Many factors contribute to the development of telangiectatic facial veins and leg veins. Age, heredity, pathological conditions, occupations that require long periods of standing and pregnancy can all contribute to development venous disease. A successfull vascular treatment is dependent upon comprehensive history including presenting complaint, active symptoms, history of vascular disease, and general health and occupation history. Varicose vein treatment may require a combination of Laser based technology and sclerotherapy to adequately address the client's needs. Any successful vascular treatment is dependent on the treatment provider being able to successfully locate facial veins, legs veins and any reticular feeder veins that are often associated with the superficial telangiectasias.

There are several tools that can aid the visualization of the superficial venous system:

Syris V600 headlamp
 uses cross polarization technology allows the user
to see approximately 1mm below the skin's surface.
 

The new Venoscope® II transilluminator utilizes an array of high intensity LED lights to transilluminate the patient’s subcutaneous tissue thereby highlighting the veins which absorb the light rather that reflecting it.

The VeinViewer by Luminetx® uses a combination of near-infrared light and patented technologies to image vascular structures, thus allowing physicians, nurses and other healthcare professionals to clearly see accessible vasculature
directly on the surface of the skin.


A skin care treatment plan to manage the symptoms of Rosacea may include topical and oral medication, Laser based technology, avoiding agravating factors, skin care products and may even include camoflage makeup. Many treatment providers combine Cutera's Infrared Technology of Laser Genesis and the visible to infrared technology of a LimeLight facial (LimeLight 520nm-1100nm) to address the vascular treatment needs of flushing, diffuse redness and telangiectasia.
It is important to educate the client that a treatment plan for Rosacea only helps to control the active signs and symptoms. Rosacea is a chronic condition.

Treating Your Skin with "Intense Pulsed Light"


By Kevin C. Smith MD FACP FRCPC

About the author:
Dr. Kevin Smith is a dermatologist in Niagara Falls, Ontario with a particular interest in protecting the skin and in correcting skin problems resulting from aging, rosacea and sun damage. He is an expert in the use of Botox®, fillers, lasers and intense pulsed light to maintain and enhance the appearance of the skin, and have lectured on those subjects across North America, and in Europe, Asia and Mexico. Read more at www.smithlaser.com



--Renee Lierly, RN