- Varicose veins laser removal treatment
- Who is candidate for varicose veins laser removal treatment ?
- The first consultation
- Review about the varicose veins laser removal treatment
- Varicose veins laser removal treatment risks and complications
The laser varicectomy a new, modern minimal invasive method which is an effective and safe alternative of the traditional varicectomy. The procedure has a minimal pain and can be performed even without incisions. Because of the minimal pain and invasivity it can be performed in local anaesthesia. The surgery can be performed securely in high-risk, overweight patients. The short recovery period reduces the hospitalisation and the come-back time to job.
It can be used in contact or non-contact mode, thus a lot of vein malformations can be treated successfully. It is suitable for the reticular, spider veins and as well for the big, crooked, 12-14 mm of diameter veins.
Besides its effectivity it can give a perfect aesthetic result.
With the increasing number of dilated veins, they will fuse and slowly bulk from the skin around. When they reach this growing phase they also cause problems and pain. This process is presented in different ages in the humans and progresses with different speed. There are women and men where this process appears in young age. It is more common in those women who takes contraceptive pills or the vein problems are already presented in their family. The laser varicectomy can be performed in all adults, who does not have contra-indications of traditional varicectomy.
During the laser varicectomy an optical fiber is threaded into the dilated, crooked varicose veins. Inside the vein we close the vein by heat. In the coagulated veins the circulation disappears and by the time the veins absorb. In the case of bilateral vein problems the laser varicectomy can be performed simultaneously because of the minimal invasive techniques. By the time new varicose veins can appear in other places because of the broken valvules, which were closed before, in those persons who are liable for that. These can be treated successfully by laser treatment. The individual sensitivity of the patients to the slight or moderate pain are different. The result of the treatment can be visible directly after the minimal invasive treatment, but the final result can be seen only after the total absorbtion of bruises and clotted veins. It is a natural expectation that the women and men want to have a flat and tight skin in the lower limbs without any varicose veins. The laser vein treatment gives back the smoothness of the lower limbs and excelerates the youthful appearance. The correction makes the leg of the women and men attractive again.
WHO IS CANDIDATE FOR VARICOSE VEINS LASER REMOVAL TREATMENT ?
- Simple or complex clusters of veins in the lower limbs.
- Slight or moderate feeling of stretching around the dilated veins.
- Dilated, crooked veins in the legs.
- Your leg looks older because of the problematic veins.
The laser varicectomy can help in all of these, even without incisions. The varicectomy can not correct all the expectations -sometimes unreal- in the lower extremities, which were dreamt by the patients. We can not resolve everything with this procedure. On the one hand it has limits by the technics of the operation, on the other hand just only those corrections can be performed which are able to the varicectomy. Small, medium-size or bigger veins are candidate for the laser surgery. The laser varicectomy can help also to treat those problems which are caused by spider veins or very small veins.
THE FIRST CONSULTATION
At the consultation we will discuss Your problems, expectations and desired outcome. We will talk about everything which is in connection with the procedure and important in the aspect of the cosmetic procedure of the lower limbs. We will examine the superficial and the deep veins and the circulation in the deep veins as well. We will draw attention to the individual genetic factors which influence the plastic procedure. We will check the quality and the color of the skin in the lower extremities. There are malformations and discolorations which can not be corrected even by the best-performed procedure. We recommend other procedures if it is necessary. These can also correct the appearance of the lower limbs.
We will take some photographs –from different directions- about the present condition. The photographs allow the patients to examine and evaluate the lower limbs from different directions. If there are other important malformations in the lower extremities, the laser varicectomy by itself is not enough, other procedures can be necessary to be performed. We will decide the necessity of this together with You.
You will be asked about Your medical conditions, medical treatment, drug allergies, use of current medications and previous surgeries, procedures. It is very important to get accurate information about every medical conditions to plan the procedure with the best thoughtfulness. After the proper information the well-planned cosmetic procedure will ensure You the biggest satisfaction.
REVIEW ABOUT THE VARICOSE VEINS LASER REMOVAL TREATMENT
THINGS TO DO BEFORE THE OPERATION
You will need to have some examinations before the operation: blood test, ECG and chest X-ray. To have all of these results the operation can be performed in the biggest safety.
If You smoke, take aspirin or other blood thinner medications, or any anti-inflammatory drugs or other medications, please let us know! These drugs can increase bleeding or can cause other interactions during the general anaesthesia.
Even if You also have superficial spider veins, we have to treat first the bigger varicose veins and only after that the capillaries. The varicectomy decreases the number of the injected veins. The laser varicectomy can be performed with general anaesthesia, in intravenous sedation or local anaesthesy with hospital background. For Your security during the surgical procedure which is performed with general anaesthesia we check Your heart rate, heart beat, blood pressure and blood oxygen level with monitors.
In the laser vein surgery we make an incision in the femoral area at the junction of the saphenous magna vein. We close all the side veins which are connected to the femoral vein to avoid the possibility of recurrence. The saphenous magna vein will be strangulated in front of the junction not to narrow the femoral vein. After this we do not need any more incisions, because the optical fiber will be threaded by punction into all the other sites. At the inner ankle the optical fiber will be inserted till the femoral area. By pulling back the optical fiber we close the vein by heat. Those veins which are not in the line of the saphenous magna vein we close with other punctions. The laser energy is absorbed first in the blood, and after that transmits the heat to the wall of the vein. The thermodamage of the surrounding tissues is minimal.
