consistently over several weeks.

Side effects

Veins treated with sclerotherapy may initially darken before they begin to fade. Bruising may also occur. Larger vessels may look more pigmented for a short time after treatment, but the skin will gradually improve. After sclerotherapy, we recommend avoiding strenuous activities and prolonged standing for a day or two.

Patients may also be encouraged to wear support garments that snuggly wrap the treated area. The gentle pressure of the support garment can facilitate the healing process and minimize side effects.

Sclerotherapy is a wonderful solution to unwanted veins and is suitable for many people. Contact our office at (631) 417-3300 for a private consultation to discover the best vein treatment for you.

Roger Koreen, M.D., F.A.A.D.

Roger Koreen, M.D., F.A.A.D.

Dr. Roger Koreen has dedicated nearly three decades to delivering a full range of dermatology services to over 90,000 patients. He received his medical training at Mount Sinai School of Medicine before going on to complete his residency at the world-renowned Johns Hopkins Medical Institute. As a member of the American Academy of Dermatology, the American Society for Laser Medicine and Surgery, as well as the American Society for Dermatologic Surgery, Dr. Koreen is committed to continuing education and training. In addition to his practice, Dr. Koreen is also a staff member at Huntington Hospital.

Connect with Dr. Roger Koreen on Linkedin
Read More Success Stories