Saturday, September 8, 2012

Laser for spider veins and Rosacea









 

Is laser beneficial in this field and how?

 

 

Laser can induce coagulation and homeostasis of benign vascular lesions like: port wine stains, hemangiomas,warts,teleangiectasia, rosacea, leg veins and spider veins.

 

Advantages of Laser in treating vascular lesions:

  • stronger absorption in oxyhemoglobin results in selective heating of veins
  • lower absorption in melanin results in safer use
  • the YAG laser 1064 nm can penetrate as deep as 8 mm into tissue

Vessels size

  • rosacea and port wine stains: 20-100 microns
  • teleangiectasia 100 microns to 1mm
  • venules 1mm-2mm
  • varicosity :greater than 2 mm

How the laser works:

  • heats the blood to above 70 Celsius
  • breaks down the vessel wall
  • shrink the vessel
  • when blood flow stops  the vessel wall dies within 72 hours
  • collagen surrounding the area contracts squeezing the vessel down

What should a our expectations be after laser treatment of vascular lesions?

  • requires 3 treatments on average
  • cannot treat vessels over 3 mm in diameter
  • downtime varies with location of the vascular lesion 
  • compression stockings must be worn for 5 -10 days after the procedure
  • no hot tube or exercise for 10 days
  • avoid suntanning for 1 week

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