The times when beauty required serious sacrifices are gradually becoming a thing of the past. Cosmetic surgeons are using scalpels less and less and are increasingly using laser, ultrasound and other minimally invasive techniques. Currently used methods to combat spider veins are more reminiscent of a cosmetic procedure than surgery. When removing blood vessels on the face with a laser, the patient experiences virtually no discomfort; everything goes smoothly and quickly. The method is effective, safe and has no serious side effects. Effectiveness depends on the severity of the case, the causes of the defect, the equipment used and the experience of the doctor.
Laser treatment of telangiectasia: features and advantages of the method
The persistent dilation of small vessels makes them clearly visible. The vascular pattern on the face and other parts of the body creates an aesthetic defect. The bluish-colored vascular network looks especially unsightly. There are many reasons for this phenomenon. It may be the result of hormone replacement therapy, a hereditary predisposition, or a disease such as rosacea. Among the factors contributing to the appearance of the defect: active exposure to sunlight, pregnancy and childbirth, taking contraceptive medications, active smoking and others. Laser therapy is recognized as the most effective way to combat it.
Treatment of the skin with a beam of laser beams allows you to destroy excessively dilated protruding vessels without damaging skin cells. The effect is achieved due to the difference in color. The beam affects only red structures and has virtually no effect on other tissues.
Laser removal of telangiectasia is not a painful procedure. However, when a doctor works without anesthesia, the patient experiences a tingling sensation that can cause discomfort. Therefore, before the procedure, an anesthetic cream or spray is applied to the skin. Light anesthesia allows the patient to relax and not be afraid.
To remove a recently appeared small network of vessels, one session is enough. The result will not be noticeable immediately. First the skin must recover. Immediately after the procedure, you may experience redness or even blistering. However, everything will return to normal in just a few days. Your skin color will become completely natural in just one to two weeks. Recovery time depends on individual characteristics, primarily the thickness of the skin and the size of the emerging vessels. The processing area also matters. During the recovery period, you must use sunscreen. If large veins require correction, more time will be needed. Typically, several procedures are performed to remove them.
Important: the light effect of the laser on surrounding tissues does not cause them harm. A positive side effect of laser facial treatment is the evening out of skin tone. If the entire face is treated, minor defects will disappear along with the vascular network, and acne marks and age spots will become less noticeable. The skin will become healthier and tighter.
Endovasal laser coagulation (EVLC) of veins in Moscow
Endovasal laser coagulation (EVLC) of veins is a modern method of getting rid of truncal enlargement of veins using the thermal effect of laser energy. In this case, the vein is preserved, just as in a standard, usual operation; it is burned out from the inside. This contributes to thrombotic occlusion of the vein, its compression and gradual resorption. The technique is carried out under the control of a special scanning - color duplex, which allows you not to cut the skin, but to carry out the procedure through tiny punctures.
EVLT - endovasal laser coagulation in our center
How is EVLT performed?
Laser coagulation is carried out in several stages. Immediately before the manipulation, an ultrasound is performed again. The vein that will be affected is marked for more precise placement of the laser light guide. Next, under local anesthesia, a small puncture of the skin is made and a venous catheter is inserted, which is carried out to the affected area under ultrasound control. After this, an anesthetic composition is applied, which also protects the tissues from burns. Next, the doctor proceeds directly to EVLT. As a result, after using the laser, the enlarged areas are closed. At the end of the procedure, a bandage is applied to the leg, and compression stockings are put on top.
History of the method “Endovasal laser coagulation EVLT” (Wikipedia)
The first exciting reports about the possibility of using lasers in the treatment of phlebology patients appeared in 1981. Dr. Anderson RR and colleagues used a dye laser with a wavelength of about 577 nm, the principle was to damage the microvessels of the skin. The development of the foundations of the technology was based on the process of tissue absorption of laser energy having a certain wavelength, which resulted in their selective destruction.
Only in the 90s of the last century, when new semiconductor structures were released, did it become possible to produce compact lasers. These devices had a long service life at a fairly low cost. In 1998-1999, the first information began to appear about the beginning of clinical manipulations based on the intravascular use of a diode laser for endovasal laser coagulation. As a result, only in 2002 this method was patented by V. Meloni and his colleagues.
Since the advent of the method - endovasal laser coagulation of varicose veins, a video of which was filmed for a more in-depth study of the process, there has been a tendency to increase the energy power supplied to the vessel. The earliest work was carried out at a power of no more than 15 W, and after research work carried out by a number of scientists, reports of high power levels not exceeding 40 W appeared.
The endovasal laser procedure is performed by surgeons and phlebologists Semenov A.Yu. and Kalachev I.I.
