Vascular Laser Vein Therapy

Vascular lasers such as the Cutera Nd:YAG system at Facial Artistry are very effective in treating facial spider veins (telangiectasia).

The principle of leg vein treatment involves a thorough understanding of the anatomy of the venous system and the pathology of venous disease. In general, the larger refluxing veins (truncal and tributary reflux) are treated first, by endovenous laser ablation (EVLA) and ultrasound guided sclerotherapy (UGS). This step is essential as it markedly reduces the risk of complications, treatment failure, and recurrence compared to just treating small veins alone. After ensuring that the larger refluxing veins are closed, attention can then be directed to the smaller veins (telangiectasia or spider veins).

Telangiectasia/spider veins are in most instances readily treatable with direct vision sclerotherapy. External vascular laser has a limited role in the treatment of very superficial spider veins, provided that there is no underlying reflux or that any underlying feeder veins have been adequately dealt with beforehand. By delivering pulses of light energy which cause the blood within the vein to coagulate, the vessel is destroyed and is later reabsorbed by your body. Intense pulse light (IPL) is virtually ineffective in treating leg veins. The main reason limiting their usefulness is that the energy delivered by the external laser beam cannot penetrate beyond the dermis, and most of the larger abnormal leg veins, including spider veins, lie under the dermis. Direct vision sclerotherapy is generally reported to be a more comfortable procedure from the patient’s perspective than external vascular laser therapy.

Similar to sclerotherapy, it is vital to treat the underlying venous reflux and feeding veins. Most spider veins require a series of treatments. How many treatments are needed will depend on the number, colour and size of the vessels being treated. Please refer to this page for a more detailed discussion regarding the principles and strategies of treating varicose and spider veins.  Dr Jennifer Leung will be able to provide you with advice regarding the most suitable treatment.