Previous scars or injuries can inhibit the inserting of the optical fiber. In this cases more punctions have to be performed but we do not need more incisions. As bigger and crooked the varicose veins are, as bigger the relieve will be after the operation. There are no more bruises and pain than in the traditional varicectomy. A little amount of leaking blood and oedema can appear but it is much more less than in the traditional varicectomy.
At the end of the procedure we put dressings on the incisions and help to take on the chosed special flexible bandage.
THINGS TO DO AFTER THE OPERATION
You can go home after the operation independently that it was performed with general anaesthesia, in intravenous sedation or local anaesthesia.
After the procedure it is recommended to have rest and spare Your legs with due foresight in the first 2-3 days. Between the first and the third days after the operation You can feel more discomfort, but this is more less than after the traditional varicectomy. These are just temporary problems which barely do not rectrict the patient. The flexible bandage can be supplied by 2nd level compression stockings. It is recommended to cool the treated area in the day of the procedure, which can reduce the swelling and the permanent discoloration. It is forbidden to do massage on the treated areas! The next day You have to get out of the bed and make short walks in the room to ameliorate the circulation. It is forbidden to sit or stand for long time. It is recommended to put a pillow under the knees during sleeping.
The initial discoloration and oedema are just temporary and will disappear fast. These can be natural complications of the operation. To reduce bruising and local reactions it is recommended to use ointments and creams. The stitches will be removed after 2 weeks. It is recommended to wear the special flexible bandage in the first 1-2 weeks. One week after the vein surgery do not drive car and for three weeks avoid any stiff sports and physical activity! During this period You have to avoid sunbathing and going to the solarium! After the sparing period You have to cover the scar with sun protection cream for a long time!
After every plastic surgical procedures You have to return for follow-up care regularly, thus after the laser varicectomy as well. The regularity of this depends on the type of the procedure and other personal feautures of the patient. At the previously discussed follow-up cares we will examine the operational area and discuss about the things to do in the future. Please remember that if You have any questions or problems, please do not hesitate to contact us independently the appointment!
VARICOSE VEINS LASER REMOVAL TREATMENT RISKS AND COMPLICATIONS
If the operation is performed by a qualified plastic surgeon, the operation and the post-surgical recovery period will be without any unexpected episodes. The laser varicectomy as all other surgical procedures can have complications, even ideally. Besides the generally presented complications (bleeding and infection) – which are very rare -, can occur some special complications because of the vein surgery. Superficial vein inflammation ( thrombophlebitis ), burning injuries of the skin above the veins, bruises through the removed vein. These can be reduced by the appropriate compression techniques. To prevent the significant bruises it is recommended to use the compression bandage and ointment in the treated sites.
Some people are liable to pigmentation some are not. In those people who are liable to pigmentation other disorders of iron-storage and –transfer can be presented in significant percentage. The frequency of pigmentation is around 10%. Usually it is not definitive, but can last 18 months. The permanent pigmentation – which lasts more than 12 months – occurs in 1-5% of the patients. This discoloration can follow the thrombophlebitis in the persons who are liable to it. It can develop in the treated area. Its reason that in the deeper layer of the skin haemosiderin will be deposited and this will paint the skin.
With the most modern devices, materials and stitches which were inserted by the most friendliest techniques it can happen that the colour of the scar will be brisk and red, thick in touch and a little bit widened. This depends on mostly personal liability, thus it can have significant differences. This malformation decreases by the time, thus the scar will be thinner and its colour will fade. If this does not occur, we remove the scar and treat the new scar with other special scar-treating methods.
The complications can be vanquished or revised with the appropriate treatments and procedures. The bruises will disappear by themselves. They do not cause permanent malformations.
With an appropriately performed laser varicectomy the dilated, crooked varicose veins disappear and the heavy leg feeling stops.
The laser varicectomy makes the tired lower limbs smooth, tighter and more youthful again. In reasonable cases we can ameliorate the result with other methods ( sclerotherapy or skin removal ). The result is long-lasting, but in those persons who are liable for the formation of varicose veins, new varicose veins can appear in other areas. In the case of recidive, varicose veins can appear again after the -otherwise successful- operation. In this case the vein problem deteriorates. The little side veins, which were closed before, will open because of the degenerative processes and the disorder of the valvules, and will dilate. In a progressed case new veins will appear as well.
If new veins appear, they can be treated by local laser varicectomy or sclerotherapy.
The laser varicectomy is a new, modern, minimal invasive procedure which is an effective and safe alternative of the traditional varicectomy. After the operation there is only a little pain and bruising, thus the recovery period is very short. The aesthetic result is perfect.
Gravitation, changing in water-content and flexibility of the tissues, and other changes by aging have effect on the skin and the quality and quantity of the underlying tissues of the lower limbs. If the aging leaves mark on the lower limbs, other procedures can be necessary to perform.