Spider veins or telangiectasis: remove or treat?


The expansion of intradermal capillaries is not only an aesthetic defect, it is a serious “bell” that your vascular system of the lower extremities has problems. They may be associated with hereditary disorders of blood circulation and fragility of the walls of blood vessels. Secondary signs may include age, excess weight, pregnancy and other risk factors. You cannot make a diagnosis yourself; at the first appearance of a “pattern,” you should immediately consult a phlebologist for timely treatment.

Spider veins on the legs, what are they?

Spider veins,

This is what people call varicose capillaries or, scientifically, telangiectasis. The appearance of spider veins and reticular varicose veins on the legs does not always lead to deterioration in health. Some, even leading, specialists in Moscow and the Moscow region attribute them to direct manifestations of varicose veins. And in the modern international classification, spider veins and reticular veins belong to the first class CEAP.

There are several options for the manifestation of spider veins on the lower extremities. These are linear, arachnid, tree-like and point stars.

Several options for spider veins

If patients turn to a good phlebologist at the Moscow City Phlebological Center in the initial stages of the disease, then the problem is more of an aesthetic rather than a medical nature. And there is no point in resorting to serious interventions. Removing spider veins and small reticular veins is quite simple using various innovative sclerotherapy techniques: microsclerotherapy, Foam-form sclerotherapy, microthermocoagulation or ozonosclerotherapy

. Which method will be more preferable will be determined by the phlebologist after examination and modern consultation. In any case, the best result is important to you, and if the doctor knows all the innovative ways to remove stars, then what he prefers for you will most likely not be so important.

Spider veins do not develop clinical symptoms of chronic venous insufficiency (heaviness, fatigue, cramps and swelling). They do not cause complications in the form of thrombosis, thrombophlebitis and trophic ulcers. But they are harbingers of varicose veins and spoil the aesthetic appearance of the legs. Therefore, before removing spider veins, a good ultrasound scan of the great veins is necessary to rule out a more serious medical venous problem. And then, whether you want to remove them or leave them is a purely personal matter.

Most often, when spider veins have just appeared, patients try to remove them with various folk remedies, as well as with the help of ointments, creams and tablets. But seeing the result, or rather the lack thereof, they turn to an aesthetic phlebologist in Moscow.

Diseases in which spider veins form

Telangiectasia, which is congenital, acts as a symptom indicating the presence of certain diseases in a person. Among them are ataxia-telangiectasia (Louis-Bar syndrome) and Rondu-Osler disease, which provokes a disorder in the development of the vascular endothelium. Both diseases are inherited.

Acquired pathology is the source of a number of dermatological problems. It may also indicate the presence of Rosacea, a chronic dermatosis. The disease occurs with the appearance of vascular disorders on the face (in the nasolabial folds, as well as in the corners of the eyes and nose).

Spider veins, the photo of which clearly demonstrates how much they spoil the appearance of the areas where they appear, can also be a manifestation of systemic connective tissue diseases. Their appearance is possible in the presence of liver disease. Its cirrhosis leads to disruption of hepatic blood flow and increased pressure in the blood vessels. As a result, the subcutaneous capillaries expand and corresponding rashes appear on the skin.

Chronic insufficiency occurs due to a violation of the venous outflow of the legs. The appearance of SZ on them is the first of six stages in the development of this disease.

Causes of spider veins or telangiectasis

Spider veins or telangiectasis appear on the lower extremities due to several reasons. The leading one is long-term static loads on the legs. Simply put, the longer a woman is in an upright position, the greater the load on the vessels. And the asterisks refer to the venous system, which does not have a muscular membrane. Consequently, with a significant increase in the load on the legs, the venous capillaries expand, and this leads to the appearance of unsightly stars.

Other leading medical factors that contribute to the rapid appearance of stars are: pregnancy, especially in the last stages and childbirth (sharp changes in hormonal levels), high heels and uncomfortable shoes, uncontrolled use of hormonal drugs (especially long-term use of contraceptives), excess weight, diseases leading to to hormonal imbalance (uterine fibroids, ovarian cysts, endometriosis), and the most important reason is a hereditary (genetic) predisposition to spider veins (their presence in mothers and grandmothers).

Frequently asked questions about spider veins

Why do spider veins appear on the legs?

The appearance of spider veins on the legs is based on a hereditary factor. Daily physical activity, the presence of prolonged static conditions and changes in ambient temperature also have a significant impact on the severity of the manifestation of spider veins and spider veins.

Removal of spider veins and spider veins of the lower extremities. Which method is better?

Today, the “gold standard” of choice when removing spider veins and spider veins is the technique of compression sclerotherapy (scleroobliteration).

What treatment to choose for stars on legs?

When choosing modern treatment for spider veins on the lower extremities, you need to rely on the opinion of leading specialists in working with these pathological formations. For most experts, the clear choice is the method of compression microsclerotherapy of the lower extremities.

