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Laser, spider veins

Eric F Bernstein
With laser surgery, what you see is what you get. Visualizing the target for treatment, be it a port-wine stain, a cluster of spider veins, a tattoo or freckles, or simply photodamaged skin requires seeing through surface reflections, dry skin, and often quite dark laser goggles. The tool that has been indispensable to me in my practice is the Syris v900L polarizing and magnifying headlamp. This indispensable tool makes laser treatment more precise, effective, and easier by truly shining a light on the subject of a laser treatment...
September 1, 2017: Journal of Drugs in Dermatology: JDD
Mirsad Mujadzic, Edmond F Ritter, Kenna S Given
BACKGROUND: Spider veins on the lower limbs are very common and have been reported to be present in 41% of women over 50. Sclerotherapy as a traditional treatment for spider veins has a low cost, though it may have adverse sequelae. Lasers have shown fewer but still substantial complications as well. Its lower efficacy relative to sclerotherapy has limited laser application for the treatment of spider veins. OBJECTIVES: To present a new alternative in management of spider veins which involves a low voltage current delivered via an insulated micro needle with beveled tip...
September 2015: Aesthetic Surgery Journal
Eric F Bernstein, Caroline Koblenzer, Rosalie Elenitsas
Minocycline is among the most common drugs to cause drug-induced pigmentation. Dermal deposition of drug metabolites typically occurs in areas of vascular leakage, such as surrounding lower extremity spider veins, within erythema associated with solar elastosis, and in areas of bruising. The skin affected by minocycline pigmentation typically takes on a slate-gray coloring in affected areas. The current patient developed minocycline pigmentation after carbon dioxide laser resurfacing of her upper lip to treat rhytides in the laser-treated area...
April 2015: Journal of Drugs in Dermatology: JDD
H A Martino Neumann, Martin J C van Gemert
Physicists and medical doctors "speak" different languages. Endovenous laser ablation (EVLA) is a good example in which technology is essential to guide the doctor to the final result: optimal treatment. However, for the doctor, it is by far insufficient just to turn on the knobs of the laser. He should understand what is going on in the varicose vein. On the other hand, the physicist is usually not aware what problems the doctor finds on his road towards improving a new technique. We have tried to bring both languages together in the special on Ins and outs of endovenous laser ablation published in this issue of Lasers in Medical Science...
March 2014: Lasers in Medical Science
R Bush, P Bush
The technique of foam sclerotherapy directed at the distal most vessels, draining the ulcer bed was first described in 2010, with excellent penetration into the underlying venous network possible with this technique. Thirty-five patients have now been treated with this technique as the initial treatment at Midwest Vein Laser, USA. There have been no complications with this technique and rapid healing occurred within 4-8 weeks after the initial treatment in 90% of the patients, and all ulcers were healed at 4 months...
October 2013: Journal of Wound Care
Eric F Bernstein, Ayse Noyaner-Turley, Bradley Renton
BACKGROUND AND OBJECTIVES: This study investigated a novel, high-power, 532 nm frequency-doubled Nd:YAG, KTP laser with contact cooling for the treatment of spider veins of the lower extremities. STUDY: Twenty female subjects with Fitzpatrick skin types I-III, were treated to 79 sites using the 532 nm wavelength of a dual-wavelength 532/1,064 nm laser (Excel V, Cutera, Brisbane, CA) with a 5 mm-diameter spot, fluences ranging from 13 to 15 J/cm(2) , and a pulse-duration of 40 milliseconds...
February 2014: Lasers in Surgery and Medicine
Pier Luca Bencini, Athanasia Tourlaki, Vincenzo De Giorgi, Michela Galimberti
In 1983, selective photothermolysis dramatically transformed vascular surgery, reducing the adverse effects and increasing its efficacy. As a result, laser surgery is now considered the gold standard treatment for many congenital and acquired skin vascular disorders. In this paper, the authors analyze the main laser sources for vascular surgery, the general parameters regarding laser-tissue interactions that can influence the treatment (such as hemodynamic features, anatomical areas, vessel depth, and diameters), and other aspects important for a good laser practice...
July 2012: Dermatologic Therapy
Javier Moreno-Moraga, Esteban Hernández, Josefina Royo, Justo Alcolea, M Jose Isarría, Mihail Lucian Pascu, Adriana Smarandache, Mario Trelles
Treatment of micro-veins of less than 1.5 mm with laser and with chemical sclerosis is technically challenging because of their difficulty to remedy. Laser treatment is even more difficult when dark phototypes are involved.Three groups of 30 patients each, skin type IV, and vessels measuring less than 1.5 mm in diameter, were enrolled for two treatment sessions 8 weeks apart: group A, polidocanol (POL) micro-foam injection; group B, Nd:YAG laser alone; and group C, laser after POL injection. Repeated 8-Hz low-fluence pulses, moving the hand piece over a 3-cm vein segment with an average of five laser passes maximum and with a total time irradiation of 1 s were used...
May 2013: Lasers in Medical Science
Margaret W Mann
With the recent US Food and Drug Administration (FDA) approval of polidocanol in the United States, there has been a resurgence of interest in sclerotherapy. Despite the popularity of laser therapy, sclerotherapy remains the gold standard for treating spider and reticular veins. Although this traditional method of treatment has been around for more than 100 years, better sclerosing agents and newer techniques have made sclerotherapy safer and more efficacious than ever before. This article is a primer for physicians interested in updating their skills in sclerotherapy...
