Veins and Vascular lesions
Unwanted veins, spider veins, redness, Rosacea and red
birthmarks can be well treated with medical lasers.
Spider Vein Treatment: Facial
Spider veins (telangectasias) are a common development from sun damage and from aging. Certain medical conditions and habits (smoking, alcohol) can also promote their development. They are cosmetically undesirable and can make the face appear older, flushed, or blemished. Sun and heat can make them more prominent.
There are a variety of treatments for facial spider veins that can be effective. Before treatment your skin will be carefully examined. Sometimes small skin cancers are first seen by small blood vessels. If you have any suspicious areas, they will be removed by biopsy. This is a simple and quick office procedure.
Spider veins can be treated with electro-surgery. This is applying an electrical "spark" through a tiny needle electrode to coagulate the tiny spider vein from its center. This is quick but painful. It is more likely to result in scarring than treatment by medical lasers. Therefore we recommend laser treatment rather than electro-surgery.
Lasers using light that is strongly absorbed by hemoglobin in spider veins is an excellent alternative for treatment. No needle is required. Pulses of light quickly coagulate the spider veins. Some crusting can occasionally occur on the surface of the skin if the KTP laser is used (a green light laser). Occasionally two or three treatments may be needed for facial spider veins. But usually there is substantial improvement after a first treatment. The treatment is fast and simple. The discomfort is mild. No anesthetic is usually needed except for a topical ìnumbingî cream.
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More extensive spider veins and other vascular blemishes may be more effectively treated with the pulsed-dye laser or with FotoFacial Treatments. These are extremely versatile and effective laser/light devices for blood vessels. The main side effect is purpura: a bruised discoloration lasting one to two weeks. It does not break the skin.
Leg Spider Veins and Varicosities
Spider veins on the legs can occur as a result of varicose veins, enlarged and twisting superficial veins in the legs. Varicose veins can be genetic or due to a mechanical blockage of the deeper veins. Quite often the enlarged veins are due to incompetent venous valves, which subject the small superficial veins to greater pressure than they can handle. Intermediate sized "feeder" veins called reticular veins spread this pressure to the smallest veins. When these dilate and appear as a red or bluish network they are also known as spider veins
The vascular lasers are useful in treating spider veins on the leg. This is especially true of the pulsed-dye laser. But lasers may not be very effective on the larger reticular or varicose veins which may "feed" the networks of spider veins. The best approach is to combine sclerotherapy (injection therapy) of the reticular veins with laser treatment of the matted capillary networks and spider veins. Sometimes surgical vein stripping or endovenous treatment is needed to eliminate the very large varicose.
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Aesthetics MD offers combined treatment with sclerotherapy of reticular veins and laser treatments of any remaining fine ìspiderî veins or matting.
To find a vein specialist near you, visit:
VEINSonline.com
The
Role of Lasers in the Treatment of Leg Veins
Rosacea
The pulsed-dye laser is effective on Rosacea. This is a common skin condition, which often causes bright red cheeks and extensive spider veins as well as changes in sebaceous glands. We usually prefer to use FotoFacial Intense pulsed-Light Treatments for Rosacea because these are so effective and gentle with less side effects than the pulsed-dye laser.
Poikiloderma
The "red neck" appearance from sun damage is known as poikiloderma. This is due to an overgrowth of tiny capillary blood vessels. Therefore it is responsive to treatment with the pulsed-dye laser or FotoFacials. For wrinkled or very rough textured necks we recommend Fraxel Laser Treatments as the best choice.
Vascular Birthmarks
Red birthmarks such as "port wine stain" and strawberry marks and hemangiomas can be effectively and safely treated with the pulsed dye laser. The laser is so safe that it is used for port wine stains even in infants. Hemangiomas will often diminish on their own in time. So they are only treated if they are cosmetically detrimental to the child or if they interfere with normal functioning. Several treatments are expected in treating birthmarks. They are spaced several weeks apart. Topical anesthetic is usually sufficient for comfort. For the treatment of infants and children, Dr. Van Camp and Dr. Teng would be pleased to work with your pediatrician in planning therapy. The Pulsed-Dye laser is usually the best choice in treating red birthmarks.
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Pulsed Dye Laser
The Pulsed Dye Laser is the best treatment available for certain cosmetically significant birth marks such as "port-wine stains". The tunable ScleroPlus pulsed dye Laser at Aesthetics MD is also an excellent method for treating unsightly veins in adults (see above). Facial "spider veins", rosacea, poikiloderma, and smaller leg veins also respond well. The treatment is rapid and well tolerated. One to three treatments may typically be required. For leg veins laser therapy is often combined with sclerotherapy for the best possible results. There is always some temporary discoloration (a bruised appearance called purpura) with pulsed dye laser treatments. This may take from two weeks to a few months to clear. For this reason we recommend a ìtest spotî treatment at your consultation to see how you respond as an individual. Most patients choose to have leg veins treated in the Fall or Winter when this temporary appearance will not be an inconvenience.
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