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GAZZETTA MEDICA ITALIANA ARCHIVIO PER LE SCIENZE MEDICHE
A Journal on Internal Medicine and Pharmacology
Indexed/Abstracted in: BIOSIS Previews, EMBASE, Scopus, Emerging Sources Citation Index
Gazzetta Medica Italiana Archivio per le Scienze Mediche 2003 February;162(1):7-14
Treatment of telangiectasia and varicosity of legs and face rationale and methodology
Palmieri B., Benuzzi G.
Dipartimento di Chirurgia, Università di Modena e Reggio Emilia, Modena
Telangiectasias are capillary, usually venous, expansions. This problem is very frequent in dermatological clinic, angiology and venous vascular surgery. Their treatment is due not only to aesthetic problems, but also to clinical symptoms. Histologically, telangiectasias of the face are different from those of the legs and this explains the different results when the same protocol is applied to both lesions. The previous approaches were based on sclerosant injections followed by diathermic flows or radiofrequency. The introduction of laser has been followed by many experimental studies on the best suitable protocol in order to select the proper wave-length and the right energy to coagulate dermal capillaries but not the upper layers using haemoglobin as a photosynthetizer. Our experience was based on 809 nm wave-length diode-laser to treat the superficial and deep small and medium size telangiectasias. In our experience the association of sclerotherapy and laser has been shown to be effective in the majority of the treated patients. Skin cooling, by either local anaesthetics or cooling devices, is an important step to increase the patient compliance as well as to reduce skin damage.