Removal of spider veins on the face, on the legs,abdomen: laser, electrocoagulation, sclerotherapy

Update: October 2018

Teleangiectasia or spider veins are
resistant non-inflammatory dilation of small vessels (venules,
arterioles, capillaries) located in the podsosochkovom layer of the dermis or
on the mucous membranes. Enlarged vascular mesh appears through the skin in
asterisks, cobwebs, twigs from red to purple
colors.

Most often, spider veins are located on the face (cheeks,
wings of the nose), legs, on the abdomen and even on the internal organs
(stomach). Less commonly, spider veins are found on the body, on
back. Contrary to popular belief, it is not easy
cosmetic defect, and pathology requiring consultation of a phlebologist
and diagnostic studies.

To get rid of spider veins can only be removed, for
which offers several modern techniques. Should
understand that to return the elasticity of the pathologically changed,
extended vessel wall is impossible. Therefore, various creams, herbs,
lotion and any other remedy for spider veins from the area
traditional medicine does not help here and is absolutely
useless.

Risk groups

Vascular stars in one form or another are found in
30% of the world’s population (80% of women and 20% of men).

The risk group are women, 80% of whom
telangiectasias appear after childbirth: high concentration
estrogen hormone during gestation causes a local
расширение vessels. 3-6 weeks after giving birth to many women
vessels come to former condition. Also at risk include
women taking oral contraceptives or estrogen therapy
(see the pros and cons of oral contraceptives). By the age of 70
72% of older women have an expanded vascular network.

Characteristics of telangiectasia

The occurrence of spider veins is mostly due to
impaired venous circulation. In spite of this,
telangiectasias are not direct evidence of varicose veins
vascular pathologies, as well as a history of varicose
disease does not mean that a person will necessarily appear vascular
asterisks.

Enlarged vessels, as a rule, do not cause any other
symptoms, except for the external, aesthetically ugly appearance. Highly
rarely observed soreness of the dilated capillaries in the legs
women during menstruation. Life and health are not threatened, but
significantly spoil the appearance, darkening the lives of people who are forced to
time to disguise them.

Pathogenesis

The walls of blood vessels gradually lose their elasticity, which is manifested
reddening of the skin. After some time, compensation mechanisms
are exhausted, and the vessels expand forever, forming the typical
drawing that becomes visible externally. Pathologically
the expanded small network always has a feeding vessel – an arteriole or
venous knot.

Causes of spider veins

Congenital:

  • Connective tissue weakness syndrome of congenital nature
    (Marfan syndrome, Ehlers-Danlos and others);
  • Vascular nevi (hemangiomas);
  • Congenital poikiloderma, neuroangiopathy;
  • Essential progressive telangiectasia (progressive
    capillary dilatation);

Purchased:

Vascular stars on the face

  • Autoimmune diseases, immunodeficiencies (HIV, systemic
    lupus erythematosus);
  • Venous congestion in the lower extremities;
  • Varicose veins;
  • Skin diseases (lichenoid keratosis, Mayokki’s disease);
  • Impaired hepatic metabolism;
  • Cardiovascular diseases;
  • Hormonal factors in women (pregnancy, childbirth, abortion
    effects), oral contraceptive use
  • Vitamin C deficiency and the resulting increased
    permeability of the vascular walls;
  • Obesity.

Provocative factors lead to a constant compensatory
vascular dilatation:

Spider veins on the legs

  • Bad habits – alcoholism and smoking;
  • Increased load on the legs;
  • Hard physical labor;
  • Nervous overload;
  • Injuries (blows, surgical wounds);
  • Passion for tanning (in the solarium and the sun);
  • Work in hot shops;
  • Radioactive radiation;
  • Excessive fascination with a bath and sauna;
  • Frequent use of scrubs and peels, warming
    masks.

Manifestations of telangiectasia

Depending on which vessels are dilated, telangiectasia
are divided into:

Capillary

Arterial

Venous

It has the appearance of thin woven or parallel strings of red.
colors with a diameter up to 0,2 mm.
Манифестируются более крупной сетью красного colors. Blue and wide telangioectasia, sometimes protruding above
skin surface.

In appearance, spider veins can be:

  1. linear
  2. tree
  3. arachnids
  4. dotted

Vascular stars do not usually cause any other
symptoms, except for the external, aesthetically ugly appearance. Highly
rarely observed soreness of the dilated capillaries in the legs
women during menstruation.

  • Reddish linear spider veins
    localized on the cheeks and nose, called couperose.
  • Linear and tree telangioectasia bluish and
    reddish colors are most often found on the bottom
    limbs.

Telangiectasia in the legs

Spider veins on the lower limbs in men and women
have a different nature.

  • In men – a similar phenomenon of men with high probability
    is a consequence and one of the most prominent symptoms of chronic venous
    failure.
  • Women have spider veins on their hips and calves in women.
    arise not only with venous insufficiency, but also against the background
    hormonal disorders (endocrine pathology, abortions,
    pregnancy, gynecological diseases, menopause).

Highly часто на ногах у женщин обнаруживается несколько типов
telangiectasia: linear telangiectasia with parallel
located on the inner thighs and tree
dilated capillaries around the circumference of the outer surface of the thigh.

Telangiectasia in children

Teleangiectasia occurs in 70% of newborns and is not considered
pathology. Doctors attribute this phenomenon to the rudimentary residue
эмбриональных vessels. Manifests bluish-red spots
slightly elevated above the skin, without clear contours. With
pressing the spots turn pale, and small branches depart from them
vessels. Typical localization: tibia, nape, eyelids, eyebrows
arc, bridge, upper lip. No treatment, extended
the vessels gradually disappear as the baby grows.

