Spider Veins vs. Varicose Veins: What’s the Difference?

Understanding the Key Differences in Symptoms, Risks, and Treatment Options

Spider veins and varicose veins are often mistaken for one another—they differ in size, symptoms, and health implications. If you’re noticing thin red veins or bulging blue ones on your legs, it’s important to understand which condition you may be dealing with.

In this blog, we’ll explore the difference between spider veins and varicose veins, what causes them, and what treatment options are available in Dubai.

Spider veins

What Are Spider Veins?

Spider veins, or telangiectasias, are small, thin blood vessels that appear close to the surface of the skin. They often look like red, blue, or purple lines or webs. Spider veins are typically painless and are mostly considered a cosmetic concern.

Common Locations:

  • Thighs
  • Calves
  • Ankles
  • Face

Typical Causes:

  • Genetics
  • Hormonal changes (pregnancy, birth control)
  • Prolonged standing or sitting
  • Sun exposure
  • Venous insufficiency


What Are Varicose Veins?

Varicose veins are larger, swollen, and twisted veins that often bulge above the skin surface. They are caused by damaged vein valves, which allow blood to pool and veins to stretch.

These veins can be painful and may indicate chronic venous insufficiency (CVI), a more serious condition requiring treatment.

Common Symptoms:

  • Aching or heaviness in the legs
  • Swelling in ankles or calves
  • Throbbing or cramping
  • Skin discoloration or eczema

Common Causes:

  • Genetics
  • Obesity
  • Pregnancy
  • Prolonged standing
  • Aging

👉 Explore varicose vein symptoms and causes


How Are They Different?

FeatureSpider VeinsVaricose Veins
SizeSmall, thread-likeBulging, rope-like
ColorRed, blue, or purpleBlue or dark purple
LocationSurface of skin (legs, face)Legs, behind knees, thighs
SymptomsUsually painlessMay have pain, swelling, cramps, heaviness
Medical ConcernMostly cosmeticOften medical, linked to CVI

Should You Be Concerned?

While spider veins are generally harmless, varicose veins can lead to complications like:

  • Venous ulcers
  • Skin thickening or discoloration
  • Superficial thrombophlebitis

Early diagnosis with Doppler ultrasound is key to determining whether you have a cosmetic issue or there is venous insufficiency.

👉 Book your Doppler assessment


Treatment Options in Dubai

Whether you have spider veins or varicose veins, treatment options are available:

Spider Vein Treatments

  • Microsclerotherapy
  • Laser treatment

Varicose Vein Treatments

  • Endovenous Laser Ablation (EVLA)
  • Radiofrequency Ablation (RFA)
  • ClariVein® MOCA
  • Phlebectomy

Final Thoughts

Spider veins and varicose veins may appear similar at first glance, but they differ significantly in their impact on your health.

If you’re unsure which you have, or you’re experiencing symptoms like leg heaviness or pain, it’s time to consult a vascular expert.

📍 Contact Dr. Soroush Sohrabi, Consultant Vascular Surgeon at Dubai Vein Specialist, for a personalized assessment.

👉 Visit Dubai Vein Specialist to learn more and schedule your consultation today.

Learn more about Spider veins at Celveland Clinic.


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