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In addition, incompleteness of therapy is common, requiring multiple treatment sessions. [21] Telangiectasias on the face are often treated with a laser. Laser therapy uses a light beam that is pulsed onto the veins in order to seal them off, causing them to dissolve. These light-based treatments require adequate heating of the veins.
A physician performing laser resurfacing using an erbium laser. Laser resurfacing is a laser surgery technique that disassociates molecular bonds.It is used for the treatment of wrinkles, solar lentigenes, sun damage, scarring (acne scars and surgical scars), stretch marks, actinic keratosis, and telangiectasias.
Sclerotherapy is a non-invasive procedure taking only about 10 minutes to perform. The downtime is minimal, in comparison to an invasive varicose vein surgery. [17] Sclerotherapy is the "gold standard" and is preferred over laser for eliminating large spider veins telangiectasias.
Intense pulsed light (IPL) is a technology used by cosmetic and medical practitioners to perform various skin treatments for aesthetic and therapeutic purposes, including hair removal, photorejuvenation (e.g. the treatment of skin pigmentation, sun damage, and thread veins) as well as to alleviate dermatologic diseases such as acne.
Today, laser photocoagulation remains mostly effective, but the optimal treatment of Macular telangiectasia type 1 is questioned, and larger series comparing different treatment modalities seem warranted. The rarity of the disease, however, makes it difficult to assess in a controlled randomized manner. [4]
After the triggering factor is eliminated, unilateral nevoid telangiectasia usually persists but in rare situations, it resolves on its own. The first step in treatment is cosmetic concealment. [7] The condition has improved aesthetically with the use of pulsed dye laser, which has proven to be a useful alternative. [9]
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