Spider veins on the face are caused by many things—genetics, age, alcohol, caffeine, estrogen and sometimes sun exposure. If you have spider veins some people may assume you drink heavily, even if you don’t. Laser vein removal is imperfect, especially for veins near the nose and is difficult to perform safely and effectively in those with darker skin. Spider veins can be successfully treated with radiofrequency. This is effective, but there is some discomfort involved. Fortunately, the discomfort is brief. One or two sessions is usually effective.