Vascular lesions – telangiectasia – couperose, spider veins or hemangiomas

Vascular lesions, that we’re referring to here, are small visible vessels that are partially branched, or in nests, and are found directly below the skin surface. Initially hey are not an actual disease, but more of a cosmetic problem. However, they may be an indicator for venous / arterial discharge disorders or other diseases. Couperose, for example, is a conspicuous red color with enlarged veins in the cheek and nose area, which is referred to as rosacea and is represented by inflamed pustules or papules. The rosacea occurs due to a disorder of the sebaceous glands and vessels, and is caused by over-colonization of the hair follicle- mite Desmodex folliculorum.

What causes these vascular lesions is as yet not fully understood. They are partly hereditary, but can also be caused by e.g. Hypertension due to varicose veins.

First and foremost, it is a weakness of the connective tissue, which results in a congestion in the finer blood vessels of the skin.

However, since serious skin conditions can also lead to similar appearances, you should have the doctor clarify whether it is really a treatable vascular lesion. This is especially true when the skin pattern deteriorates significantly over time.

Through a PhotoNova treatment (IPL), a sclerosis of the blood vessels can be achieved. The affected areas of the skin are then adjusted in color again to the surrounding skin and the veins sometimes disappear completely – often already after one treatment (immediate effect). Sometimes, however, several treatment sessions are needed. The procedure is moderately painful, but does not last very long.

How does removing couperose, spider veins or veins with IPL work?


   Fig. 1: Application of PhotoNova on the surface that is to be treated. Vessel on the right in the picture
Fig. 2: The hemoglobin in the blood vessel (right in the picture) absorbs the light rays and generates heat.

Fig. 3: An inflammatory reaction develops in the treated area.

Fig. 4: After a few weeks, the vessel walls are completely glued together and transformed into connective tissue


Radiofrequency technology for sclerosing the finest veins on the face / neck / décolleté:

Using an ultrathin needle even the finest vessels can be scorched through heat emission (by radio frequency). After that a slight inflammatory reaction (redness) can occur in the the vessel, which will completely heal over the course ofa few days or – very rarely – a couple of weeks. The procedure is painless, but not applicable in every body region.

Aethoxysklerol for sclerotherapy of spider veins:

In spider veins sclerotherapy, the small, bluish / reddish branched vessels on the legs or other parts of the body (except face) are sclerosed through an injection of Äthoxysklerol (medication) using a very fine needle. Already when injecting the substance you can observe the positive effect. It is quite common for small bluish discoloration and slight redness cxoupled with inflalmmation to appear after treatment, but these disappear again after a short time. However, brownish discoloration after sclerosion may occur – more likely in larger vessels – which may recede mofre slowly, but very rarely persist. The procedure is almost painless.

Further information on the subject (in German only) …