Treatments · Laser Treatments
Spider Vein Laser Treatment in San Antonio
Long-pulse 1064 nm Nd:YAG laser treatment on the Cutera Xeo to fade spider veins on the legs and face, without needles or surgery.
Medically reviewed by Francisco Cardona, MD, board-certified physician

Device
Cutera Xeo
Laser
1064 nm Nd:YAG
Downtime
Minimal
Sessions
Often 2–4
Overview
How laser treats spider veins
Spider veins are small, visible blood vessels near the surface of the skin, most often on the legs and face. The Cutera Xeo’s long-pulse 1064 nm Nd:YAG laser passes through the skin and is absorbed by the blood in the vessel, which heats and closes it.
Over the following weeks the body reabsorbs the treated vessel and it fades. Because the 1064 nm wavelength reaches deeper and is less affected by skin pigment, it works for blue leg veins as well as fine red facial vessels. Larger, bulging varicose veins need a different approach, and we will refer you if that is what you need.
What it treats
- Spider veins on the legs
- Small facial veins
- Broken capillaries around the nose
- Red and blue surface veins
Who it’s for
- Adults with small surface veins
- Patients who prefer a needle-free option
- People bothered by leg or facial veins
- Patients without large varicose veins
What to Expect
Your treatment, step by step
01
Your Evaluation
We examine the veins to confirm they are suited to laser treatment and rule out larger vein problems.
02
Your Treatment
Quick laser pulses are applied with skin cooling. Most patients feel a brief sting.
03
Results & Follow-Up
Veins fade over several weeks. A short series is often needed for full clearance.
The Technology
Cutera Xeo
A multi-platform system whose long-pulse 1064 nm Nd:YAG laser treats leg and facial spider veins and also powers Laser Genesis.
Real Results
Before & after
Vita Nova patients, shared with their written permission. Individual results vary.




Does laser vein treatment hurt?
Most patients feel a quick sting like a rubber band snap, with cooling for comfort.
How many sessions will I need?
Most patients need two to four sessions, depending on the size and number of veins.
Will the veins come back?
Treated veins do not return, but new ones can form over time. Maintenance sessions can help.
Can you treat varicose veins?
Large varicose veins usually need a different procedure. We will advise you at your evaluation.
Should I avoid the sun before treatment?
Yes. Avoid tanning before and after treatment to lower the risk of side effects.
How much does spider vein laser treatment cost?
Pricing depends on the area treated and the number of sessions you need. We give you a clear quote at your evaluation, and package pricing is often available.
Can you treat a venous lake on the lip?
Yes. A venous lake is a small, dark blue or purple bump caused by a dilated vein, most often on the lip or ear. Vascular laser treatment can often clear it, sometimes in a single session. See our results page for examples.
What causes spider veins?
Genetics, hormones, pregnancy, sun exposure and long periods of standing all play a role.
What should I do after treatment?
Avoid hot baths, intense exercise and sun on the area for a few days. We may recommend compression for leg veins.
Is laser better than sclerotherapy?
Laser is needle-free and works well for small veins and facial vessels. Some leg veins respond better to sclerotherapy; we advise you at your evaluation.
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Begin Here
Your plan starts with an evaluation
Find out whether laser treatment can clear your spider veins.
Individual results vary. Results are not guaranteed. This page is for general education and is not medical advice.