Endovasal laser coagulation EVLT in Moscow is of great interest to both surgeons and their patients. The number of publications and studies on this topic increases every year. Endovasal laser coagulation of varicose veins, the price of which may vary depending on the equipment, is becoming more popular every year, thanks to patient education, and is in increasing demand.
Despite all the existing experience, the technology of endovasal laser coagulation is currently still very far from perfect. Therefore, research continues in two directions: standardization of technology and clarification of indications, determining the optimal wavelength of the laser beam.
Benefits of laser treatment for vascular changes
- The laser works specifically with dilated vessels, healthy vessels are not affected;
- The effect on the dilated capillary is quick and painless;
- No scars or burns - the device does not injure tissue;
- The first procedure gives a visible result, and after completing a course of procedures you can completely get rid of visible capillaries;
- There is no recovery period - after the session you can go about your business. Full recovery takes up to two weeks. This time is as comfortable as possible, and no special skin care is required.
For some patients, one session is enough - when the vessels are very thin. In case of severe rosacea, a course is prescribed.
Endovasal laser coagulation (EVLC) on the veins of the lower extremities - what is it?
The principle of performing the endovasal laser coagulation procedure is based on the thermal effect of laser radiation on the inner part of the surface of the vein. But, as we found out through a huge number of different types of research, the laser does not fully affect the surface of the vessel walls. Most of the energy is absorbed by the blood contained in the vessel. In the blood, already under the influence of a light pulse, steam bubbles are formed, which come into contact with the wall of the vein, resulting in a thermal effect. Next, coagulation of proteins occurs in deeper layers due to damage to the endothelium.
It is the destruction of the endothelium that is of primary importance as a result of treatment. Some viable endothelial cells are preserved, which in the future will be an important source of wall regeneration. The destruction process must be complete, and this is only possible as a result of creating an optimal laser radiation energy density in the lumen of the vessel, which results in its “charring.” However, you should carefully select the laser power, otherwise, with a stronger impact of the device, the vessel wall may be perforated.
What happens to the vein during laser radiation during EVLT
The latest models of lasers for endovasal laser coagulation have a wavelength of 1940 nm, at which the laser radiation is absorbed to a greater extent by the water of the venous wall and the blood itself. Direct exposure to the vein wall reduces the radiation strength, the appearance of charring and heating of the working surface. This contributes to a lower likelihood of perforation of the vessel wall and the appearance of pain in the postoperative period. This wavelength is ideal for larger venous trunks that have a diameter of more than 10 mm.
Indications for removing spider veins on the face
Pinpoint spider veins;
Dilated capillaries;
Thin vascular network;
Cuperosis;
Rosacea (in combination with the main treatment of the disease).
When the blood vessels located on the surface of the skin dilate, a red mesh appears - spider veins, or telangiectasias. The reasons for the appearance of blood vessels on the face can be:
Hereditary factors;
Thin and sensitive skin;
Skin trauma;
Use of alcohol-containing products and care products containing acids;
Use of a number of drugs;
bad habits: smoking, drinking alcohol.
Violation of skin aesthetics associated with the appearance of noticeable blood vessels is the basis for visiting a cosmetologist.
Indications for the EVLT procedure:
- The estuarine expansion of the vein can be of absolutely any diameter. Since modern laser generators and radial light guides are capable of closing veins regardless of their diameter. All methods for carrying out such manipulations are standardized and have excellent results.
- A fairly straight main vein. If there are bends, it can be difficult to pass through the endovasal guide; in such cases, several light guides are placed.
A complex case - EVLT after thrombophlebitis: several light guides were installed
Contraindications to the EVLT procedure:
- Established thrombophilia, since the method of endovasal laser coagulation implies the formation of a blood clot near the lumen of the femoral or popliteal vein and further blood clotting, which is a threat to the thrombotic process in the veins and thromboembolism of the arteries of the lungs.
- Chronic ischemia of the lower extremities, since an important stage of laser coagulation is the mandatory use of compression bandages for some time after surgery, which can aggravate ischemia.
- Inability to activate the patient after surgery. It is known that the best way to prevent postoperative complications is to mobilize the patient. The endovasal laser coagulation method requires the patient to get up from the operating table independently and move for a certain time.
- The presence of inflammation in the intervention area, which can serve as a source of infection.
Preparing for EVLT
Before the operation, the patient is prescribed an examination. A duplex scan of the blood vessels in the legs is required. The procedure makes it possible to assess the condition of varicose veins and determine the amount of work to be done.
Standard preparation required before surgery:
- urine and blood tests;
- ECG;
- chest x-ray
- Examination by a therapist and other specialists as indicated.
A few days before laser coagulation, it is necessary to stop taking anticoagulants (blood thinners) and hormonal drugs. You should first consult your doctor about this.
