Dr. Costello uses a combination of laser and injections to reduce unsightly leg and facial veins. Smaller facial veins as well as well as spider veins on the legs are best treated with a laser. However, larger more tortuous veins achieve the best results with injections. Dr. Costello will perform a Doppler study on each patient prior to their first session, in order to evaluate the competency of the valves in their veins, and give an informed opinion on the likelihood of success of the treatment and the amount of new vein formation that may occur.