Our Skin

Spider Angiomas aren’t Serious, But Here’s the Scoop

Spider angiomas, also known as spider veins, are small, dilated blood vessels that appear on the surface of the skin. They typically occur on the face, neck, and arms, and can be both unsightly and uncomfortable. In this post, we’ll discuss the causes, symptoms, and treatment options for spider angiomas.


Spider angiomas occur when the small blood vessels near the surface of the skin become dilated and visible. The exact cause of this dilation is not fully understood, but it is thought to be related to changes in hormone levels, particularly estrogen. Other factors that can contribute to the development of spider angiomas include:

  • Liver disease or liver damage
  • Sun exposure
  • Genetics
  • Alcohol consumption
  • Certain medications, such as corticosteroids


Spider angiomas are characterized by a small, central red dot surrounded by smaller capillaries that resemble spider legs. They typically measure less than 1 centimeter in size and are painless, but can be itchy or uncomfortable in some cases. They are most commonly found on the face, neck, and arms, but can occur on other parts of the body as well.


Spider angiomas typically do not require treatment, as they are not a serious medical condition. However, if they are causing discomfort or are affecting your self-confidence, there are several treatment options available. These include:

Sclerotherapy: This involves injecting a solution directly into the blood vessels to cause them to collapse and fade away. This is typically only used for larger spider angiomas.

Laser therapy: This involves using a laser to target and destroy the blood vessels that make up the spider angioma. This is a safe and effective option that typically does not require any downtime. This is what we most commonly use at Hada Cosmetic Medicine.

Electrocautery: This involves using a small electrical current to destroy the blood vessels. This is typically only used for smaller spider angiomas.

In addition to medical treatment, there are several self-care measures that can be taken to help prevent the development of spider angiomas, including:

  • Protecting the skin from sun damage
  • Maintaining a healthy liver through diet and lifestyle choices
  • Reducing alcohol consumption
  • Avoiding medications that can increase the risk of spider angiomas

In conclusion, spider angiomas are a common and harmless condition that can be treated if they are causing discomfort or affecting self-confidence. Treatment options include laser therapy, electrocautery, and sclerotherapy, and there are several self-care measures that can be taken to prevent their development. If you are concerned about spider angiomas, be sure to consult with a healthcare professional for personalized recommendations.


Suzanne Trupin, MD, Board Certified Obstetrician and Gynecologist and owner of Women's Health Practice, Hada Cosmetic Medicine, and Hatha Yoga and Fitness

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