Spider Veins and Reticular Veins

RefinedMD treats spider and reticular veins, not varicose veins (you’ll need a different kind of specialist for that). The lower leg’s venous system is kind of like an upside down tree. You have the trunk, limbs, branches, twigs, and a few leaves. That’s all good and natural, but if there’s a vein problem you need to start at the trunk. Anything above the knee is more serious and requires a specialist, and we’re happy to refer you to one.

Treating Spider Veins

At RefinedMD, we specialize in the twigs and leaves. Injectables, lasers, or a combination of the two are the most effective strategies for handling spider veins. These superficial conditions don’t require serious medical attention. Surface cosmetic treatment for spider and reticular veins requires laser therapy, usually with ExcelV. It coagulates the blood cells for better flow and a reduction of visible veins.

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Dr. Steven Swengel
Dr. Steven Swengel
Board-Certified Dermatologist

Since establishing RefinedMD in 2012, Dr. Swengel has earned a reputation throughout the South Bay as one of the area’s top cosmetic and medical dermatologists. He is sought out for his expertise as a Mohs micrographic surgeon and laser treatment specialist, as well as his warm, attentive style of patient care.

Meet Dr. Steven Swengel
Dermatologist
Board-Certified Dermatologist

Medical Insurance

RefinedMD is an out-of-network clinic which means we do not have a contract or communicate with any health insurance providers. A payment receipt along with a super bill will be provided following your appointment, which you can use to seek possible reimbursement from your insurance provider. Please understand that payment is expected to be paid in full at the time of your appointment. Learn more about insurance at RefinedMD.

A Reputation Built on Results

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Contact RefinedMD in Los Gatos Today

That’s the cool thing about having over 20 lasers for skin rejuvenation on-site. The perfect one for every patient’s complaint is just a few steps away. To schedule your appointment to treat spider or reticular veins, call RefinedMD at (408) 688-2082.

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Virtual Peptides Event

Curious about peptides and how they may fit into your wellness plan? Join us virtually on September 22nd at 6:00pm for an educational event on medically supervised peptide therapy. Learn what peptides are, how they are administered, and how our providers determine which options may be appropriate based on your individual goals and health history.

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Reviewed for clinical accuracy by a RefinedMD Medical Editor on August 26th, 2026.

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