THE TREATMENT OF SPIDER VEINS AND TELEANGIECTASIAS IN BUDAPEST:
The normal, superficial capillaries in the skin dilate and become visible. They are the so-called spider veins or teleangiectasias. As time goes by, these capillaries further dilate and more and more dilated veins occur. As the number of the veins increase, they blend and slowly emerge from the skin surrounding them. When this growing phase is reached, they cause complaints and pain. This process begins at a different age for everyone and develops at a variable pace.
There are several methods to eliminate these small vasodilatations: the type of the intervention depends on the size, type or location of the vasodilatation. It can be treated with the injection method: sclerotherapy (a special form of which is foam-sclerotherapy), with radiofrequency needle or laser, or the combination of different methods may also be applied. At our Budapest varicose vein treatment centre all methods are at your disposal and we can choose the most appropriate therapeutic procedure for you. Nearly 5000 treatments carried out over the past few years show good results.
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Each varicose vein treatment is preceded by a thorough vascular surgery examination, therefore a wound healing disorder resulting from an undiagnosed atherosclerosis cannot cause subsequent complications and by revealing the cause of the varicose vein disease or the chronic venous insufficiency, we do not only treat the superficial, visible skin lesions but also the underlying disease.
THE TREATMENT OF VARICOSE VEIN DISEASES IS A COMPLEX VASCULAR SURGERY TASK, NOT ONLY COSMETOLOGY!
RADIOFREQUENCY TREATMENT OF SPIDER VEINS IN BUDAPEST:
We are the first in Hungary to apply the F Care Systems EVRF® radiofrequency device during our surgical procedures in our Budapest health centre. The device manufactured in Belgium, considered as a standard in both its Belgium home and also in Great Britain in the treatment of small veins and capillaries, is highly recommended to treat spider veins, teleangiectasias, red spots and dilated capillaries on the face.
The radio frequency (RF) treatment of spider veins, teleangiectasias and rosacea is based on the principle of thermocoagulation. The heat induced by high frequency vibration and applied via a thin needle destroys the wall of the capillaries and their contents: the treated vein wall closes, the blood inside it suddenly clots and the cells disintegrate. Thermocoagulation uses carefully controlled and directed energy which only affects the target tissue and protects the tissues surrounding it. Therefore, no burns, skin necrosis or pigmentation is experienced after the treatment. The results are visible within 24-48 hours. The clinical trial carried out during the development of the device has proven effectiveness over 90%, which is outstanding in the treatment of small diameter blood vessels.
The procedure is virtually painless, does not require anaesthesia and can be performed on any body part, including the face as well as the knee and ankle area. The radiofrequency (RF) treatment is outstandingly effective in treating facial vascular lesions (most often rosacea). It can be used on any skin type, independently from the shape or the colour of the veins. The device can also treat blood vessels with less 0.3 mm diameter. There are no complications or side effects; during one procedure an up to 40-50 cm vascular section may be treated.
A few days after the treatment redness and red spots might occur, in case of sensitive skin small blisters may appear but they disappear without a trace. On the treated area micro scars may appear (in the form of bruise-like dots), they gradually fade, then within 4-12 weeks disappear without a trace. Scars and pigmentation do not occur. Based on current literature, the result for the treated vein is permanent; however, if the underlying cause still continues or the expected prevention is not fulfilled, new venous capillaries may appear.
The treatment is contraindicated in case of nickel allergy, pregnancy, the wearing of pacemaker or in the occurrence of skin diseases. It virtually has no side effects. Preventing the formation of new capillary veins is crucial, hormonal effects (pregnancy), overweight, sun or tanning beds, the frequent wearing of compression garments, physical trauma (e.g. rough massage, vacuum, hits), standing or sitting position for hours may all have a role in their occurrence.
INJECTION TREATMENT OF SPIDERVEINS AND LATERAL BRANCHES – SCLEROTHERAPY:
Sclerotherapy (blocking the veins) is a highly effective method for treating capillary dilations and varicose veins; it can be used both for tiny veins causing only cosmetic troubles, these are the so-called spider veins, and also for treating greater varicose vein dilations that may burden the venous circulation. During the procedure a material is injected to the vein with a fine needle that damages the vein wall and, consequently, due to the compression (elastic bandages, compression stockings) applied after the treatment, the vein wall sticks together. Therefore, the vein excluded from circulation absorbs over some time and blood flows into a different direction, through the healthy veins. At the end of the treatment the veins – that are completely emptied – will disappear without a trace, while those, to which the blood has flown back and have enough sclerosing solution remained in them, will clot. These clotted veins might initially be painful but they absorb over time and disappear without a trace. For larger vein clews the material dilutes at the peripheries and repeating the procedure might be necessary. As time passes varicose veins may appear at different places but they can also be successfully treated with sclerotherapy. For large and extensive varicose veins the procedure might take place throughout several occasions since there is a limit to the administration of the medication. This must be taken into account for the well-being of the patient. No matter which sclerosing solution is used, it should be known that the treatment is symptomatic. The underlying causes are not resolved but the varicose vein and the complaint it has caused are eliminated.
