What Causes Reticular Veins

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Veins play an integral role in the vascular and circulatory systems. Veins return deoxygenated blood from various body parts back to the heart and lungs. Unlike the arteries, veins do not use pressure to move the blood. Instead, they utilize valves and muscles to push the blood effectively.
In lower body extremities such as the feet, veins actively work against gravity to drive the blood back to the heart and lungs. However, when specific muscles and valves fail, the blood may flow back to the lower regions and pool in certain places. This can lead to various vascular issues, or chronic venous insufficiency (CVI). Reticular veins often appear as an early sign and symptom of CVI.

What are reticular veins?

Reticular veins are visible veins that appear just below the top layer of your skin. However, these veins rarely protrude from the skin. In most cases, reticular veins are about 2 mm in diameter, and it may take some time before you can notice them.
Since all veins carry oxygen-deficient blood, reticular veins may appear blue or purple. While they can appear in any part of the body, reticular veins commonly form on the inner thighs. Other places where these veins may develop include the ankles, at the back of your knees, and the general backside of the leg.
As mentioned above, reticular veins are not always easily discernible as spider veins or varicose veins. Moreover, they may appear without any accompanying symptoms. In these cases, they only cause a cosmetic concern to the affected person. People seek treatment from reticular veins as they feel uncomfortable having their legs exposed while wearing short garments like skirts, bathing suits, and shorts.

Risk factors associated with reticular veins

Reticular veins stem from venous insufficiency and weakened valves. Other conditions that emanate from venous insufficiency include spider veins and varicose veins. Some of the risk factors that may increase your chance of developing reticular veins and other venous insufficiencies include:

What are the common symptoms of reticular veins?

Reticular veins don’t always present symptoms and may even go unnoticed. However, you may feel an itching and prickly sensation as they begin to form. Other notable symptoms include:

How dangerous are reticular veins?

Other than the symptoms mentioned above, which may or may not occur, reticular veins do not pose a significant health risk.
However, they do indicate blood flow problems in the veins. If you notice them, you should consult a vascular specialist. This will help rule out other severe vascular conditions like Varicose veins and Deep vein thrombosis (DVT).
If you are affected by reticular veins, listed below are tips to improve blood flow to your limbs:
While reticular veins are not typically harmful to your health and wellbeing, they can be an early warning sign of vascular issues. These issues may lead to the development of conditions such as varicose veins. If you’re uncomfortable with the appearance of the reticular veins or if they display any of the mentioned symptoms, you should see a vascular expert.

Can reticular veins be treated?

Various treatment options can be used to treat and manage reticular veins. Treatments may vary depending on condition severity. Some of the commonly used reticular vein treatments are:

Laser therapy

Laser therapy treatment options like the Cutera Excel V laser system are commonly used to treat vascular conditions such as reticular veins. The Cutera Excel V laser was developed using feedback from leading vascular physicians around the world.
It comprises two-wavelength modes, 532 nm, and 1064 nm. It can be used on more than 20 different indications on all skin types. The Excel V system houses the broadest capabilities in treating both superficial and deep vascular conditions.

Why is laser therapy better than other reticular vein treatment options?

Most vascular specialists prefer to treat reticular veins with the Cutera Excel V laser system because it can be adjusted to match the skin condition.
Moreover, this laser treatment offers a variety of laser spot sizes. This increased precision allows for a highly-effective treatment in a short amount of time. These customization features set the Excel V system ahead of other treatment options because lengthy, complicated procedures can now be performed easily in a single session.
Other reticular veins treatment options are;


Sclerotherapy is a minimally invasive procedure. A vascular specialist will inject medication into the affected area. The medication blocks and collapses the lining of the problematic veins. An ultrasound is used to determine the best spot to inject the medication.


While this minimally invasive procedure is mainly used on varicose veins, it also treats reticular veins. Microphlebectomy surgically extracts the affected reticular veins with specialized medical equipment.

Treatment Options

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What to Expect

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Vascular Disease

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Why choose Monterey Bay Vascular?

Reticular veins can appear at any time without warning. To get rid of them effectively, you need vascular care professionals with the relevant, technological expertise. Monterey Bay Vascular is a leading healthcare partner in reticular vein treatment. Highly trained professionals work with cutting-edge technology and equipment to aid in removing your reticular veins and restore your skin to its former glory. Contact Monterey Bay Vascular today for comprehensive vein consultation.
It is important to remember that reticular veins can be an early indication of deeper issues in your vascular system. While they may not be painful, you should still see an expert if you develop reticular veins. Whether it’s for medical or cosmetic purposes, there are effective treatment options to remedy the situation.