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Thread Veins (Leg + Face)

What are thread veins?

(Telangiectasia):

Thread veins, also known as spider veins or broken veins, are small blood vessels within the living layer of the skin (the dermis) that have become dilated and visible. These veins can appear on both the face and the legs.  

Appearance: Thread veins form delicate patterns which often  resemble spider webs or tree branches. They can be red, purple, or green, depending on their size.

What are the main causes of thread veins?

Genetics:  The biggest influence on thread veins is your family history. If your relatives have thread veins, then you’re more likely to develop them.

Trauma: Although rare, physical trauma (such as skin crushing or extensive surgical scarring) can contribute to thread vein development.

Pregnancy: Hormonal changes during pregnancy can contribute.

Prolonged Periods of Standing: Occupations that involve standing for long periods.

Underlying causes:

Varicose Veins: approximately, 89% of women who think they only have thread veins actually have underlying varicose veins that are feeding them. Some individuals may even have more serious hidden varicose veins that could result in future problems.

It is often advised that anyone with thread veins undergo an ultrasound to assess for any underlying cause.

Thread veins are not simply “broken capillaries”. Lifestyle factors such as crossing legs and wearing tight clothes are unlikely to cause them. 

IPL Technology:

IPL uses high-energy light which is emitted in pulses, this is focused on the thread veins.

This technology for various procedures, including hair removal.

Mechanism of Action:

Similar to Traditional Laser Therapies:

Focused light is absorbed by haemoglobin in the blood vessels. Haemoglobin is a protein that is carried by the red blood cells to transport oxygen.

As a result, the temperature of the target blood vessel increases.

Eventually, the thread veins collapse and are broken down by the body.

Advantages of IPL:

Unlike laser treatments, IPL uses multiple wavelengths which is applied in short bursts.

The short pulses minimise the amount of exposure the healthy cells have to the treatment, hence reducing discomfort and post-session redness.

The procedure balances effective vein closure with minimal harm to surrounding healthy cells.

How does laser work on thread veins?

  • high-intensity concentrated laser beam targets the area where the veins are situated, this is absorbed by the haemoglobin in the veins.
  • The laser beam heats the blood vessel, stimulating collagen contraction.
  • The vessel is then re-absorbed and eliminated by the body, causing thread veins to collapse and disappear.
  • The damaged veins are gradually dissolved and eliminated by the body’s natural immune system. This process leaves the skin smooth and clear.
  • Laser is non-invasive and encourages healing and cell renewal for clearer skin.

What does the IPL/Laser procedure involve?

Depending on whether laser or IPL is used to carry out the procedure a  clear contact gel maybe applied to the target area to soothe the skin.

    • The practitioner performs the procedure with a handpiece that is similar to an ultrasound wand with which  to apply the pulses.
    • Treatment sessions typically last around 30 minutes.
  • Multiple sessions may be necessary, determined by the practitioner conducting the procedure.
  • Mild skin discoloration is common after any laser/IPL procedure but usually clears up within a day.
  • Blistering and permanent discoloration are rare but can occur  when too many pulses are applied.

Pre-treatment Instructions: 

  • Apply SPF25+ sun block to treatment areas that are exposed to the sun.  You may improve your results by limiting exposure to the sun, tanning beds or tanning lotions for four weeks before treatment.
  • Inform us if you have taken Tetracycline in the past month or if you have taken Accutane in the past year or are planning to begin taking any of these.
  • Shave the area to be treated within 12 hours prior to the treatment.  (We can shave and prep you at the regular hourly rate. Schedule additional time for this.)
  • Apply topical anesthetic prior to coming in for your appointment if directed to do so.
  • Do not use aspirin, alcohol, NSAID’s (ibuprophen, Naprosyn, etc.), and blood thinners or gingko and St. John’s wart for 10 days prior to treatment.
  • Discontinue all Retin-A, Renova, glycolic acids, vitamin C products and anything else which can be irritating, for three days before treatment.
  • Remove any makeup, lotions, and cleanse and dry area to be treated prior to treatment.

What to expect after laser treatment

After your treatment, it is completely normal to observe redness and slightly raised areas which should diminish within a few days.

Patchy dry skin or light scabbing may also occur. In such cases, it is advisable to refrain from touching the area, exfoliating, or picking at the skin.

For a duration of one week following the treatment, avoid engaging in vigorous exercise, sauna sessions, sunbathing, laser procedures, waxing, shaving, facial massage, facial exfoliation, and swimming.

The treated veins will gradually fade over a period of 4-6 weeks after the treatment. It is important to note that a single session may not be sufficient, and additional treatments might be necessary. Typically, a minimum of two to four treatment sessions are recommended to achieve optimal results, with a spacing of 4-6 weeks between each session.

Compression Socks
While not always necessary, you may be asked  to wear compression stockings or socks for the first few days after your laser treatment. In general, compression socks provide support to your veins and prevent blood pooling. After the laser treatment, you may need to wear compression socks to help reduce swelling and provide support during your recovery. 
While compression socks may only be necessary for a few days during strenuous activities, it maybe recommended wearing them for 3 to 4 weeks after the treatment depending on your condition.

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