Enlarged capillaries and veins are one of most common problems of the human body. They have the tendency to lead not only to physical discomfort, but also serious complaints. After their appearance, they lead to cosmetic discomfort – noticeable changes in the enlargement of the vessels over the body. Over time these changes build up and increase the feeling of heaviness, swelling and pain in the legs, which may cause problems in everyday life.
To solve this problem an examination should be done in order to see how serious the problem is and find the right treatment. Second it is good to make an objective assessment of the condition of the vascular system and to undergo the chosen procedure or to choose a preventative method for the progression of venous insufficiency.
Prophylactic therapies to treat the venous insufficiency from further pain are elevating the legs to reduce pressure in the veins and compression therapy.
Dealing with enlarged veins requires removing the noticeably dilated capillaries on the surface of the skin, a walking regime, wearing compressing socks, and if there is discomfort – consulting a specialist angiologist to prescribe further treatment.
In most people the enlarged capillaries show up on the skin years before the patient feels discomfort. That makes the women who wear skirts very self-conscious, especially if they are shorter and show the problem areas. Another vascular problem is the forming of enlarged capillaries with a red-purple hint over the body – back; stomach and chest, which also sometimes need treatment.
Methods for dealing with the problem:
The necessity to solve such problems in the last couple of years has forced dermatologists and angiosurgeons to use alternative methods – from general or local application of different drugs, through injecting the cell with substance that makes it contract (sclerotheraphy), to treating enlarged veins with different lasers.
Sclerotheraphy is thought to be the golden treatment for treating enlarged veins and capillaries that run all along the lower part of the body. This is a method in which the enlarged and visible vessel is injected with a substance, which leads to contracting and sclerotizing the blood vessel which leads to the wanted result. The procedure involves a small amount of discomfort and pain and requires prolonged wearing of an elastic bandage after the manipulation and it is invasive by itself.
An alternative to this therapy in recent years is the endovenous laser therapy (EVLA) - is a procedure whereby laser energy is directed to the problem vessel after the fiber has penetrated into the vessel causing its ablation. The laser is then fired and the vein is pulled down. The procedure is invasive; it requires medical attention and recovery period. It is suitable for medium to big enlarged veins.
In the last few decades the laser system treatment developed for dealing with enlarged capillaries. That significantly changed treatment options that made the procedures applicable to outpatient conditions and decreased the recovery time.
Laser treatment for enlarged veins on the legs:
Among the first lasers used to remove broken capillaries are CO2 laser, argon, and some other branches that are no longer used to treat such conditions. The lasers used in dermatological practice in recent years to remove enlarged vessels are: green KTP (532 nm wavelength), Pulsed dye laser (585-605 nm), alexandrite (755 nm), diode (800- 940 nm), Nd: YAG (1064 nm) lasers as well as IPL (515-1200 nm).
Regardless of the rich arsenal of laser systems, it is important to note that not all expanded vessels that are visible through the skin are suitable for laser treatment. It is extremely important, besides choosing the appropriate laser system, to choose the appropriate vessels to be treated. It is important for the patient to know that not all surface skin can be treated with the same laser, and not all types of broken capillaries can achieve the best possible results. Suitable for treatment are surface and deeper capillaries of small to medium caliber.
In developing a program for coping with broken capillaries it is important to prioritize a program that determines both the need for additional measures to improve the condition of the vessels and determine the number of procedures necessary to achieve the desired aesthetic result. In most people, a laser achieves an effect after 3 or more procedures.
Due to the insufficient effect of the self-applied laser procedure, it is often necessary to use laser technology alongside other possible methods. At the hands of an experienced dermatologist or vascular specialist, it is the choice of the most appropriate laser and the most appropriate combination of healing approaches to maximize the effect.
It is important to know that in most cases the procedure itself is associated with some soreness and sometimes requires the use of local pain relievers. Pain most often comes from the warming of the surface of the skin caused by the laser beam. In order to reduce these complaints, the lasers are equipped with cooling systems to reduce the risk of burning on the surface of the skin. During the procedure, the skin is cooled, which reduces the surface temperature and the risk of burns on the one hand, and on the other hand the pain is reduced. Immediately after the procedure, the patient may experience mild soreness or tingling, as the pain is not so intense as to require the use of painkillers. In addition to pain, it is possible after the procedure to have a residual redness which in most cases fades up to 24 hours.
Eye protection is important. During the procedure, the eyes should be protected by special glasses, which prevent the laser beam from accidentally falling in the eye, which can cause irreversible damage.
Complications associated with laser procedures can be both the immediate ones that occur in the course of manipulation and later on. One of the possible late ones is the appearance of light or dark spots in the treated area. In order to limit this, after the procedure itself, sunscreen is applied to the treated skin. Its use should be made not only in the days immediately after the manipulation but also in the next few weeks. Patients should also avoid sun exposure, even though they have sunscreen on. Another rarely observed change is the appearance of bubbles or wounds within a week after manipulation. They are associated with the necessity of higher energy and require treatment.