Dermatologists have played a key role in the advancement and development of new safe, noninvasive technologies that are utilized in the treatment of both cosmetic telangiectasias and larger varicose veins of medical significance. As presented in this article, major advances in sclerosing solutions, hook avulsion techniques, and endovascular RF and laser procedures have revolutionized the world of phlebology. This medical sector continues to evolve through its relevance to the ever-expanding aesthetic and aging population.