Feel confident showing your legs again. Our board-certified dermatologists specialize in advanced treatments that reduce the appearance of visible veins and help legs feel lighter.
Our advanced vein treatment options can help you achieve:
Sclerotherapy remains the best treatment for varicose veins and spider veins on legs for most patients.
At Cosmetic Laser Dermatology, sclerotherapy is performed with FDA-approved Asclera™ or Sotradecol™, or a glycerin solution, which is carefully injected into the targeted vessel. The treated vein collapses, hardens into scar tissue, and is gradually absorbed by the body.
Sclerotherapy remains the best treatment for varicose veins and spider veins on legs for most patients.
At Cosmetic Laser Dermatology, sclerotherapy is performed with FDA-approved Asclera™ or Sotradecol™, or a glycerin solution, which is carefully injected into the targeted vessel. The treated vein collapses, hardens into scar tissue, and is gradually absorbed by the body.
When appropriate, laser treatment for varicose veins can be an effective complement to sclerotherapy for varicose veins.
CoolTouch Varia
CoolTouch Varia is an advanced laser for spider veins and select leg veins. Precise delivery helps close visible vessels safely.
CoolTouch CTEV
CoolTouch CTEV is an advanced long-pulsed Nd:YAG laser designed specifically for treating veins in legs that may not fully respond to sclerotherapy alone. This laser treatment for varicose veins delivers controlled thermal energy directly into the targeted vessel, causing it to close while protecting surrounding skin.
Nd:YAG Laser
Nd: YAG Laser delivers targeted energy to deeper veins in legs. Often used for vessels not fully cleared with injections.
Pulsed Dye Laser (PDL) and Intense Pulsed Light (IPL)
IPL and PDL are light and laser treatments for the tiniest spider veins and smaller superficial vessels. Frequently used for facial veins and delicate areas.
Laser and Intense Pulsed Light for Spider Veins and Varicose Veins
Laser and Intense Pulsed Light for spider veins is ideal for fine surface vessels, delivering precise energy to close unwanted veins while protecting surrounding skin. Intravascular laser treatment for varicose veins may be recommended selectively when injection therapy is not ideal or as part of a comprehensive vein treatment plan.
If you are searching for laser or IPL treatment for varicose veins near me, expertise matters. Our board-certified dermatologists carefully determine when laser and/or IPL enhances results and when sclerotherapy remains the most effective approach.
Varicose vein removal is customized based on the size, depth, location, and severity of the affected veins. After a comprehensive evaluation, often including advanced duplex and infrared imaging, our board-certified dermatologists determine whether sclerotherapy, ambulatory phlebectomy, laser therapy, or a combination approach is most appropriate.
While many patients achieve excellent improvement with sclerotherapy, larger, rope-like, or bulging surface veins may be better addressed with ambulatory phlebectomy.
Importantly, removing malfunctioning veins does not negatively affect circulation. These veins are no longer functioning properly and allow blood to pool or reverse direction. Once treated, circulation is naturally redirected to healthy veins, and many patients report that their legs feel lighter and more comfortable over time.
Ambulatory phlebectomy is a minimally invasive, in-office procedure designed to remove larger, visible varicose veins that may not respond optimally to sclerotherapy alone.
Performed under local anesthesia, your board-certified dermatologist makes tiny, strategically placed incisions to gently remove the affected vein segments. Because the incisions are extremely small, stitches are not necessary.
Patients can walk immediately after treatment and return home the same day.
When appropriate, ambulatory phlebectomy is often combined with sclerotherapy or laser therapy to achieve comprehensive vein improvement and natural-looking results.
As leaders in vein treatment and research, our team is led by Mitchel P. Goldman, MD, has helped define modern vein removal techniques and continues to educate physicians worldwide. Every procedure is performed by a board-certified dermatologist for the highest level of precision and safety.
Our practice has been at the forefront of laser innovation for decades, led by Mitchel P. Goldman, MD, a global authority in laser and vascular dermatology.
Mitchel P. Goldman, MD, is internationally respected for advancing modern varicose vein treatment and sclerotherapy techniques, which are taught to physicians worldwide.
Under the leadership of Mitchel P. Goldman, MD, our team has published extensively and contributed to shaping today’s gold standard for vein treatment.
