Spider Vein Treatment – Face & Hands
Telangiectasias, also known as spider veins or angioectasias, are small dilated blood vessels near the surface of the skin or mucous membranes, measuring between 0.5 and 1 millimeter in diameter.
These dilated blood vessels can develop anywhere on the body but are commonly seen on the face around the nose, cheeks, and chin and also on the hands. Some telangiectasia are due to developmental abnormalities that can closely mimic the behaviour of benign vascular neoplasms. They may be composed of abnormal aggregations of various types of smaller blood vessels. Because telangiectasias are vascular lesions, they blanch when tested with diascopy, thus making them visible to be treated.
Spider veins are treated via Transcutaneous Laser Treatment. Since this type of procedure only reaches a certain depth and is best for very fine spider veins to medium sized reticular (deeper skin) veins.
In this procedure, laser light is shone on the surface of the skin overlying the veins to be treated. The laser light passes through the skin and is absorbed by the red blood cells in the targeted veins. The light energy is converted to heat which causes damage to the treated veins. The damage veins shrink and disappear over several weeks.
Several treatment sessions about 4-7 weeks apart may be required at each site to achieve good clearance of the treated veins. The procedure is carried out without the need for anesthesia and usually takes just 30 to 40 minutes. Other advantages are that there are no incisions or skin punctures nor any need for venous compression stockings after the treatment.
Small Vein Treatment
For smaller veins, the reticular vein system, the most effective form of treatment is liquid sclerotherapy. This involves an injection of a solution (usually saline solution) directly into the vein. The solution irritates the lining of the blood vessel, causing it to collapse and stick together and the blood to clot.
From much research and treatment experience, we know sclerotherapy is an effective and safe way to eliminate visible surface and deep veins. A series of injections of medication are injected into a vein to dissolve it.
An ultrasound evaluation will be performed on your first visit to determine the specifics of your vein issues.
The treatment of varicose veins should always include the use of compression therapy. Compression stockings help distended veins return to normal size.
Large Vein Treatments
The treatment of large veins involves further complexity in both diagnoses and treatment and is done at Skintechnologies via four primary methods:
1. Foam Sclerotherapy
Foam sclerotherapy is a newer way to delivering the solution that does the work on your veins. It is done in conjunction with ultrasound imaging for which Dr Kriel is highly qualified.
Using foam allows Dr Kriel to treat larger varicose veins not easily or effectively treated by other means. The foam solution has the feel of whipped cream which improves treatment in two primary ways. First, the foam displaces blood in the vein so the full power of the sclerosing agent is in direct contact with the vein wall for a longer period of time without being diluted. Second, the foam is visible via ultrasound imaging and can be easily tracked and guided to the source of the venous problem. Thus for the larger veins, foam is used in conjunction with ultrasound imaging so you can really know the effects of the procedure as it happens.
2. Endovenous Laser Treatment
Endovenous Laser Treatment requires no general anesthesia and offers minimal risk and a shorter recovery time. This procedure uses a minimally invasive endovenous laser to treat varicose veins. It is a clinically-proven alternative to more invasive traditional surgeries which typically cause more pain and damage. After local anesthesia is administered, a laser fiber is inserted through a small incision in the skin to access the faulty vein. The laser delivers a precise amount of energy into the vein wall, collapsing it. This ablation process cures the condition and diverts blood flow to nearby functional veins which now have the opportunity to function correctly. The increased circulation that results greatly reduces the symptoms of varicose veins and improves their cosmetic look. The collapsed vein will soon shrink and then disappear.
3. Endovenous Radio Frequency Treatment
In Endovenous Radio Frequency Treatment, the procedure works as follows: Under the guidance of ultrasound imaging, a radiofrequency catheter is inserted into the abnormal vein. The vessel treated with radio-energy, resulting in closure of the involved vein as the catheter is removed. Radiofrequency ablation is used to treat key veins such as the great saphenous vein, the small saphenous vein, and the perforator veins. The latter are connecting veins that transport blood from the superficial veins to the deep veins. Branch varicose veins are then usually treated with other minimally invasive procedures, such as sclerotherapy, or foam sclerotherapy
4. ClariVeinTM Treatment
Endovenous ClariVein™ treatment is required to eliminate defective superficial veins (Varicose Veins) forcing blood to return to the heart through the normal deep venous system. For more information, touch base with Dr Kriel and see www.clarivein.com