Key Takeaway Cosmetic vein treatments include sclerotherapy, laser therapy, radiofrequency ablation, and surgical options. Sclerotherapy is the most common minimally invasive treatment for spider veins, while endovenous laser therapy (EVLT) and radiofrequency ablation are preferred for larger varicose veins. Treatment choice depends on vein size, location, and severity, with most procedures requiring minimal downtime. Spider veins and varicose veins are among the most common