Laser treatment of spider veins and telangectasias has been a controversial subject. Up until recently, laser use has resulted in inconsistent success. Dr. McDonnell and the professional staff at The Vein Clinic have evaluated the new Lyra© state-of-the-art vascular laser which was designed to target blue, purple, and red-ish vessels in people of all skin types. We believe it offers an opportunity to achieve better results than other systems. It may not completely replace the time tested methods of good sclerotherapy, however, it shows excellent promise. It may be especially useful for patients with a “needle phobia” or for those patients with “hard-to-treat” spiders. It is somewhat more costly and it may require a few more treatments than sclerotherapy. Laser treatments, regardless of medical necessity, are not usually covered by medical insurance.