Spider veins (telangiectasias) are small purple to red blood vessels often visible on the face around the nose, cheeks, and chin. leg, ankle or foot. Occasionally, spider veins will appear on the face. They are small dilated blood vessels near the surface of the skin or mucous membranes, measuring between 0.5 and 1 millimeter in diameter. The cause is unknown, but heredity plays a strong role in the development of this condition. These should not be confused with varicose veins, which are larger, deeper veins that are usually lumpy and sometimes deeper purple in color. Varicose veins may sometimes cause leg discomfort, whereas spider veins are usually pain free. Spider veins are progressive, and usually increase in number and visibility with age.
Varicose veins can be treated with foam sclerotherapy, endovenous laser treatment, radiofrequency ablation or open surgery. The biggest risk, however, seems to occur with sclerotherapy (injection of a sclerosing agent into the veins, which irritates the vessels, causing them to scar a9nd become less noticeable) especially in terms of systemic risk of DVT, pulmonary embolism, and stroke. Deep veins and varicose veins are not effectively treated with these methods.
In Cyprus Aesthetic Center we prefer to treat Spider Veins with radiofrequency (Ellman Radiowave Surgitron, FDA approved device, made in USA). It is short and effective treatment, can be performed without local anesthesia. Since this is a progressive condition especially in legs, the patient can expect new spider veins to occur over time, which may require treatment every few years to maintain the improvement. In Face results are more effective and long lasting. After treatment you can immediately resume work and all normal activities. But the patient is advised to refrain from vigorous activities for the first 24 hours. You have to wear heavy-duty support stockings to help keep treated veins closed and reduce bruising. Initial bruising and/or crusting will occur. It is best to avoid direct sunlight (or use a sunscreen SPF30) during the first couple of weeks following treatment.