On the day of EVLT, you should not eat food 4 hours before the procedure. Compression stockings should be prepared to wear after surgery.
Endovasal laser coagulation of varicose veins - procedure technique
The operation - endovasal laser coagulation (EVLC), the video of which you can watch on this page of our website, occurs as follows: markings are carried out on the patient’s skin using ultrasound control.
Kalachev I.I. carries out markings before EVLT surgery
Then the lower limit of reflux is determined directly, which is located at the junction of a large inflow. The second mark is placed 3-4 cm distal from the first, where the puncture will be performed. Next, the points of confluence of the tributaries are marked and varicose dilated tributaries are marked, regardless of the method of removal.
Venous puncture is performed only under ultrasound guidance
The technique of endovasal laser coagulation includes five steps:
- Puncture of the saphenous vein and direct insertion of the light guide.
- Determination of the working section of the light guide.
- Beginning of anesthesia.
- Application of laser.
- Application of a bandage.
Reviews from patients about laser treatment of varicose veins.
Review of a patient from Moscow about the endovenous laser procedure (EVLT).
Vlasova I.A., January 20, 2019, Moscow
I, Irina Anatolyevna Vlasova, born in 1966, in January 2021, performed laser treatment for varicose veins at the Moscow Phlebology Center with doctors A.A. Antipov. and Semenova A.Yu. During the laser manipulation, apart from pleasure, I did not experience any other sensations. The doctors and nursing staff joked all the time, but the main thing is the result that I have been observing on my legs for six months. My only regret is that I didn’t seek help earlier. I express my deep gratitude to the doctors and wish them further development in their specialization and always excellent results. Vlasova I.A., Moscow.
Review of a patient from Moscow about endovasal laser coagulation (EVLC).
Vologina Alexandra, November 8, 2018, Moscow
I would like to express my great (enormous) gratitude to the wonderful doctors - Alexey Aleksandrovich Antipov and Artem Yurievich Semenov for an excellent operation (EVLT), for their attentive attitude towards patients, for their sense of humor! At each subsequent appointment I go to Alexey Alexandrovich with pleasure, and not because I need to. In general, I was very afraid of the operation, I was scared to go, but everything went very well, thanks to the professional and coordinated work of these specialists.
And now my life is divided into “before” the operation and “after”. I finally felt like a full-fledged woman, not ashamed of myself, my legs!!! I am happy to demonstrate this. Thank you very much!!! Your grateful patient, Alexandra Vologina from Moscow.
Endovasal laser coagulation (EVLC) - postoperative period
After the compression stocking is put on, the patient should walk for at least 40 minutes.
After EVLT surgery, compression stockings are worn.
24-hour compression lasts 2 days. Then only during the daytime for about a month. The first scheduled examination with ultrasound angioscanning occurs the next day.
Quite rarely, more often in patients with a low pain threshold, complications are rare in the first 24 hours after the procedure - endovasal laser coagulation (EVLC). There may be slight pain in the limb. Discomfort is more often associated with an incorrectly worn compression stocking, which puts pressure on the limb, rather than with postoperative trauma.
Endovasal laser coagulation (EVLC), photos of the postoperative period of which demonstrate that there may also be bruising along the length of the coagulated vein, is the safest procedure for varicose veins. The cause of bruising may be penetration into small capillaries during tumescent anesthesia. Sometimes there is a feeling of tension in the thigh, a feeling of tension in the vein. This all usually goes away within 1.5 months. A short-term increase in body temperature to subfebrile levels is possible.
In about a fifth of patients, 4-6 days after endovasal laser coagulation, a pulling sensation may appear along the vein - this is normal!
Over the past 3 years, endovasal laser coagulation (EVLC), the cost of which is still quite high, has undergone a number of changes. For example, the most modern laser devices have appeared, such as water lasers.
Modern laser technologies in
Another important change is the formation of deep understanding among phlebologists about the presence of important indications for this technique. Endovasal laser coagulation of varicose veins, the reviews speak for themselves, has recently become widely known and has earned trust among doctors and patients. Over the course of several years, vast experience has been accumulated in the use of endovasal laser coagulation to eliminate venous pathology, and relevant new findings have been published in all world medical publications on phlebology.
Removal of blood vessels on the body
Removal of blood vessels on the body - spider veins and spider veins, red moles and everything that can be classified as “rosacea” - the most common facial skin defects. They force us to spend more time in front of the mirror when we try to disguise them with all possible methods. Due to visible blood vessels on the face, self-confidence decreases.
Removal of blood vessels on the body
So why suffer like this all your life?
