Understanding How Varicose Veins Form

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May 2, 2023

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Knowing how varicose veins form — and which circumstances can trigger or accelerate their appearance — helps you understand your chances of developing them so you can take steps to prevent them.

Varicose veins are common: More than one in three adults (35%) in the United States currently has them, and many more can expect to get them at some point in life. While anyone can develop these twisted, bulging viscosities, certain factors make them more likely. 

Knowing how varicose veins form — and which circumstances might trigger or accelerate their appearance — can help you understand your chances of developing them. With that awareness, you can manage your risk and prevent unwanted vein problems. 

Read on as board-certified vascular specialist Dr. David Verebelyi and our skilled team at Colorado Skin and Vein discuss the underlying mechanisms and intensifying factors behind varicose veins and explain how you can minimize your risk of developing them.  

Weak valves set the stage for varicose veins 

Your veins have one job: transport deoxygenated blood from your body tissues, organs, and extremities to your heart and lungs. They contain a series of one-way valves to keep your blood flowing efficiently and in the right direction on this continuous journey.

Unfortunately, vein valves aren’t impervious to dysfunction. They can weaken with age, like any other part of your body, and they can weaken under pressure. Leg veins are more likely to become varicose — their valves frequently work against the effects of gravity to keep blood flowing toward your heart.

A condition called venous insufficiency begins when weak or damaged vein valves no longer work as they should. Instead of flowing through them, blood pools behind the dysfunctional valves and exerts pressure on the surrounding vessel wall.  

There are three main risk factors for weak or dysfunctional vein valves, including having a family history of varicose veins, being middle-aged or older, and female gender. 

Circulation issues rapidly accelerate the process

Weak vein valves and venous insufficiency may effectively set the stage for varicose veins, but other factors usually accelerate the process, which include the following four basic categories:

Sluggish blood flow

Venous insufficiency is already a form of poor circulation, but one that can get worse with too much sitting or lack of physical activity. When inactive, your blood flow becomes even more sluggish and readily pools behind weak vein valves. 

Increased pressure

Venous hypertension, or high blood pressure inside your veins, places vein valves under stress and strain. This can happen when pregnancy or carrying excess body fat requires your veins to handle a higher-than-normal blood volume; it can also happen if you’re often on your feet for long stretches.

High-estrogen state

Female gender is a risk factor for varicose veins because estrogen is the primary female sex hormone. While estrogen contributes to vascular health, higher estrogen levels can weaken vein valve function and increase the likelihood of varicose veins. 

This is why the high-estrogen state of pregnancy can accelerate varicose vein formation. 

Injury and obstruction

You’re more likely to develop varicose veins if you’ve ever had a deep vein thrombosis (DVT), or blood clot, in one of your deep veins. You’re also more likely to get them if you\’re a smoker — tobacco damages the lining of your veins and slows circulation. 

Here is how to reduce your varicose vein risk 

While you can’t mitigate unchangeable risk factors for varicose veins like family history, older age, and female gender, there’s a lot you can do to promote optimal circulation and minimize your risk of developing vein problems. Everyone’s leg circulation can benefit from: 

  • Avoiding long stretches of sitting or standing still 
  • Getting at least 30-60 minutes of exercise each day
  • Losing excess body weight and quitting smoking
  • Switching to a heart-healthy, low-sodium diet plan  

If you have significant accelerating risk factors for varicose veins — such as pregnancy or an occupation that requires you to stand for long periods — you can assist lower extremity circulation by wearing compression stockings and elevating your legs as often as possible. 

And remember, while there’s a lot you can do to improve your circulation and reduce your varicose vein risk, you can’t eliminate that risk altogether. If you happen to develop an unsightly, uncomfortable, or unwanted varicose vein, we can help. 

To learn more about the minimally invasive varicose vein treatment options at Colorado Skin and Vein in Englewood, Colorado, call or click online and schedule a consultation today. 

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Colorado's Vascular & Aesthetic Medicine

Stay Informed, Stay Healthy

Explore expert tips, guides, and the latest updates on vein health and treatments.

Danielle Killingsworth, NCMA, Aesthetics Coordinator at Colorado Skin & Vein in Denver

Danielle Killingsworth

NCMA, Aesthetics Coordinator

Danielle is a Colorado native who brings more than 22 years of experience in the medical field. Throughout her career she has developed a diverse clinical background across infectious disease, general surgery, and pain management — giving her a well-rounded understanding of patient care and of what it takes to create a safe, comfortable, and personalized experience.