Another form: ataxia telangiectasia. Rare hereditary
disease with the formation of immunodeficiency and damage to internal
organs. The first symptoms appear in the second year of life.
speech impairment and coordination. Requires a lifetime
immunocorrectional and maintenance therapy.

Diagnostics

The clinical picture of telangiectasia is bright. Patients themselves can
discover this phenomenon – when you click on the extended
the vessels become discolored and then reappear at
filling with blood. However, during initial treatment
a phlebologist assesses the state of the peripheral venous
blood flow in order to confirm or exclude varicose veins. Of
Diagnostic measures are assigned:

  • vascular doppler sonography
  • functional examination of internal organs (heart, liver,
    ovary and uterus).

Treatment of Spider Veins

How to remove spider veins on the legs? If telangiectasia
associated with another primary disease, initially carried out
treatment of this pathology. In other cases, appointed
specific treatment, the purpose of which is destruction or
склерозирование патологически измененных кровеносных vessels.

How to remove spider veins on the legs, arms, body

Surgical removal

It is performed in advanced cases or when diagnosing
varicose veins. Pathologically измененные сосуды удаляются через
small holes in the skin. The operation is painless and effective, but
not applicable in case of capillary telangiectasia.

Electrocoagulation

Extended vessels are cauterized by high-frequency current, which
fed through a thin needle-like electrode under the local
anesthesia.

  • The duration of the procedure is about 20 minutes, during
    which spend 30-40 injections by an electrode.
  • The course has 5-7 procedures, between which it is observed
    weekly interval.
  • The cost is about 1000 rubles per procedure.

The technique is effective – the vessels fall off, they stop
blood flow. But healthy surrounding tissues are also exposed.
thermal effects, cicatricial changes are formed with de-
and hyperpigmented, painful areas.

Sclerotherapy

Extended venous vessels stick together and stick together after
injecting a special preparation – sclerosant,
causing hardening.

  • The procedure lasts about 1 hour, the number of injections for 1
    The procedure ranges from 3 to 10.
  • The total number of injections: 1-5, between procedures maintained
    weekly gap.
  • Стоимость – около 15 000 на полное лечение 1 ноги.

After injection, an aseptic inflammatory reaction is formed with
припухлостью и reddening of the skin. The injection site is subjected to
Compression – tightly pressed with a cotton swab and bandage. Thanks
compression or pressure bandage occurs closure of the walls
vessels and cessation of blood flow in them.

The effectiveness of the methodology is assessed as high in respect
venous spider veins from 1 mm (with other ineffective) with
subject to proper compression dressing and compliance
all recommendations of the doctor within 1-1,5 months.

Removal of spider veins on the face

Laser photocoagulation

Laser removal of spider veins of capillary origin
based on the absorption of a modified laser light beam,
as a result, it is heated and sealed
internal lumen. In the future, the vessel gradually
absorbs.

The latest lasers accurately determine the depth and diameter of the area
impact, which allows you to choose the desired radiation strength and length
the waves. Laser treatment is characterized by a point effect and not
affects the surrounding tissue. To minimize discomfort
sensations produced by local cooling of the skin.

  • The course has from 1 to 10 procedures depending on the area.
    defeats and the severity of the expanded vascular network.
  • The session lasts 5-10 minutes.
  • The cost is about 3500 for 1 procedure.

The greatest effectiveness is observed in the treatment of small
spider veins up to 2 mm in diameter located on the nose and
cheeks. Laser is also used to treat dilated vessels in the legs.
and hands.

Radio wave surgery

The treatment is carried out on the apparatus “Surgitron.” Radio wave
incision and subsequent coagulation of blood vessels are performed by contactless
in a way. High-frequency waves emanate from the thinnest electrode and
penetrate the tissue without injuring or damaging them.

  • Coagulation and vascular healing proceed without pain, swelling and
    scar formation.
  • Applicable only to single extended
    capillaries.
  • Стоимость около 1000 за 1 см2 кожного покрова.

Ozone therapy

Intravascular oxygen-ozone injections are performed.
Ozone molecules, once inside the vessel, start the sequence
oxidative processes resulting in the destruction of the affected
vessels.

  • The technique is atraumatic, vascular healing occurs
    no pain, scarring and pigmentation.
  • 3-5 procedures are necessary for the complete disappearance of the vessel.
  • The cost is about 3000 for 1 procedure.

Folk remedies for spider veins

Some sources recommend using for treatment
spider veins fresh green tomatoes that are needed
cut in half and halves lubricate the affected skin by
several times a day. Advise and regular skin treatment
apple cider vinegar. To try or not such procedures, solve it yourself,
but for obvious reasons, the effectiveness of such methods
unlikely.

Prognosis and prevention

With well-chosen, combined treatment of vascular
stars disappear once and for all. However, in thematic forums
You can read the message where people write that they gave away huge
money for treatment, but after a few years the problem of extended
vessels appeared again.

Vessels that have already been destructed and resolved,
can not recover! In this case, it is a relapse.
diseases involving new vessels in the process, ensure
the absence of which no perfect one can
procedure.

To prevent the pathological expansion of blood vessels, doctors
recommend:

  • conduct therapy of the underlying disease;
  • eliminate provoking factors;
  • take vitamins K, P, C, vascular strengthening
    preparations based on ruthoside, diosmin;
  • take a contrast shower;
  • cryotherapy courses (in the absence of contraindications).

In any case, answer the question of how to get rid of vascular
asterisks, can only a competent doctor, and only then –
beautician. Do not forget that under the aesthetic problem often
hiding a serious illness!

Автор: врач-гигиенист, эпидемиолог

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