Sclerotherapy is an ambulatory treatment; it does not involve any particular pain, does not require anaesthesia and leaves no scars. Sometimes it only takes one treatment but sometimes the procedure has to be repeated 2-3 times depending on the extent of the disease. The treatment may be safely repeated when new veins appear or when varicose veins remain on the peripheries. The result of the treatment is visible immediately after the procedure, the complete result will be seen after the clotted veins have absorbed. Sclerotherapy does not require anaesthesia, it is accompanied by a mild, sometimes, by a moderate pain. If you have dilated varicose veins, they have to be treated first, capillaries can only come afterwards. Traditional or modern varicose vein surgery may reduce the number of the veins to be punctured.
Following sclerotherapy, in each case a 10-15 minutes walk is recommended – right after the treatment – to enhance venous circulation. After the procedure a-two-day rest and wearing elastic bandage or 2nd degree elastic compression stockings is recommended. The treated area shall not be rubbed. The injected material damages the vein wall, therefore small bruises and swellings may occur on the area of the punctures, however, using ointments or cremes is not necessary. The first one or two days after the procedure may be unpleasant but this is only a temporary problem caused by the changes described above. The initial discolouration and oedema is only temporary and disappears quickly. The procedure does not involve the formation of scars. After the treatment, refrain from any strenuous sport or physical activity. Sunbathing and tanning shall also be avoided for three weeks.
Sclerotherapy – as any other surgical intervention – may have complications, even under ideal conditions. Bleeding or infection almost never occurs. If a little blood leaks back into the treated vein section, a thrombus may emerge and cause inflammation. The compression bandage aims at preventing this. Individuals susceptible to pigmentation may experience iron storage and transport disorders. The occurrence of pigmentation is approx. 10%. Usually it is not permanent but its absorption may take 12-18 months. Permanent pigmentation, lasting for more than 12 months, occurs only in less than 1-5% of the patients. The discolouration in susceptible individuals follows thrombophlebitis. It may appear on the area of the treated vein. It is because haemosiderin (blood pigment) is deposited in the deeper layers of the skin and colours it. Susceptible patients may develop temporary reactions: the feeling of fainting, dizziness, nausea, visual disturbances and metallic taste. As with any other medicine, susceptible patients may have sensitivity reactions. In case of allergy a mild local reaction may occur: redness around the injection, temporary numbness, swelling, discolouration and a burning sensation around the injection area. The treatment is immediately stopped in such cases and an anti-allergy treatment is applied. If the elastic bandage moves or is removed too early and the injected material collects in the injection area, necrosis may be caused. It may affect the small area around the injection but it may have a prolonged recovery period. There is no need to worry about deep vein thrombosis or embolism because in case of proper administration of medicine and compression, the vein wall completely compresses, the blood is emptied from it and no thrombus is formed in it – only the fibrosis of the vein wall and scarring occurs. Even if the sclerosing solution gets into the vein, there will not be any problem since the flow in the deep veins is greater than in the small ones and the material dilutes more rapidly. The diluted material cannot cause any complications in the vein wall. The 10-15 minute walk after the procedure is therefore highly crucial because it boosts circulation in the deep vein. Only a very small percentage of the treatments is not entirely efficient. Complications shall be overcome with appropriate treatment and intervention; bleedings absorb in a short period of time.
The re-appearance of the veins may have two causes: recanalisation or recurrence.
Recanalization may happen shortly after the injections. During inadequate sclerosis the damaging was incomplete on the interior side of the treated vein. The lumen re-occurs because of the undamaged, intact cells. If a large thrombus is formed inside the vein, the compression has not been sufficient. The formed thrombus shrinks and narrows over time. Channels and cracks are formed in it. These reasons may lead to recanalisation.
During recurrence varicose veins re-appear following the otherwise successful operation and sclerotherapy. In such cases the venous disease keeps worsening. Because of the degenerative processes the hitherto closed and small side branches open or expand. If the disease is advanced, new veins may also be formed.
If recanalisation of recurrence occurs, the procedure shall be repeated.
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