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Spider Veins and
Other Vascular Skin Problems
Topics discussed:
- Facial spider veins
- Leg veins
- Rosacea
- Psoriasis
- Warts
- Port-wine stain
birthmarks
- Hemangioma
birthmarks
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 electrosurgery. This is applying an
electrical "spark" through a tiny needle
electrode to coagulate the tiny spider vein from
its center. This is quick and only mildly
painful. It is a good method if there is only
one or very few small spider veins. A small
crusting sore follows and heals quickly with
good results.
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
occur on the surface of the skin if the KTP
laser is used (a green light laser).
Occasionally a second treatment is needed for
facial spider veins. The treatment is fast and
simple. The discomfort is mild. No anesthetic is
usually needed.
More extensive spider
veins and other vascular blemishes may be more
effectively treated with the pulsed-dye laser.
This is an extremely versatile and effective
laser 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
includes the KTP laser and the pulsed-dye laser.
But lasers are not very effective on the larger
reticular veins which "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 is needed to
eliminate the very large varicose veins from
incompetent valves.
Laser Medical Skin Center
offers combined treatment with sclerotherapy of
reticular veins and laser treatments. Or you may
see another physician for surgery or injection
and we will be pleased to provide laser
treatment for any residual small
vessels.
To find a vein
specialist near you, visit:
VEINSonline.com
Other medical
conditions
In addition to spider
veins the pulsed-dye laser is effective on
rosacea. This is a common skin disease, which
often causes bright red cheeks and extensive
spider veins as well as changes in sebaceous
glands. Psoriasis is another condition that can
often be brought into a clinical remission with
the pulsed-dye laser.
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 also responsive to
treatment with the pulsed-dye laser.
Warts on the skin can be
effectively treated by a variety of techniques.
When they occur in difficult locations such as
under toenails or fingernails or on the soles of
the feet, treatment can be difficult. The
pulsed-dye laser is useful in treating these
difficult warts. It targets the blood vessels
that feed the wart from underneath. Cut of from
its blood supply, the wart is
eliminated.
Vascular
birthmarks
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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 would be
pleased to work with your pediatrician in
planning therapy.
[Paul
Van Camp, MD. ]
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