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Spider vein, telangiectasia, treatment on cheeks - before and after

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Patient came if for skin exam and then had a consultation for telangiectasia, spider veins, on both her left and right cheeks. Recommended ND YAG for best cosmetic result. After picture is 6 weeks later showing significant reduction in the spider vein appearance.

Telangiectasias are small, widened blood vessels on the skin. Telangiectasia can have causes that include rosacea, aging, genetics, pregnancy, sun exposure, or varicose veins. Generally, they can easily be treated with the application of laser treatment. More than one treatment may be necessary.

If you would like to reduce the appearance of your spider veins, there are very effective, safe and relatively painless methods available to treat spider veins – from lasers to Sclerotherapy. We recommend starting with a consultation with one of our skincare experts.

In some women, spider veins become noticeable in their early 20’s. For others, the veins may not become obvious until they reach their 40s. Men get spider veins, too.

A number of factors may contribute to the development of spider veins, including:

Heredity
Pregnancy
Hormonal shifts
Weight gain
Occupations or activities that require prolonged sitting or standing

Sclerotherapy

A common method of treating spider veins in the legs and ankles is with sclerotherapy. In this treatment, a solution (generally a salt solution) is injected directly into each affected vein to collapse them. The solution irritates the lining of the blood vessel, causing it to swell and stick together, and the blood to clot. Over time, the vessel turns into scar tissue, eliminating their visibility.

Although everyone is different, you can generally expect to receive one injection for every inch of spider vein that is treated. Bright light and magnification may be used to ensure maximum precision while the skin is held taut to inject sclerosing solution. A cotton ball and compression tape are often applied to each injection site as it is finished.

Compression stocking are to be worn for a few days following, as well as a limitation of strenuous activities. Sclerotherapy requires no anesthesia and is performed in-office. Two or more sessions, each lasting less than 30 minutes are usually required to obtain optimal results. Patients with a large number of spider veins may require multiple treatments.

Laser

This type of laser therapy works by sending strong bursts of light into the vein that make the vein slowly fade and disappear. A newer type of endovenous ablation uses radiofrequency energy instead of light. No incisions or needles are used in either procedure.

The treatment is often less effective than sclerotherapy, particularly for larger veins. Side effects may include redness, bruising, itching, swelling and permanent skin tone changes. You will want to discuss all of this at your consultation.

After spider vein treatment, blood vessels fade over several months, but they may not disappear completely. Also, new spider veins can develop in the same area.