Spider veins or telangiectasis: remove or treat?

Spider veins on the legs, what are they?

Spider veins,

This is what people call varicose capillaries or, scientifically, telangiectasis. The appearance of spider veins and reticular varicose veins on the legs does not always lead to deterioration in health. Some, even leading, specialists in Moscow and the Moscow region attribute them to direct manifestations of varicose veins. And in the modern international classification, spider veins and reticular veins belong to the first class CEAP.

There are several options for the manifestation of spider veins on the lower extremities. These are linear, arachnid, tree-like and point stars.

Several options for spider veins

If patients turn to a good phlebologist at the Moscow City Phlebological Center in the initial stages of the disease, then the problem is more of an aesthetic rather than a medical nature. And there is no point in resorting to serious interventions. Removing spider veins and small reticular veins is quite simple using various innovative sclerotherapy techniques: microsclerotherapy, Foam-form sclerotherapy, microthermocoagulation or ozonosclerotherapy

. Which method will be more preferable will be determined by the phlebologist after examination and modern consultation. In any case, the best result is important to you, and if the doctor knows all the innovative ways to remove stars, then what he prefers for you will most likely not be so important.

Spider veins do not develop clinical symptoms of chronic venous insufficiency (heaviness, fatigue, cramps and swelling). They do not cause complications in the form of thrombosis, thrombophlebitis and trophic ulcers. But they are harbingers of varicose veins and spoil the aesthetic appearance of the legs. Therefore, before removing spider veins, a good ultrasound scan of the great veins is necessary to rule out a more serious medical venous problem. And then, whether you want to remove them or leave them is a purely personal matter.

Most often, when spider veins have just appeared, patients try to remove them with various folk remedies, as well as with the help of ointments, creams and tablets. But seeing the result, or rather the lack thereof, they turn to an aesthetic phlebologist in Moscow.

Treatment of venous network

Unfortunately, conservative treatment of this disease is ineffective. Various venotonics (ointments or tablets) are quite suitable for prevention, but they are not capable of returning the affected vessels to a normal state. Fortunately, an alternative to drug therapy is not an operation with a scalpel and anesthesia. Nowadays, phlebologists use minimally invasive treatment methods. And the most effective today are microsclerotherapy and laser therapy.

During microsclerotherapy

A special drug, sclerosant, is injected into the affected vessel using very thin needles. It “glues” the walls of the vessel, blocking the blood flow, and over time the vessel disappears. The procedure does not require anesthesia, and it is painless: the doctor uses needles thinner than a human hair, and sclerosing drugs have an anesthetic effect. Therefore, with this technique, hospitalization in a hospital is not required, and immediately after microsclerotherapy the patient can return to their usual activities. Most likely, several such procedures will be required, depending on the characteristics of the vascular lesion and the type of sclerosing drug.

However, it is not always possible to introduce sclerosant into the thinnest vessels. . In this case, laser therapy

diode laser from the German company Dornier. With its help, you can remove even the smallest and thinnest spider veins. For ideal results you will only need a few sessions.

But remember: if the cause of the disease itself is not eliminated, venous networks will appear again after some time. If you want to forget about them forever, you need to identify and eliminate the very cause of the disease. To do this, it is worth undergoing a comprehensive examination and treatment - you may need to consult not only a vascular surgeon-phlebologist, but also other specialists, for example, an endocrinologist. But as a result, you can avoid recurrence of reticular varicose veins.

Causes of spider veins or telangiectasis

Spider veins or telangiectasis appear on the lower extremities due to several reasons. The leading one is long-term static loads on the legs. Simply put, the longer a woman is in an upright position, the greater the load on the vessels. And the asterisks refer to the venous system, which does not have a muscular membrane. Consequently, with a significant increase in the load on the legs, the venous capillaries expand, and this leads to the appearance of unsightly stars.

Other leading medical factors that contribute to the rapid appearance of stars are: pregnancy, especially in the last stages and childbirth (sharp changes in hormonal levels), high heels and uncomfortable shoes, uncontrolled use of hormonal drugs (especially long-term use of contraceptives), excess weight, diseases leading to to hormonal imbalance (uterine fibroids, ovarian cysts, endometriosis), and the most important reason is a hereditary (genetic) predisposition to spider veins (their presence in mothers and grandmothers).

Modern methods for removing spider veins

Sclerotherapy is today the best European way to remove spider veins on the legs, and its microfoam form Foam-form sclerotherapy is also absolutely ideal, and also safe. Of course, if it is carried out by a good experienced Moscow aesthetic phlebologist.

