Endovenous and perivenous 808-nm laser treatment of lower limb collateral,reticular and telangiectasiac veins |
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Authors: | Walter Bugiantella Bruno Bovani Francesco Zini |
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Affiliation: | 1. “Bruno Bovani” Surgery and Aesthetic Center, Perugia, Italy;2. PhD School in Biotechnologies, University of Perugia, Perugia, Italy;3. “Casa di Cura Città di Parma”, Parma, Italy |
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Abstract: | Background: Visible leg veins are not only a mere aesthetic problem, but may also be manifestation of altered microcirculation and superficial venous incompetency. Sclerotherapy is the first-line treatment for leg veins < 4 mm, but it often needs multiple sessions and sometimes fails. The main limitations of transcutaneous laser treatment are the diameter and the depth of the veins: the greater, the harder photothermolysis is, so that higher powers may lead to aesthetic complications. Materials and methods: We report our experience in the treatment of small collateral (< 4 mm), reticular and telangiectasiac veins with endovenous and perivenous 808-nm laser. Results: Overall, 325 treatments were performed on 113 patients. The endovenous and perivenous treatment proved to be a safe, quick, well-tolerated and effective procedure. It ensured an optimal closure of the target veins right from the first treatment in most patients. Sometimes, a second treatment of the same vein was needed. Conclusions: The endovenous and perivenous 808-nm laser photothermal sclerosis ensures a quick coagulation-fibrosis of the veins of the lower limbs, thus allowing rapid healing and good aesthetic results (stable in 95% of patients after an average follow-up of 18 months). It may be an effective alternative to sclerotherapy. |
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Keywords: | Endovenous laser 808 nm lower limbs perivenous vein |
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