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Medical Spa
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Sclerotherapy

The spider veins  are small purple and red blood vessels. They arehereditary and most commonly are found on the thigh or lower leg. They also can form virtually anywhere on the leg, from the uppermost region of the thigh to the ankle. Occasionally, spider veins will appear on the face. Sclerotherapy for the bigger ones and ND/YAG laser (for the purple) and Diode laser/hand cautery for the (red) smaller ones are the treatments of choice.

The veins to be treated with sclerotherapy, are marked while the patient is standing. Larger veins are usually treated first. A sclerosing agent (such as athexoxysclerol), is injected into the vein with a micro-needle. The solution causes the vein to turn white (blanch), and then gradually disappear. A typical treatment lasts from 30 minutes to an hour. The discomfort is very little. Color changes and small clots can develop in the skin where the treatment has been performed.

The patient is advised to refrain from vigorous activities for the first 24 hours and may be asked initially to wear heavy-duty stockings to help keep treated veins closed and reduce bruising.

Complete correction is not expected on the first treatment. Only about 50 to 70% of the treated vessels will be permanently gone. 3 to 4 treatments are generally required for optimal results. If there is an underlying problem with the venous system, the veins will recur.

Management of Facial Telangiectasias with Hand Cautery

 

Close-up of skin beside the nose with arrows pointing to a red spider vein before and clear skin after laser treatment
Close-up of the nostril edge with arrows pointing to red veins before and clearer skin after laser spider vein removal
Close-up of the side of the nose with small red veins before and clearer skin after laser spider vein removal
Close-up of a woman’s cheek with small red spots and veins before and clearer, more even skin after laser treatment
Close-up of an older person’s nose with a red spider vein on the bridge before and a faded vein after laser removal
Close-up of a nose tip with a red spider vein before and clearer skin with healing marks after spider vein treatment
Close-up of an older person’s nose bridge with a red spider vein before and even skin tone after laser vein treatment
Leg skin with a cluster of purple spider veins, and fingers stretching the skin during a sclerotherapy injection

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