Capillary Varicose Vein Treatment
What is the treatment for capillary varicose veins? Capillaries are thin veins that can be seen in many parts of your body, less than 1 mm in diameter, and can be seen as blue, green or red linear color changes that cannot be felt by hand because they are not more swollen than the surface of the skin. Capillary varicose veins are small, damaged veins that can be seen in many parts of the leg or body. They are regionally in the form of widespread linear formations that resemble a spider web. What causes capillary ruptures in the leg? Capillary ruptures in the leg are an example of varicose veins. Visible capillaries can be the first sign of varicose veins. What are the symptoms of capillary varicose veins? How are varicose veins diagnosed? Varicose veins are close to the surface of your skin and are easy to see. Superficial capillary varicose veins can be easily detected by a doctor's examination.
So are these capillaries varicose veins?
Yes, capillaries are also varicose veins. Capillaries are the earliest signs of varicose veins and can sometimes be the only signs of internal varicose veins. It should not be forgotten that capillaries are the first sign of more serious vascular problems.
The treatment of capillary varicose veins is not as simple as it seems. If capillary varicose veins are treated as a visual or aesthetic disorder, all interventions will end in disappointment. Our patients usually expect them to go away with a simple foam treatment, skin laser or radiofrequency. This is where the series of mistakes begins. Without investigating and treating the cause of capillary varicose veins, trying to correct the appearance only (with foam treatment, skin laser or radiofrequency) will not yield any results, and will even result in a much worse appearance than at the beginning of the treatment. Correcting the results of this incorrect treatment will be much more difficult, longer and more costly.
What should be done if you have capillary varicose veins?
When treating and diagnosing capillary varicose veins, it should not be forgotten that it is not possible to correct the result without eliminating the cause. First, you should be examined by a cardiovascular surgeon. Then, it should be determined whether there is venous insufficiency (internal varicose veins, hidden varicose veins, venous reflux, etc.) in your spare veins with color doppler USG. If you have venous insufficiency, it should definitely be treated first. If not, foot step disorders (such as flat feet), hormonal causes, etc. should be investigated and treated. After all these, capillary varicose veins can be treated.
So what can we do in the treatment of capillary varicose veins?
Capillary varicose vein treatment, Sclerotherapy - Foam sclerotherapy: The first and most common treatment is sclerotherapy or foam sclerotherapy. It is the gold standard in the cosmetic treatment of varicose veins, but it also has some disadvantages. Since the capillaries are very thin and small, in addition to the technical difficulty of entering the vein, the fact that the drug can be administered outside the vein can cause wounds. In addition, failure to adjust the foam dose correctly can cause wound formation or even the formation of new veins, which we call matting. In addition to all these, it is an additional disadvantage that it cannot be applied to every type of capillary.
Capillary varicose vein treatment Transdermal Radiofrequency: Capillary varicose vein treatments performed with radiofrequency needles are also successful, but they have some disadvantages. First of all, it cannot be applied to every vein, it causes scar formation at the needle entry points because it burns the skin while burning the vein. Again, it cannot close some veins in the application areas and it is a very painful application.
Capillary varicose vein treatment Transdermal Laser (Skin laser): In recent years, laser devices have also shown great development with the advancement of technology. Today, there are devices that close not only 1 mm capillaries but also much larger vessels of 3-4 mm. In addition to closing capillaries very quickly, they can also be applied to different types of vessels. There are different laser types that reach vessels with very different mechanisms and at different depths.
For example; Nd-Yag laser, IPL laser, Pused Dye laser, Rightlight Dye laser and KTP are laser methods used for the treatment of capillary varicose veins. The most commonly used laser method in the treatment of capillary varicose veins is Nd-Yag lasers.
How many sessions does it take for capillary varicose veins to pass?
A single laser may be needed in the treatment of capillaries, or more than one laser may be needed. While a single session and touch-up treatment can yield results, the treatment can also take up to 8-10 sessions. The experience of the physician performing the application is one of the most important factors that will increase success.
In addition, it is essential that the laser devices to be used in the treatment of different capillary types are together because it is not possible to eliminate all capillary types with a single device. Again, it is essential that these devices are of high quality, belong to brand companies and are FDA approved. Their biggest disadvantage is the economic costs of the devices due to being high-tech products. In addition, high maintenance and consumable costs cannot be ignored. Again, the necessity of having several devices together creates a serious cost. All these costs are also negatively reflected in the prices of capillary varicose vein treatment. Laser devices, which are like double-edged knives in inexperienced hands, especially “non-FDA approved contract devices”, can cause serious burns and irreversible cosmetic problems.
The most important thing to remember is that varicose vein treatment, even if it is capillary varicose veins, is a treatment that requires patience.