In regards to the treatment for thread veins, the use of laser therapy has been found as the most effective way to remove this problem. This consists of using pulses of laser light to target and destroy the visible blood vessels that are showing through the skin.

There are numerous causes for the development of thread veins, such as age, exposure to extreme temperatures, weak valves or venous insufficiency, etc. Further risk factors that have been identified are:

• Pregnancy
• The consumption of birth control pills
• Hormonal influences (such as puberty or menopause)
• Obesity
• Heredity
• Injury/Trauma to the skin
• Genetics/inherited factors

Thread veins, or vascular veins are twisted red, blue or purple blood vessels that are visible through the skin, usually developed in the face or the legs. Although thread veins are usually a cosmetic problem, they can cause minor symptoms on the affected areas, such as itching or slight pain.

There are three types of lasers that are used to remove thread veins. The type that is used for the treatment depends on the intensity and diameter of the vein. This is detected through using a vein gauge to measure the size and depth of the vessel. After doing so, the appropriate laser technology and wavelength will be decided to treat the thread veins.

Also, when treating thread vessels, spot sizes are taken into account, as it refers to the amount of control and depth of laser penetration into the skin. There are different spots that the laser uses in terms of penetration. For example, larger vessels need bigger spot sizes as they require deeper penetration, whereas smaller vessels require smaller spot sizes to limit the penetration.

The duration of the laser depends on the diameter and size of the thread vein, as bigger veins require longer periods of time and pulse durations so that the laser light can be absorbed. For example, 0.5 – 1.5 mm veins may require 20-50 milliseconds of pulse durations. Overall, the length of time that it takes to eliminate the thread veins completely will depend on the intensity of the vein and the treatment area. As each person is different, some people may also require more than one session.

Before the treatment, we suggest that the treatment area is completely clean and dry and any application of skin care products should be avoided. This includes any tanning creams, facial creams, etc. Also, the affected area should not be exposed to sun 4-6 weeks before the treatment.

Although heat is used to destroy the tissue and the vessels, the laser only works on the unwanted thread veins and leaves the rest of the skin untouched. As a result, there may be a slight pressure on the affected area and small tingling sensations. However, if you do feel uncomfortable with the treatment, there will be some soothing gel or anaesthetic. If you are worried about the sensations of the treatment, you can also speak with the professional.

After the treating the thread vein, we advise you to avoid the sun completely after the treatment for a few days to reduce hyperpigmentation or use SPF 30 sunblock. Furthermore, avoid strenuous exercise for 48 hours and avoid wearing compression stockings if you have been treated on your legs.