Spider veins (also known as Telangiectases) on the lower limbs are very common and have been reported to be present in 41% of women over the age of 50 years in the United States and represent an important aesthetic problem. Most cutaneous spider veins are abnormalities of the horizontal vascular skin plexus or capillary loops.
Spider leg veins are composed of a feeder vessel and venous sprouts in the reticular dermis. Older individuals with chronic venous insufficiency (A condition that occurs when the vein wall and/or valves in the leg veins are not working effectively, making it difficult for blood to return to the heart from the legs. CVI causes blood to “pool” or collect in these veins.) are at greater risk for spider veins. Hormones and occupation also play a role in the development of spider veins. The combination of low concentrations of sclerosing solution and the Nd:YAG, Q-switched laser with multiple (quadruple) frequency provides good results in the treatment of spider veins and reticular varicose veins of the lower extremities.
The combined technique of sclerosing solution and the Nd:YAG laser with multiple frequency is a valid alternative for the elimination of telangiectases and reticular veins of the lower limbs. This technique has several advantages, such as the use of low concentrations of sclerosing solution, high patient acceptance levels due to minimal disturbances, and the fact that local anesthesia is unnecessary. Good results are obtained without complications and minimal residual pigmentation. These mild pigmentation can be treated with the Nd:YAG laser.