How to remove spider veins on legs quickly?

Spider veins on the legs can be removed quickly enough using compression sclerotherapy of the lower extremities.

Modern methods for removing spider veins

Sclerotherapy is today the best European way to remove spider veins on the legs, and its microfoam form Foam-form sclerotherapy is also absolutely ideal, and also safe. Of course, if it is carried out by a good experienced Moscow aesthetic phlebologist.

Before a microsclerotherapy session for spider veins

Immediately after a microsclerotherapy session for spider veins

Modern sclerotherapy has no absolute contraindications, unlike laser methods for treating spider veins. The microsclerotherapy procedure involves inserting a special adhesive substance, a sclerosant, through a very thin needle into an expanded star, which seals the affected capillary firmly and permanently. After a few weeks, the star completely dissolves, and not a trace remains on the skin. The lifestyle remains virtually unchanged during treatment. The only and main condition for treatment is the need to wear good compression hosiery, which maintains the required level of pressure and prevents the stars from coming apart.

What is the method of microsclerotherapy for telangiectasia (spider veins) based on?

The microsclerotherapy technique is based on the chemical effect of special substances (sclerosants) on the inner wall of the vessel, followed by its exclusion from the bloodstream and resorption.

Spider vein removal procedure

A very important point in this process is the absence of damaging effects on healthy venous vessels. This happens because in a normally functioning vein there is a fairly high blood flow rate and the sclerosant is quickly diluted to a concentration that does not have a damaging effect.

Prevention of spider veins on the legs in Moscow

To prevent spider veins from appearing, or, if they do appear, to not grow so sharply and increase in size, several important conditions must be met. Avoid uncomfortable shoes, do not wear high-heeled shoes very often, and do not expose your feet to sudden temperature changes or direct sunlight. Get rid of excess weight and do not take hormonal medications without a doctor's prescription. Take daily walks, wear special compression garments when putting stress on your legs, and take a contrast shower before bed.

I hope this simple prevention against spider veins will help you.

Risk group

Phlebologists at risk for the formation of spider veins include:

  • women (80% of cases are female);
  • overweight people;
  • persons over 80 years of age;
  • people leading a passive lifestyle;
  • patients whose daily activities involve severe physical activity and carrying heavy objects;
  • people who spend a lot of time on their feet;
  • patients forced to take hormonal drugs for a long time.

How much does it cost to remove spider veins in Moscow

Despite the fact that cosmetologists in many beauty salons perform spider vein removal, they should only be removed in a specialized medical phlebological center. Only the best aesthetic phlebologists will be able to rid you of stars effectively, professionally and without any complications.

Service Price
Sclerotherapy (microsclerotherapy) on one lower limb (one session) 8000₽
A course of sclerotherapy after EVLT on one lower limb 20000₽
Foam (micropoam) sclerotherapy (microsclerotherapy) on one lower limb (one session)8000₽
Echo-sclerotherapy under ultrasound guidance on one lower limb (one session)10000₽
Postoperative microsclerotherapy on one lower limb (one session) 4000₽ 8000₽
Sclerotherapy (microsclerotherapy) on one lower limb (course of treatment) 35000₽
Appointment with phlebologist Semenov A.Yu. with ultrasound scanning based on the results of sclerotherapy for free

The price for spider vein removal in Moscow phlebology clinics and beauty salons can vary significantly. It depends on how you remove them. The cost of modern European removal of spider veins in our Moscow phlebology center, where leading aesthetic phlebologist Artem Yuryevich Semenov receives treatment, is 8,000 rubles for a single session.

If a very large amount of work needs to be done, then a course of treatment is possible, which costs 35,000 rubles and does not depend on the number of sessions performed.

Reviews about removing spider veins on the legs

I would like to express my deep gratitude to the chief physician and founder of the Center for Modern Phlebology clinic, Artem Yuryevich Semenov!
To the high professionalism of the doctor, add his sensitivity, attentiveness and caring attitude towards the patient, as well as his sense of humor. I had sclerotherapy sessions at his clinic. The doctor removed my so-called spider veins, which so ruin the lives of women! It took me a long time to decide to come. But a friend who already...More details Elena Maksimova, Moscow

I, Tikhomirova Natalya Vasilyevna, express my heartfelt gratitude to the doctor phlebologist Artem Yuryevich Semenov for his skill, professionalism, golden hands, attentiveness and for the miracles that happened to my legs during such a short course of sclerotherapy. Sclerotherapy is an excellent method of treating spider veins that does not take much time, does not cause discomfort, and does not interfere with everyday life. Tikhomirova Natalya Vasilievna, December 23, 2020, Moscow More details

Tikhomirova Natalya Vasilievna, December 23, 2020, Moscow

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