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.

Clinician performs skin-tightening treatment on woman's face

View Before & After Photos

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

Dr Roy does amazing work. He is a true artist. He thoroughly explained the procedure, very helpful with...
Fabulous polite, professional and highly skilled Doctors and staff. Have had several Halo laser treatments...
Refined MD has been my go-to destination for aesthetic treatments for nearly four years, and I couldn't...
RefinedMD has been my go-to for all things skincare for years! They have top-of-the-line equipment,...

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.

Request a Consultation
Lineup of black Revision Skincare bottles and tubes arranged on a light surface, showcasing multiple facial treatment and skincare products against a softly blurred background.

Shop
Skincare
Products

Visit Store

Specials & Promotions

Santa, But Make It Refined: A Holiday Night Out

This isn’t your standard holiday party. Join RefinedMD on December 4 for a festive evening filled with a little glamour, a little mischief, and plenty of holiday cheer. Stop by the office, grab a cocktail, explore offerings from local vendors, and strike a pose for a photo with our very special sexy Santa. Bring a friend, make it a date night, or simply stop in to celebrate with the RefinedMD team. Expect an evening designed for mingling, shopping, sipping, and kicking off the holiday season in style, all with a distinctly Refined twist. Additional details are coming soon, so save the date and start deciding what you’re going to wear for that Santa photo.

Define Your Target: CoolSculpting Focused on Results

Choose the area you want to transform, and let’s focus on it. RefinedMD’s CoolSculpting special offers a set package price for a defined body area, including the lower abdomen, full abdomen, flanks, back, neck and chin, or inner or outer thighs. Complete your personalized package within 120 days as our team focuses on helping you achieve visible results in your selected area. It’s a straightforward approach to body contouring: one target area, one package price, and a treatment strategy centered on your goals. Plus, medically eligible patients who purchase a qualifying CoolSculpting package receive 12 weeks of microdosed tirezepatide at no additional cost. Schedule a consultation to determine eligibility and create your transformation plan.

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

Contact