We use state-of-the-art duplex and infrared light systems to precisely map veins in legs, ensuring accurate diagnosis and highly effective treatment planning.
Every varicose vein removal and sclerotherapy treatment is performed by an experienced board-certified dermatologist for the highest level of safety and precision.
Mitchel P. Goldman, MD, literally wrote the textbook on sclerotherapy for varicose veins and remains one of the most influential experts in the field today.
Cosmetic Laser Dermatology is proud to be San Diego’s #1 destination for vein treatment. By choosing us, you can expect:
Advanced duplex and infrared imaging allow us to map blood flow and precisely identify the source of malfunctioning veins.
We determine whether sclerotherapy, phlebectomy, laser treatment for varicose veins, or combination therapy is best.
Most sclerotherapy treatment sessions take 15–30 minutes, and patients return to normal activities the same day.
Many patients notice their legs feel lighter, smoother, and more comfortable once abnormal veins are removed. Individual results may vary.
We are proud to share that Dr. Goldman, Dr. Butterwick, Dr. Groff, Dr. Fabi, & Dr. Boen have once again been recognized as Castle Connolly Top Doctors in 2026!
Cosmetic Laser Dermatology has been voted Best Cosmetic Dermatology Practice in San Diego Magazine’s 2025 “Best of San Diego” readers’ poll!
Dr. William Groff was voted Best Cosmetic Dermatologist, Best Cosmetic Surgeon, and Best Dermatologist for 4 consecutive years by the San Diego Reader Best Poll.
Dr. Mitchel Goldman was voted #1 Cosmetic Dermatologist in America by Newsweek
Dr. William Groff was voted Best Cosmetic Dermatologist and Best Cosmetic Surgeon for 8 consecutive years by the San Diego U-T Best Readers Poll.
Drs. Goldman, Butterwick, and Fabi made the top 8 in Newsweek’s Best Cosmetic Dermatologists in America for the last two years in a row
Voted in the top 10% of Realself Doctors by achieving high patient satisfaction and getting favorable feedback on Q&A
Dr. William Groff was voted Best Dermatologist for 10 consecutive years and Best Cosmetic Surgeon for 9 consecutive years by the La Jolla Light Best Readers Poll.
Drs. Goldman, Butterwick, Groff, Fabi, and Boen were named Castle Connolly Top Doctors in 2025, making us one of the Top 3 Practices in California with the most Castle Connolly Top Doctors in Dermatology.
Dr. Boen has been recognized as a Top Doctor in 2023 and 2024 by San Diego County Medical Society.
Dr. Butterwick, is a distinguished facial cosmetic surgeon certified by the American Board of Facial
Cosmetic Surgery (ABFCS).
I trust Farzaneh Momeni completely with my skin. She is by far the best clinical aesthetician I’ve ever known. My skin has improved dramatically since I began monthly facials with her. Her treatments are 100% results-driven so if this is what you seek, look no further. Also, the entire Team at West Dermatology are top-notch. They’re always friendly, professional, & helpful, & greet everyone with a smile. 10 Stars all around!
My new regular cosmetic dermatology office. Dr Zubair is amazing and really patient with me. He has helped me over the last year with keloid scar removal, jaw Botox, and full facial acne scar treatment (ultra clear). The office is clean and the nursing/medical assistant staff is accommodating on all levels. I will always recommend this office and Dr Zubair to friends and family.
Most professional and most impressive! The service from the physicians to office staff is superb!
I live in Orange County and drove all the way out to see Dr. Wu because a friend of mine referred him (she had amazing results from her face and neck procedure). Dr. Wu is truly an artist! He made me feel extremely comfortable during my procedure. I was anxious when I got there, but he (and his staff) have such great energy and are so very kind and gentle that you can't help but feel at ease! The office was immaculate and they adhered to covid rules (sanitizing, temp checks, masks). This is my go-to place from now on and Dr. Wu is my go-to guy! Can't wait to see my final results! Thank you Phyllis (pre-op) for being so wonderful and informative! You were so very helpful and kind! I'll definitely be back!
Leysin and the entire team at Cosmetic Laser Dermatology are fantastic. They are professional, caring and communicative. The laser treatment was comfortable, efficient and effective! I highly recommend this practice. I definitely will come back and recommend her and Cosmetic Laser Dermatology to my family and friends.