As Aesthetics Coordinator at Colorado Skin & Vein, Danielle combines that clinical knowledge with a genuine passion for aesthetics. She is dedicated to helping patients feel confident, informed, and supported throughout their aesthetic journey, from the initial consultation through treatment and follow-up care.

She believes one of the most rewarding parts of her career is building meaningful relationships with patients and helping them look and feel their very best.

Outside of work, Danielle enjoys spending time with her family, including her four boys, getting lost in a good book, and working in her garden. Fun fact: she is a dedicated Dallas Cowboys fan.

Nikki Moyta, Operations Director at Colorado Skin & Vein in Denver

Nikki Moyta

Operations Director

For over 26 years, Nikki has dedicated her career to the dermatology and aesthetics industry, building her experience from the ground up — starting in a patient scheduling call center, moving to the front desk, and rising to executive leadership overseeing multiple providers and locations.

Originally from Pittsburgh, she moved to Orlando before starting 10th grade and later attended Seminole State College of Florida. Her career in dermatology began in 2002, scheduling appointments for a multi-location practice. She grew quickly within the organization, moving into front-desk and checkout roles before being promoted to Office Manager in 2008. In 2012, her leadership and operational expertise led the CEO to seek her out for an expanded role overseeing multiple providers and locations — a position she held through 2022.

Outside of her professional career, Nikki is passionate about giving back to the community:

  • Community outreach
  • Voted “Cheerleader of the Practice”
  • 1st Place Winner — Miles for Melanoma

With a career built on leadership, dedication, and a genuine passion for patients and the aesthetics industry, she is excited to bring her experience and enthusiasm to the Colorado community. When she is not in the office, you can find Nikki with her Siberian husky, Compass, somewhere on top of a mountain.

Betina Lacson, RVT at Colorado Skin & Vein in Denver

Betina Lacson

RVT

Betina graduated from the Cardiovascular Technology Program at Grossmont College in California in 2020, and brings more than six years of experience in the duplex world of venous insufficiency. Much of her career has centered on superficial vein mapping and assisting in surgery while providing attentive patient care.

At Colorado Skin & Vein, she assists with venous ablation procedures as well as ultrasound-guided sclerotherapy. She is committed to quality care at every stage — from the initial consultation, through surgery, to post-operative appointments — making sure each patient feels fully supported.

In her free time, Betina loves Kizomba dancing with her Afro-Latin dance community, and can often be found at electronic dance music shows in different cities. If you are feeling generous, she will happily accept a karaoke room or an iced Thai milk tea.

Brooke Owens, PA-C, MPAS at Colorado Skin & Vein in Denver

Brooke Owens

PA-C, MPAS

Brooke Owens, PA-C, MPAS is a compassionate Physician Assistant who brings a strong clinical foundation, exceptional attention to detail, and a patient-centered approach to Colorado Skin & Vein.

Prior to joining the practice, Brooke spent several years in pediatric primary care, caring for patients with a wide range of acute and chronic conditions. She became known for her thorough evaluations, thoughtful clinical decision-making, and ability to build lasting relationships with patients and their families. That experience strengthened her diagnostic expertise while reinforcing the importance of listening carefully, educating patients, and creating individualized treatment plans.

Drawn to the unique blend of medicine, procedures, and patient transformation, Brooke was excited to move into vascular medicine and aesthetic care. She is passionate about helping patients improve not only their health but also their confidence — whether they are seeking treatment for vein disease, skin concerns, or cosmetic enhancements. By combining broad medical experience with advanced specialty training and a meticulous eye for detail, she delivers safe, effective, and personalized care.

Brooke believes the best outcomes begin with trust. She values taking the time to understand each patient’s goals, answer questions, and ensure they feel informed and comfortable throughout their care.

Angel Croce, Staff Manager at Colorado Skin & Vein in Denver

Angel Croce

Staff Manager

Angel has been in healthcare for more than 20 years. Her journey began in 2004, after her father suddenly passed away from a stroke. Losing him was a life-changing experience, and it inspired her to choose a career where she could help others and give patients and their families the care, compassion, and support they need during difficult times.

Throughout her career she has worked across cardiology, neurology, family practice, and urgent care — each experience helping her grow both personally and professionally. She now works in vascular care and aesthetics, where she enjoys building relationships with her patients, helping them understand their care, and making sure they feel comfortable and supported throughout their journey.

Outside of work, Angel is a proud mom of two. Family is incredibly important to her, and in her spare time she loves being outdoors with her husband and their two dogs — hunting, fishing, and enjoying Colorado.

For Angel, healthcare is more than a career — it is personal. What started as a way to honor her father’s memory has become more than two decades of caring for others, and she is grateful to keep doing something that means so much to her every day.