Beverly Hills Dermatology
Spider Vein Treatment in Beverly Hills
Facial telangiectasias treated with the Vbeam® pulsed dye laser — about 15 minutes, and anesthesia cream is not required.
- Verified Reviews
- 792
- Overall Rating
- 4.77★
- Bedside Manner
- 4.84★
- Years in Practice
- 20+
Overview
Facial spider veins, properly called telangiectasias, are small dilated capillaries visible at the skin surface — most often across the nose, cheeks, and chin. They arise from cumulative sun exposure, genetics, rosacea, and age-related loss of the dermal support that normally conceals these vessels. Because they are vascular structures, they respond to a laser that specifically targets blood.
Dr. Zaks treats them with the Vbeam® pulsed dye laser. Its 595 nm wavelength is preferentially absorbed by oxyhemoglobin inside the vessel, so the energy is converted to heat within the target and collapses the vessel while leaving surrounding skin unaffected. Treatment is quick — typically about 15 minutes — and anesthesia cream is not required, because the device's integrated cryogen cooling makes the pulses tolerable. Dr. Zaks uses gentle, longer-pulse settings with integrated cryogen cooling, so most patients return to normal activity immediately.
What Vbeam® Treats
Facial Telangiectasias
The fine, visible dilated capillaries of the nose, cheeks, and chin — the primary indication.
Rosacea-Associated Vessels
The persistent background redness and visible vessels of rosacea, treated alongside a medical rosacea regimen.
Diffuse Facial Redness
Generalized flushing and redness improves as the underlying dilated vasculature is reduced.
Cherry Angiomas
Small bright red vascular papules on the face and body respond well to pulsed dye laser treatment.
Post-Acne Redness
Flat red marks left after inflammatory acne (post-inflammatory erythema) are vascular and respond to the same laser.
The Treatment Experience
Evaluation
Dr. Zaks examines the vessels, confirms they are telangiectasias, and screens for underlying rosacea, which may need medical treatment alongside the laser.
Preparation
The skin is cleansed and protective eyewear is provided. Anesthesia cream is not required for this treatment.
Laser treatment — about 15 minutes
Pulses are delivered along each vessel, with the device's cryogen cooling spray protecting the skin surface. Most patients describe a brief snap with each pulse.
Aftercare
Expect transient redness or mild swelling for a few hours. Sunscreen daily and avoid heat and strenuous exercise for 24 hours. Additional sessions may be recommended for complete clearance.
Important Information
- Anesthesia cream is not required — the Vbeam®'s integrated cooling makes treatment tolerable without it.
- Dr. Zaks uses gentle, longer-pulse settings with integrated cryogen cooling, so most patients return to normal activity immediately.
- Some vessels require more than one session for complete clearance, particularly larger or long-standing ones.
- New vessels can develop over time, especially with continued sun exposure or untreated rosacea; daily mineral sunscreen at SPF 30+ and medical management reduce recurrence.
- This page addresses facial spider veins. Leg veins are a different problem and Dr. Zaks will refer you appropriately.
Before & After
Images courtesy of Candela Medical (Vbeam®). Used with attribution. Individual results vary.
Frequently Asked Questions
How long does treatment take?
Most facial spider vein sessions take approximately 15 minutes, depending on how many vessels are being treated.
Do I need numbing cream?
No. Anesthesia cream is not required. The Vbeam® delivers a cryogen cooling spray with each pulse, which protects and numbs the skin surface enough that most patients are comfortable.
Is there any downtime?
Dr. Zaks uses gentle, longer-pulse settings with integrated cryogen cooling. Most patients have only transient redness for a few hours and go straight back to normal activities.
How many sessions will I need?
Many patients see substantial improvement after one session, but larger or long-standing vessels may need additional treatments. Dr. Zaks will give you a realistic estimate after examining you.
Will the veins come back?
The treated vessels are closed permanently, but new telangiectasias can develop over time — particularly with ongoing sun exposure or untreated rosacea. Daily mineral sunscreen at SPF 30+ and medical management reduce recurrence.
Can you treat spider veins on my legs?
This treatment is for facial telangiectasias. Leg veins involve different vessel size and pressure dynamics, and Dr. Zaks will discuss appropriate referral if that is your concern.
Patient Reviews
“I have been going to Dr. Zaks for over 4 years. His outstanding skill, great bedside manner, warm personality, and artistry with Botox make me come back again and again!”
“I had Rosacea on my face for over 10 years. Dr. Zaks quickly reduced this embarrassing condition. Nobody else could help me. He's the best Dermatologist in LA hands down!”
“Dr. Zaks did not rush and he gave me 100% attention. He did not try to sell me product or convince me to try aggressive procedures which I appreciated.”
“Doctor took the time to explain the technical aspects of my condition, the treatment options and the expectations.”
About Dr. Boris Zaks, MD
Dr. Boris Zaks personally performs every procedure at Superior Beverly Hills Dermatology — never rotating assistants. He has practiced dermatology in Beverly Hills for more than twenty years.
- Board Certified — American Board of Dermatology (since 2002)
- Medical Degree — UCLA School of Medicine
- Chief Resident — Charles Drew University of Medicine & Science
- B.S. Biology — UCLA, Summa Cum Laude (age 19)
- Medical Board of California Expert Reviewer since 2009
- Super Doctors® 2023, 2024, 2025, 2026 & 2027 (Southern California)
- "Rock Star Dermatologist" — Glamour Magazine
Schedule Your Consultation
435 N. Roxbury Drive, Suite 408, Beverly Hills, CA 90210 · Monday–Friday · (310) 552-3376
Paid parking on-site, or free 2-hour parking at 461 N. Bedford Drive Garage, 1 block away
Areas Served
Patients seek Spider Vein Treatment at Dr. Zaks’s Beverly Hills office from throughout greater Los Angeles: West Hollywood, Bel Air, Brentwood, Malibu, Pacific Palisades, Santa Monica, Westwood, Century City, Culver City, Marina del Rey, Studio City, Sherman Oaks, Encino, Calabasas, Burbank, Glendale, Pasadena, Manhattan Beach, Hermosa Beach, Torrance, Long Beach, Newport Beach, and Irvine.