Dr. Goldman is amazing! I came here for my permanent eyeliner removal (which is not offered anywhere near me), and they are completely removed in just one session. They use a special contact lens to protect your eyes from the laser, and there are no damages to my eyelashes. The healing was also nice and smooth. They have everything you need. I live almost 3 hours away, but it was totally worth the trip. For anyone who is looking to remove their permanent makeup, this is the right place to go :)-
Dr. Butterwick is fantastic, all of her team as well. They make sure your experience is pleasant and painless as possible. My tattoo removal and my injectables look amazing. I highly recommend her for any skin treatment.
Cosmetic Laser Dermatology was recommended to me by my dermatologist. He recommended Dr. Monica Boen. I'm so glad I took his recommendation. Everyone here at Cosmetic Laser Dermatology was super nice and friendly. Very welcoming. I came here for hair removal treatment. I did 4 sessions with Dr. Boen. Dr. Boen made me feel so comfortable and at ease when I talked to her. She explained everything before she did my treatment. I loved that. She was really easy to talk to. I definitely will come back and recommend her and Cosmetic Laser Dermatology to my family and friends.
This office is awesome. My visit today was with Dr. Groff. His bed side manner is so fun and welcoming. He understood my concerns and recommended a treatment plan that I feel was reasonable. I love his staff! They take there time to make sure you understand the treatment and after care. Everyone in the office, from the front desk to the nurses in the back, are so friendly and beautiful. They are very prompt and I trust my care with CLD. I can't wait for my next visit. See you guys in a few weeks!
"Dr. Sabrina Fabi is genius! Her technique is unlike anyone, her eye is precise, and her kindness and caring manner comes from the depth of her soul. She's simply brilliant! It's no wonder people travel the country just to be treated by her."
I wish I could give them 10 stars! I had such an awesome experience for my first visit and I am referring everyone I know to this office. From the super friendly staff to the state of the art procedures, they are the cream of the crop.
“I came to participate in a research study. All of the Doctors and staff at C.L. Dermatology are very professional, warm and friendly. All our my needs were anticipated and the hospitality of this office is like a five star hotel.”
Some patients benefit from combining sclerotherapy for varicose veins with phlebectomy or laser for spider veins for comprehensive results.
Removing unhealthy veins does not negatively affect circulation. In fact, because these malfunctioning veins reverse blood flow, their removal often improves circulation, helping legs feel lighter and more comfortable.
If you are researching varicose vein removal cost, pricing varies depending on the number of veins treated and treatment type. A consultation allows us to provide a customized treatment plan.
Sclerotherapy is a vein treatment that involves injecting a medical solution directly into unwanted veins. The solution irritates the vein lining, causing it to collapse and gradually be absorbed by the body. It is widely considered the best treatment for varicose veins and spider veins on legs.
This depends on the number of veins treated and the size of the treatment area. During your consultation, we evaluate your veins in legs and provide a clear estimate. Costs vary by individual case.
Sclerotherapy treatment has been performed for over 150 years and remains one of the safest methods for varicose vein removal when performed by experienced board-certified dermatologists. Side effects are typically mild and may include temporary redness, bruising, or itching.
After sclerotherapy, patients should avoid prolonged standing and excessive sun exposure for a short period. Walking regularly and wearing graduated compression stockings as directed helps optimize results.
Sclerotherapy works by closing malfunctioning veins that are reversing blood flow. Once closed, the body redirects circulation to healthy veins. Over time, the treated vein fades from view.
Varicose veins occur when the small valves inside your veins weaken and stop working properly. This allows blood to pool in the vein, causing it to enlarge and become visible beneath the skin. Genetics, aging, pregnancy, prolonged standing, and hormonal changes can all increase the risk.
Spider veins on legs and other areas may develop due to genetics, hormonal changes, trauma, obesity, prolonged standing, sun exposure, or prior surgery. Malfunctioning valves allow blood to pool, creating visible surface veins.
Spider veins do not typically go away on their own. Because they are not necessary for healthy circulation, professional vein treatment such as sclerotherapy or laser for spider veins is often required for removal.
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