Laserklinik DRes Steinert

Small changes in veins or so-called spider veins are caused by widening of the smallest venous vessels that are located directly under the skin. Almost every woman and a large proportion of men sooner or later notice these changes, especially on the internal part of the lowers legs. There are no complaints in this stage of the vessels change and its elimination is undertaken only for aesthetic reasons. Weakness of visible veins with expanding and winding can progress and can affect larger vessels. Without effective contra-measures or a medical therapy, complaints can get worse and can lead to distinctive varicose veins or even to lower leg ulcer (Ulcus cruris).

Still there are many people, whose spider veins
never develop into a further weakness of veins.

There are so called symptomatic spider veins that indicate a chronic venous insufficiency and there those that appear without any recognisable reason. They are referred to as idiopathic telangiectases.

Symptomatic spider veins should not be treated primarily. Here the main disease (varicose veins) should be precisely diagnosed and treated. Only after that it makes sense to ablate respective spider veins. Only idiopathic spider veins with purely cosmetic meaning can undergo sclerosation or a laser treatment with an expected long-term effect. Depending on the size, a pure laser treatment or a combination of sclerosation and a laser treatment is possible.

In the case of spider veins with a diameter of 1 mm and larger, a conventional ablation by means of an injection always produces better results. In the case of a small diameter, a laser sclerosation is the most suitable method. Various pulsed lasers can be used for that. Length of waves and pulse width are adapted to the diameter of vessels and their depth.

After the treatment, an adhesive tape is applied. Follow-up treatments are possible one week after ablation and 2-4 weeks after laser sclerosation. The best suitable time of the year for this treatment is from October until March.