July 2011: Clinics in Plastic Surgery
Ye-wei Zhou, Pin-chu Xu, Yang Cheng
OBJECTIVE: To study the basic pathogenesis of "asthenia of healthy energy and blood stasis" in liver cirrhosis studied by Chinese syndromes and serum proteomics. METHODS: The information of four methods of examinations and serum samples were collected from 44 cases of male cirrhotic patients and 17 cases of healthy male volunteers. The different syndrome groups were summarized according to syndrome differentiation and frequency analysis using the patient's information of four methods of examinations...
May 2011: Chinese Journal of Integrated Traditional and Western Medicine
C R Srinivas, M Kumaresan
INTRODUCTION: Lasers are a good therapeutic tool for congenital and acquired vascular lesions. Technological advances in lasers have reduced the adverse effects and increased the efficacy. MACHINES: Among the various lasers used for treating vascular lesions, pulsed dye laser (PDL) has the best efficacy and safety data. The other machines that are widely available are Nd:YAG laser and intense pulse light (IPL). RATIONALE AND SCOPE OF GUIDELINE: Much variation exists in different machines and techniques, and therefore, establishing standard guidelines has limitations...
May 2011: Indian Journal of Dermatology, Venereology and Leprology
Jay M Kulkin, Shayna Flash
Similar to other antiaging procedures like Botox, skin rejuvenation, and facial plastic surgery, spider vein therapy is seen as a way to reverse the signs of aging. This article will introduce the clinician to this issue and describe treatment, which may be accomplished with the same lasers used for laser hair reduction.
December 2010: Obstetrics and Gynecology Clinics of North America
Angelina Erceg, Rens J Greebe, H Jorn Bovenschen, Marieke M B Seyger
OBJECTIVE: To assess the clinical efficacy and safety of potassium titanyl phosphate (KTP) laser treatment and electrocoagulation (EC) for the treatment of spider nevi (SN). METHOD: A randomized single-blind intrapatient comparison study was performed. A blinded observer and patients reported the clinical treatment outcome and pain on a visual analogue scale (0-10). Side effects were noted if present. RESULTS: Mean physician-rated clinical efficacy scores+/-standard error of the mean were 7...
May 2010: Dermatologic Surgery: Official Publication for American Society for Dermatologic Surgery [et Al.]
E F Bernstein
The concept of selective photothermolysis simply states that if one heats target tissue with a laser that is selectively absorbed by that tissue, heat should last sufficiently enough to cause damage to the target tissue, but not so long for the heat to spread to the surrounding tissue. The pulsed-dye laser (PDL) was the first laser to utilize the concept of selective photothermolysis to treat dermatologic conditions. The first application of this concept was directed at treating port-wine stain birthmarks (PWSs)...
October 2009: Giornale Italiano di Dermatologia e Venereologia: Organo Ufficiale, Società Italiana di Dermatologia e Sifilografia
R H Tholen
No abstract text is available yet for this article.
July 1997: Aesthetic Surgery Journal
Raha Nael, Suman Rathbun
Varicose veins (VVs) are the most common manifestation of chronic venous insufficiency, affecting 25% of women and 15% of men. Reticular veins and telangiectasias (spider veins) are found in more than 80% of the general population. VVs produce symptoms of pain, swelling, heaviness, fatigue, and pruritus and predispose patients to complications including bleeding, superficial thrombophlebitis, and ulcerations that interfere with activities of daily living and result in lost time from work. Current treatments for VVs include conservative measures, and when these are unsuccessful, more invasive surgical and endovenous interventions primarily aimed at reducing venous hypertension and preventing progression to chronic inflammation and ulcerations...
April 2009: Current Treatment Options in Cardiovascular Medicine
Victoria A Vitale-Lewis
The author's preferred treatment for spider veins is sclerotherapy, a technique that uses irritants to obliterate the vessel lumen. She reserves laser treatment for vessels too small to sclerose, matting, and patients who refuse sclerotherapy. Treatment is initiated only after ruling out reflux in the larger superficial venous systems or through the perforators. For long lasting and satisfying results, the author recommends multiple treatments, using the lowest concentration of the most effective sclerosant to achieve vessel obliteration with minimal thrombus formation...
September 2008: Aesthetic Surgery Journal
Jose I Almeida, Jeffrey K Raines
Patients presenting with lower-extremity telangiectasias, commonly known as spider veins, are a frequent presentation for vascular surgeons. The use of lasers in the treatment of lower-extremity spider veins has gained increased popularity during the past 5 years. This technology, driven by consumer demand, has been effective in treating vessels that are refractory to sclerotherapy treatment, vessels that arise from telangiectatic matting, and in patients who experience a phobia to needles. One laser wavelength per machine limits what the practitioner can do...
December 2008: Perspectives in Vascular Surgery and Endovascular Therapy
U Wollina, W-D Schmidt, J Hercogova, D Fassler
BACKGROUND: Spider leg veins are a common aesthetic problem in females. The standard treatment is sclerotherapy but lasers have been used for decades to solve this problem as well. AIM: To review recent advances in laser physics and its tissue interactions with skin vessels. The different laser types used to treat spider leg veins are discussed, including their advantages, limitations and possible adverse effects. METHOD: The international literature on laser therapy for spider leg veins has been reviewed with particular emphasis on the last decade...
July 2003: Journal of Cosmetic Dermatology
Eric F Bernstein
BACKGROUND AND OBJECTIVES: Lower-extremity spider veins are a cosmetic problem that poses formidable clinical difficulty for laser removal. They are significantly harder to remove than facial telangiectasias. A new-generation, pulsed-dye laser (PDL), capable of administering pulses that clinically behave like true 40-millisecond pulses has been developed, by doubling the number of sub-pulses comprising each laser pulse. STUDY DESIGN/MATERIALS AND METHODS: Fifteen subjects with Fitzpatrick skin types I-III were enrolled in the study and treated to 35 sites...
March 2007: Lasers in Surgery and Medicine
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