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Laser Spider Vein Treatment

 

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 is board certified or has completed a residency program that includes instruction in this procedure.

Laser Spider Vein Treatment Photo Gallery
Laser Spider Vein Treatment Video Gallery
 
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What are some of the most common benefits of this surgery?

The laser is used to selectively target and destroy the red coloration of the spider veins, which are usually close to the surface of the skin, without damaging the surrounding tissue. The procedure is relatively quick, and no anesthesia is needed. After treatment, the skin can be noticeably more uniform and natural in appearance.
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What will happen at the initial consultation?

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.

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How is laser removal performed?

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.

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How long does the procedure take?

The amount of time varies from fifteen minutes to one hour, depending on the size of the area being treated, as well as the severity of the problem. Usually, more than one treatment may be needed to achieve the desired results.
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Will I need to stay in a hospital?

Laser removal is usually performed in a doctor’s office, and a hospital stay is not necessary.
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How much pain is there?

You may feel a slight burning or stinging sensation as the laser penetrates your skin. However, pain is minimal and no anesthesia is required. Many patients liken the feeling to a rubber band snapping on the skin.
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What can I expect after the procedure?

You may experience some redness and swelling of the treated area, which should disappear within a few days. Generally, the veins will turn a purple color that resembles a small bruise, and then gradually fade within 5-10 days. Ice packs are usually recommended to reduce the swelling. Frozen aloe vera gel is also commonly used.
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What is the recovery period like?

Recovery times depend on the extent of the treatment and the individual’s capacity to heal. Some redness or purple discoloration may persist for several weeks, or longer. The redness will gradually lighten to a pink tone, and then to a lighter, more natural color.
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What is the long-term outcome like for most people?

Although laser removal of spider veins may not erase all imperfections in the skin, most patients are satisfied with the results. After treatment, the unsightly red veins are significantly diminished and the skin is returned to a more natural, uniform state. It is important to remember, however, that laser removal does not deter the normal effects of aging and that treatment does not prevent the occurrence of new spider veins.
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Ideal candidate:

In general, the best candidates for laser removal of spider veins:
  • Are physically healthy
  • Are psychologically stable
  • Do not smoke
  • Want to change their appearance
  • Have superficial spider veins that will respond to laser treatment
  • Have fair skin or the appropriate skin tone for the type of laser used
  • Are not taking Accutane, nor have taken it for the previous 18 months
  • Do not have unusual scar formations, such as keloids
  • Are well informed about the procedure
  • Hold realistic expectations about the outcome

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.

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Other important information:

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.

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Risks and limitations:

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.

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Costs:

The national average of 2007 doctor fees for laser removal of spider veins was $400 (Source: American Society of Plastic Surgeons). Regional averages: New England states: $449 Middle Atlantic states: $575 North Central states: $512 South Central states: $383 and Mountain/Pacific states: $409. These are physician fees only, and do not include related expenses.
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Choosing a doctor:

We strongly recommend that you consider choosing a doctor who is board certified by the American Board of Medical Specialties. See our Physician Locator feature to find a doctor in your area, including detailed profile information for many of the listed doctors. Also read How to Select a Dermatologist for a more detailed discussion.
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Questions to ask your doctor:

Asking the following questions should help you to select your doctor, and better understand the procedure.
  1. Are the desired results I described realistic?
  2. How should I prepare my skin for the treatment?
  3. Where is the surgery performed? How long does the procedure take?
  4. Are there other procedures that I should consider to enhance the affects of laser removal?
  5. How much does the procedure cost?
  6. What is your experience in performing this procedure? (How long has he/she performed this procedure, and how many he/she has performed in the past year?)
  7. What percentage of patients have had significant complications? (The physician should disclose this information to you.)
  8. Will you repeat or correct procedures if it does not meet agreed upon goals? And if the procedure must be repeated / corrected, will I be charged again? (The physician should provide you with his/her policy on this issue.)
  9. May I see "before and after" photos of recent patients? The physician should provide many photos of recent patients.
  10. May I have the names and contact information for several recent laser treatment patients? (Follow up to get first-hand information on the procedure and the surgeon.)
  11. Could I observe the exact procedure I am considering before I decide to have the surgery? (Either on videotape or ask to view one in real life.)
  12. What should I expect post-operatively, in terms of soreness, what to watch for, medication, bathing, and level of activity? Ask if your doctor has a list of activities that you should avoid.
  13. Who will be assisting during the surgery? What are their qualifications? (Does the plastic surgeon perform the entire surgery?)
  14. Have you ever had your malpractice insurance coverage denied, revoked, suspended?
  15. Do you have privileges to perform laser treatment at an accredited hospital?
  16. Do you offer patient financing?
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Be sure to:

  • Tell your doctor about any allergies you have (to foods, drugs, environmental elements).
  • Tell your doctor if you have been exposed to significant amounts of radiation, have a history of unusual or poor scarring, or cold sores– like herpes or shingles.
  • Let your doctor know if you have taken Accutane any time during the year and half before the surgery. This medication can affect your skin’s ability to heal after laser treatment.
  • Tell your doctor if you have any serious medical conditions.
  • Tell your doctor about all medications you are taking (both prescription and non-prescription).
  • Carefully follow any instructions your doctor gives you regarding eating and drinking, smoking, and vitamins.
  • Avoid aspirin and aspirin-containing medicines for two weeks prior to the procedure.
  • Tell your doctor if you have had previous facial surgery.
  • Arrange for someone to drive you home after the procedure.

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.

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Related Articles

Please review the following articles for more information on this procedure.
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How do I finance this procedure?

Did you know that 29% of all Americans have considered having an elective procedure? Of those, 60% would schedule a procedure immediately if financing was available. With iEnchance's patient financing options, money no longer has to be the barrier between you and your new image. By filling out our on-line application you can qualify for a loan in as little as 30 seconds.
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