Are they new or ...?

Most people believe that varicose veins (spider veins) always reappear, but this is not possible! If it were true, a varicose vein would develop somewhere, which would enlarge and branch out, and after some time a second one would develop, which would also enlarge and branch out. They grow at the same time, resulting in doubly extensive and doubly rapid growth. If a third and a fourth are added, the growth increases further and a chain reaction would follow.

What consequences would this have for treatment?

If a varicose vein or spider vein is removed at some point, several more would appear at the same time in numerous other places - the treatment would never be completed.

And what is really happening?

During treatment, remnants are left that continue to be subject to a growth stimulus due to gravity (excess pressure in the venous system). If valves are still unable to close - even if this is only the case in very small veins - the blood pushes in the wrong direction (from the inside to the outside and from the top to the bottom) so that they continue to grow and eventually take on the shape of large, ugly spider veins or varicose veins again.

So what is important?

If varicose veins or spider veins are consistently reduced from session to session (every six months) over several months as part of a controlled treatment concept, only the smallest inconspicuous to invisible remnants remain, which again take many years to reach a visible size.

And what is the ultimate benefit?

If the smallest varicose veins or spider veins are treated at an early stage, there is a good chance of complete removal without any further consequences and with the chance of being able to successfully treat any further occurrences in the future (which, as described above, are rare).

PS: minimally invasive techniques today allow treatment without leaving macroscopically visible scars!