Spider veins, or ?starbursts,? are so named because these tiny veins just beneath the skin often radiate out from a central point, reminiscent of the shape of a spider. They may also appear as fine, separate lines, as a web-like maze, or as ?branches? from a single ?trunk? of a tree-shaped form. Spider veins can develop on any part of the body, including the face, thighs, calves, and ankles.
Although their exact cause is unknown, it is known that spider veins are related to abnormal blood flow in the affected veins. Any condition or activity that puts pressure on leg veins (e.g., gaining weight and sitting or standing for long periods of time), can contribute to their development. In women, spider veins often appear during pregnancy. Other contributing factors include sustaining an injury in the affected area, taking medications that affect hormones, such as birth control pills, advanced age, and a family history of spider veins. Spider veins on the nose or face, which typically appear as unsightly red or pink clusters, may also be related to overexposure to the sun.
Although many spider veins in other parts of the body are most often removed through a process called sclerotherapy, facial spider veins are usually too small to be effectively treated in this way. When the veins are small and close to the skin?s surface, laser removal is often the most effective treatment.
If you're considering laser removal of spider veins, the following information will provide you with a good introduction to the procedure. For more detailed information about how this procedure may help you, we recommend that you consult a dermatologist who has completed a residency program that includes instruction in this procedure.
During the initial consultation, your doctor will advise you on the changes that you would like to make in your appearance. He/she will explain the different options available to you, the procedure itself, and its risks and limitations.
Your doctor will begin with a complete medical history and examine the affected area. He/she may also take photos, give you specific instructions to follow, and give you instructions for pre-treating your skin.
Your doctor will determine if laser treatment ? or another form of removal ? is right for you. This decision may depend largely on your skin type and color, since laser treatment may result in uneven skin coloration, especially in people with darker skin tones. Also tell your doctor if you have had any previous facial surgery, or if you are taking drugs (prescribed or not), herbal supplements or medications.
Be sure to tell your doctor about any allergies you have (to foods, drugs, environmental elements), if you have been exposed to significant amounts of radiation, if you have a history of unusual scarring, or if you have had cold sores around the mouth (like herpes or shingles). Also tell your doctor if you have had previous facial surgery, if you smoke, or if you take any drugs or medications, including aspirin.
Take this opportunity to ask all the questions you have about the procedure, and ask to see photos of the doctor?s recent patients, before and after the procedure. Also ask for, and follow up on, patient references. Learning everything you can about your options, risks and benefits is the key to making an informed decision. See Questions to ask your doctor below.
First, the doctor or an assistant will cleanse your face to remove oils on the skin. Next, brief intense, emissions of light from the laser will be used to remove the superficial blood vessels at precisely controlled levels of penetration.
You may undergo an initial calibration session, where several settings of the laser are tried on very small portions of the skin. In this case, you?ll return a few days to a week later to determine which setting worked best for you. The optimal setting will then be used for your first full session.
As the laser works, you may hear it zapping, and smell smoke. Afterward, the treated area will be covered with an antibiotic ointment to eliminate any surface bacteria.
The above is only a partial list of the criteria that your surgeon will consider in determining whether or not this procedure is appropriate for you.
Sometimes laser removal is performed in conjunction with sclerotherapy. Your doctor will consider your expectations, the size and depth of the area to be treated, and other factors in deciding which method, or combination of methods, is best for you.
Laser technology has continued to evolve and has dramatically improved over the last several year. Newer treatments include cooling by contact with metal devices, cold air or small blasts of liquid nitrogen to diminish pain and minimize the effects of heat on the tissues.
Semi-permanent or permanent skin lightening may occur in the treated areas. The skin may also become hyperpigmented (darker) immediately following the surgery.
Darkened skin can often be successfully treated with a bleaching cream. Lightened skin tone can be more problematic. In this case, most patients elect to live with the lightened area, but others undergo medical tattooing to even out the skin tone.
Heat from the laser may cause burns or injuries. To reduce the risks involved in this procedure, carefully follow all of your surgeon?s instructions, both before and after surgery.
The information on this web site is only intended as an introduction to this procedure and should not be used to determine whether you will have the procedure performed nor as a guarantee of the result. The best method of determining your options is to consult qualified surgeons who are able to answer specific questions related to your situation.