Vein Therapy

Vascular disorders can range from barely noticeable broken capillaries to swollen, enlarged and painful veins. Rosacea, spider and varicose veins are the most well-known conditions; however, some are a little less common and a proper diagnosis is required to safely address them. Telangectasias, for instance, are clusters of thin dilated blood vessels near the surface of the skin but can also occur inside the body signaling a health problem. Cherry angiomas, on the other hand, are tiny red benign moles that can occur past the age of 40 and some people may find them unsightly enough to have them removed.

Most vascular problems can be attributed to excess pressure being exerted on the area, causing blood to pool and make veins much more noticeable. The underlying cause is not always easy to determine. Currently there are three non-surgical treatments for the vascular disorders discussed above: light therapy such as laser/IPL vein removal, sclerotherapy and endovenous ablation.

The least invasive of all the therapies is using light to close off the blood vessels. Laser vein removal for example is achieve by subjecting veins to a high-intensity heat using the Nd:YAG or Pulsed Dye Laser. These are single wavelength modalities that emit an intense burst of energy between 595- 1064nm that target red pigment (hemoglobin) specifically, coagulating the blood in the process. Technically not a laser, Intense Pulsed Light (IPL) technology with its wider wavelength spectrum can be used to treat broken capillaries and spider veins as well. The advantage of an IPL device such as BroadBand Light (BBL™) over laser is that it can address a wider range of skin issues than just red pigment.

BroadBand Light (BBL) / Photofacial

Intense Pulsed Light (IPL), sometimes called Photofacial, is a proven skin enhancement technology that has been on the market since 1996. With the introduction of the BBL, IPL treatments were elevated to a new level of efficacy and versatility. When it comes to treating vascular disorders for the face and body BroadBand Light (BBL™) by Sciton® is a highly advanced and customizable IPL device that’ effective for both hemoglobin-related issues such as spider vein removal and also for treating brown pigmentation (melanin). Both discoloration types can be addressed in one session. In addition to treating freckles, age spots, rosacea, angiomas and telangiectasias, BBL™ can improve skin texture and reduce scarring issues that can result from acne marks or from post inflammatory conditions.

BBL™ emits a high intensity broad spectrum visible light that targets both brown and red pigmentation simultaneously. Once subjected to broad spectrum light, pigmented areas sustain a thermal injury that’s later repaired by the body. As damaged skin cells are replaced by healthy ones a more even-toned and smoother complexion emerges. Essentially BBL™ is a powerful modality that can safely and comfortably restore skin to its natural beauty, making it clearer, smoother and with a vibrant glow. Another feature that the sets the BBL™ technology apart from the competition is the precision of its treatment settings. Dr. Mosser and his team of dedicated clinicians have been successfully using their BBL™ device to help patients address a multitude of skin concerns by customizing treatments to match their specific treatment goals.

Another benefit of the BBL™ is that in addition to treating existing vascular lesions it can prevent them from recurring long-term while staving off skin aging at the same time. An exciting new study published by researchers at Stanford University has concluded that undergoing regular BBL™ treatments several times a year can actually reverse the gene expression of aging skin, essentially returning skin cells to a more youthful state. The Forever Young BBL™ program was developed in response to this compelling research. After the initial course of corrective sessions are completed, the Forever Young program calls for 2-3 BBL™ treatments per year to keep the skin’s aging process at bay.

Sclerotherapy is the other non-surgical treatment for vascular disorders that involves injecting a solution directly into the vein to damage the blood vessel walls and collapse the vein. Once the blood has been coagulated it gets absorbed by the body and fades from view. This procedure is used for varicose veins and larger spider veins predominantly because the veins may be too large to be treated with a light modality such laser or IPL. In some cases if the vein is particularly problematic a surgeon can remove it altogether.

Side-effects from sclerotherapy can be quite unpleasant, among them is bruising, skin sores and raised red areas which can take months to heal. Although rare, other serious complications are possible such as inflammation, infection, formation of air bubbles or having an allergic reaction to the liquid solution. For smaller to medium spider veins BroadBand Light (BBL™) is a much better choice because it’s non-invasive and carries less risk than sclerotherapy. Furthermore, patients can experience considerable improvement.

Instead of injecting varicose veins with a liquid solution, endovenous ablation utilizes radiofrequency (RF) energy as the coagulating medium to collapse enlarged blood vessels. During the VeinGogh treatment, for example, RF is inserted through a thin fiber directly into the spider vein delivering a “micro-burst” of energy, causing the vein to close off and eventually be absorbed by the body in a similar manner to sclerotherapy.

Endovenous ablation procedures such as VeinGogh may be effective as a spider vein treatment but they don’t address brown pigment issues such as freckles, sun-damage, PIH scarring or melasma. Therefore if patients prefer to address several skin concerns in one session then VeinGogh® will not meet their expectations. Furthermore, any time incisions are involved, there’s always a risk of unwanted side-effects, including bruising, pain, irritation, infection, nerve damage and although unlikely, there’s a possibility of developing blood clots. Again, BroadBand Light (BBL™) offers a much safer and gentler alternative for mild to moderate vascular disorders with little downtime and discomfort.

Contact Azala Medical Aesthetics to book your information consultation to learn more about how BroadBand Light (BBL™) can help you achieve clearer and smoother skin.

BBL before and after photos of male patient with improvement in vascular lesions on nose and mid-face

BroadBand Light (BBL) Before and After Photos Broken Capillaries Mid-Face


* Individual results may vary, and not guaranteed.

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