Before a microsclerotherapy session for spider veins

Immediately after a microsclerotherapy session for spider veins

Modern sclerotherapy has no absolute contraindications, unlike laser methods for treating spider veins. The microsclerotherapy procedure involves inserting a special adhesive substance, a sclerosant, through a very thin needle into an expanded star, which seals the affected capillary firmly and permanently. After a few weeks, the star completely dissolves, and not a trace remains on the skin. The lifestyle remains virtually unchanged during treatment. The only and main condition for treatment is the need to wear good compression hosiery, which maintains the required level of pressure and prevents the stars from coming apart.

First signs and main symptoms

To avoid lengthy and complex treatment, it is important to identify the disease in the early stages. It makes no sense to say that only a specialist can do this, this is obvious. The patient’s main task is to distinguish the earliest symptoms in order to see a doctor before spider veins appear. The first signs include:

• itching, burning, regular pain in the legs after a long walk, swelling;
• the red-violet mesh is still absent at this stage, but by the end of the day muscle fatigue usually appears, the patient feels nervous tension due to severe pain inside the lower leg.

People with chronic diseases or family history should pay special attention to their body. The disease progresses at different rates, depending on the individual characteristics of the body and the presence of harmful factors. If it is not possible to avoid the appearance of capillaries, then timely treatment of spider veins is required. The main symptoms of telangiectasia are:

• red-violet dots appear on areas of the skin, which gradually turn into stripes;
• most often, the stripes spread quickly, intersecting each other, forming a pattern similar to a web;
• after a long walk, the legs quickly swell and get tired, swelling is observed in the shins;
• spider veins quickly progress, spread to new areas of the body, and the first signs of varicose veins appear;
• at a late stage of the disease, the patient experiences night cramps, a general deterioration in condition, incl. skin, bruising may occur due to cracked capillaries.

Patients should pay attention to the general condition of the body. Due to impaired blood circulation, a person experiences headaches and increased body temperature.

Prevention of spider veins on the legs in Moscow

To prevent spider veins from appearing, or, if they do appear, to not grow so sharply and increase in size, several important conditions must be met. Avoid uncomfortable shoes, do not wear high-heeled shoes very often, and do not expose your feet to sudden temperature changes or direct sunlight. Get rid of excess weight and do not take hormonal medications without a doctor's prescription. Take daily walks, wear special compression garments when putting stress on your legs, and take a contrast shower before bed.

I hope this simple prevention against spider veins will help you.

How much does it cost to remove spider veins in Moscow

Despite the fact that cosmetologists in many beauty salons perform spider vein removal, they should only be removed in a specialized medical phlebological center. Only the best aesthetic phlebologists will be able to rid you of stars effectively, professionally and without any complications.

The price for spider vein removal in Moscow phlebology clinics and beauty salons can vary significantly. It depends on how you remove them. The cost of modern European removal of spider veins in our Moscow phlebology center, where leading aesthetic phlebologist Artem Yuryevich Semenov receives treatment, is 8,000 rubles for a single session.

If a very large amount of work needs to be done, then a course of treatment is possible, which costs 35,000 rubles and does not depend on the number of sessions performed.

Reviews about removing spider veins on the legs

I would like to express my deep gratitude to the chief physician and founder of the Center for Modern Phlebology clinic, Artem Yuryevich Semenov!
To the high professionalism of the doctor, add his sensitivity, attentiveness and caring attitude towards the patient, as well as his sense of humor. I had sclerotherapy sessions at his clinic. The doctor removed my so-called spider veins, which so ruin the lives of women! It took me a long time to decide to come. But a friend who already...More details Elena Maksimova, Moscow

I, Tikhomirova Natalya Vasilyevna, express my heartfelt gratitude to the doctor phlebologist Artem Yuryevich Semenov for his skill, professionalism, golden hands, attentiveness and for the miracles that happened to my legs during such a short course of sclerotherapy. Sclerotherapy is an excellent method of treating spider veins that does not take much time, does not cause discomfort, and does not interfere with everyday life. Tikhomirova Natalya Vasilievna, December 23, 2020, Moscow More details

Tikhomirova Natalya Vasilievna, December 23, 2020, Moscow

After sclerotherapy: recommendations from the Family Doctor

After sclerotherapy

During the entire course of treatment and for some time after it (from 2 weeks to a month), you must wear
compression stockings or an elastic bandage.
For the first three days after the procedure, the stockings are not removed at all, then you can remove the stockings at night (the leg should be in a horizontal position at night). to walk a lot . It is advisable to take a long walk (4-5 km) immediately after sclerotherapy. You need to walk at least 1 hour a day every day.

The qualifications and experience of the doctor, as well as careful adherence to his recommendations, will allow you to achieve the fastest and complete elimination of temporary discomfort after the procedure and minimize the risk of possible complications.

It should be noted that sclerotherapy of veins is not always a radical method. In some cases, sclerotherapy is ineffective. For advanced varicose veins, the only effective treatment method is phlebectomy.