CAPILLARIES AND VARICOSE VEINS, Dr Di Nonno e Dr Bertoloni – dentrocasa magazine, October 2015

Telangiectasias (commonly and erroneously defined capillaries) and the varicose veins of the lower limbs represent an aesthetic-functional problem for many women that often manifests itself with the arrival of summer.
Both because the legs with red or blue “spots” are put on display and because in the summer the venous pathology appears clinically more evident (swelling, fatigue, sense of weight and real pain).
From Autumn is the most suitable time to start treatments and the range of possible medical-surgical solutions for doctors has expanded over the last ten to twenty years.
The clinical classification of each patient is fundamental through a Doppler ultrasound, a non-invasive and easily performed diagnostic test.
The veins of the lower limbs are in fact a dense network of vessels all in synergistic communication, the task of which is to bring the non-oxygenated blood, together with the liquids and the metabolites of waste, from the periphery to the heart.
When a vein does not work well, it appears dilated even to the naked eye and the blood flow will be reversed, i.e. no more towards the heart but towards the periphery.
There are different therapeutic strategies depending on the level of incontinence.
If the dysfunction is found in medium-sized vessels, in addition to the classic stripping and phlebectomy which consists in binding and “unthreading” the vessels, there is also the possibility of removing the vessel itself by inserting a laser probe inside it (endovascular laser treatment) as well as the simpler possibility of sclerosing the vein with an injection of a specific drug in the form of foam (sclero-mousse) without the need for any anaesthesia.
In cases where the problem is only superficial, with small dilated capillaries and therefore purely of an aesthetic nature, in addition to classical sclerotherapy, which in recent years has been joined by TRAP (Tridimensional Regenerative Ambulatory Phlebotherapy) which uses the same active ingredients but in a more diluted concentration, there is the possibility of advanced laser treatments using Nd: Yag Alexandrite.
By Dr Stefano Di Nonno and Dr Gianpaolo Bertoloni