Most often, an unsightly vascular network appears on the legs. You can get rid of it in different ways. The most effective of them is laser removal of blood vessels on the body. The procedure is painless, the worst thing the patient can feel is a slight tingling sensation. Unlike microsclerotherapy, this technique does not require the introduction of any solutions or drugs into the lumen of the vessels. Coagulation occurs due to the interaction of the laser light beam with the hemoglobin of red blood cells. The blood heats up and due to this, small vessels stick together. Within a few weeks, they are lysed by cells of the immune system and completely disappear from the body.
Before the procedure it is prohibited
- take antibiotics for two weeks - fluoroquinolones, tetracyclines, sulfonamides;
- visit a solarium, sunbathe, use self-tanning products;
- do body peeling for two weeks;
- Three days before laser removal, wipe the skin with alcohol-containing solutions.
To get rid of small stars or meshes, one visit to the clinic is usually enough. In more severe cases, 2-3 sessions are performed with an interval of 6-7 weeks. For better healing during the recovery period, the skin is treated with softening and regenerating ointments. Panthenol or Bepanten are well suited for these purposes. Ointments should be used at least 4-5 times a day.
Laser removal of blood vessels on the body
After the procedure you cannot:
- wet the skin or treat it with alcohol-containing products for three days;
- sunbathe, visit saunas or steam baths, expose yourself to heavy physical activity for 14 days;
You can order laser removal of blood vessels on the body on our website. Read more about indications and contraindications for the procedure here.
FAQ
Do I need to prepare for the procedure?
No special preparation is required for laser removal of spider veins; it is important to observe only a number of restrictions on the day of the procedure. Such restrictions include visiting a bathhouse, sauna, or gym.
Will spider veins disappear forever after the procedure?
Those vessels that were affected by laser will disappear forever after one or more procedures, depending on the individual characteristics of the patient. However, new spider veins may form in other places, and to remove them the procedure will need to be repeated.
How painful is the procedure?
Removal of blood vessels using a laser is comfortable and does not require the use of anesthesia. To minimize discomfort during the session, the skin is simultaneously cooled.
Are there any restrictions after the procedure?
Yes, restrictions for several days after laser removal of spider veins include visiting a bathhouse, sauna, or swimming pool. It is also necessary to limit general physical activity, and during laser removal of spider veins in the lower extremities, additionally avoid prolonged standing.
Is it harmful to remove blood vessels with a laser?
No, the procedure does not pose any health risks. On the contrary, after removing visible vessels, the outflow of blood through healthy, invisible vessels is better, which helps reduce the load on them.
How many procedures are required to completely remove a spider vein?
To remove blood vessels, several sessions are usually required. The number of procedures is determined by the doctor during a personal consultation.
What care is required after the procedure?
Treatment of spider veins and other vascular pathologies imposes slight restrictions on lifestyle during the course of procedures: it is necessary to exclude thermal effects (visiting a bathhouse, sauna), as well as active physical activity.
At what age can spider veins be removed?
Laser spider vein removal can be performed at any age. Including small children.
Doctor's opinion
According to body aesthetics and cosmetology doctor Yu.I. Shestakova, laser removal of emerging stars does not solve the entire problem - it is only a cosmetic procedure; the destructive processes that have begun do not disappear.
If the body’s tendency to form such a network exists, they will appear again.
First of all, it is necessary to treat and strengthen the entire vascular system, follow all the doctor’s recommendations and stop smoking, unhealthy diet, and do not stay in the sun for a long time, otherwise the stars will appear again and again.
Reviews from patients about laser removal of facial vessels and spider vein removal.
Inna ⭐⭐⭐⭐⭐
Spider veins appeared on the wings of my nose and under my nose. There was another spot under the eye. I decided to remove them. The procedure lasted only 10 minutes. I was lying on a chair wearing dark glasses. It was especially painful when the point under the eye was removed. Everything is tolerable. I recommend!
Elena Borisovna ⭐⭐⭐⭐⭐
I smoke a lot, it makes my face red, the doctor confirmed the presence of small vessels on my nose. The procedure for removing spider veins using the Yakhroma-Med device gave visible results after the first session. To achieve the result of removing blood vessels on the face and preserve it, it was recommended to carry out 3 procedures with repetitions once every 4 weeks. I did as the doctor ordered. Indeed, for more than 7 months I have not seen any redness or blood vessels in the area of the nose and cheeks on my face.
Alice ⭐⭐⭐⭐⭐
I had a small blood vessel on my face. It remained after I unsuccessfully squeezed out a pimple. The vessel near the nose disappeared after one procedure using the Yakhroma device.
Artyom Demidenko ⭐⭐⭐⭐⭐
I found this cosmetology clinic by accident when I needed to remove moles and blood vessels on my face. I liked everything, excellent service, excellent results. I will recommend it to my friends, and I will come again myself
