Microsurgery of Combined Telangiectasia - Spider Veins
Indication	Type 1
Place for the procedure	Clinic or Day Hospital
Hospitalization	Not necessary
Rest	2 Days
Time for the procedure	20 a 30 minutes
Return to domestic activities	2 Days
Return to Professionals Activities	2 Days
Return to Sport  Activities	7 Days
Restrictions	Sun bath  for 30 to  45 Days

The presence of vases in the skin in the shape of  grapes or  branches is called combined telangiectasies. These formations have a matrix vein  in their base and it is the real  responsible for the small vases of the skin that  appear due to the factors that we already explained. In the Microsurgery of Combined Telangiectasia, these  small veins are extracted with local anesthesia. This surgery stops the flow of the blood in the inverted direction. Later, the telangiectasies (spider veins) are treated by cryosclerotherapy.  The technique is an  easy one; it uses one or two small incisions with less than 1 mm. The incisions are so small that  don't need any type of suture. The patient returns home immediately after the procedure, resting for  2 days.

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		Combined Telangiectasia
		Combined Telangiectasia Test . The matrix vein is detected, and the blood reflux is interrupted See the decrease of the quantity of Telangiectasias
		When relieved the compression, the Telangiectasia immediately reappear
The Microsurgery of Combined Telangiectasia stops the abnormal flow (reflux) of blood in this small vein. The microsurgery is performed under local anesthesia. The veins extraction impedes the blod flow that feeds the telangiectasia. Later the treatment of the telangiectasias (spider veins ) is completed by Cryoscleroterapy. The technique of microsurgery is easy to performwr . We just perform one or two needle punctures small than 1 mm. The punctures are so small that don't need any suture after. The patient returns home immediately, doing 2 days of rest. Microsurgery procedure for Combined Telangiectasia (spider veins combined to a microvein)
We perform a micropuncture with a neddle , under local anesthesia .	We use a micro hold ( crochet needle) to pick up the microvein	detail- microphoto of matrix vein	The micro vein is extracted

 

 

Microsurgery Under Local Anesthesia
Indication	Type 1
Place of the procedure	Clinic or Day Hospital
Hospitalization after the procedure	Not necessary
Rest after the procedure	4 Days
Time for the procedure	1  to 3 hours
Return to domestic activities	4 Days
Return to Professionals Activities	4 Days
Return to Sport  Activities	7 Days
Restrictions	Sun for  30 to 45  Days

It is indicated for the lightest cases of microvarices. It can be carried out  in a Day Hospital, or in the clinic.  Anesthesia is applied only  in the itinerary of the microvarices. The microvarices are removed through  small incisions; so small that  don't need stitches. The surgery is made using micro-hooks  that  remove the veins and  eliminate them. A rest period of usually three to four days is necessary. After that, the normal activities can be restarted. After seven days, the patient can exercise. It is necessary to avoid the sun for some time, which  varies according to each case. This procedure  removes the reticular veins (microvarices) that are under the skin, forming bluish or greenish lines and that are frequently  related to the telangiectasies or vases. These veins are very frequently on the back of the knee and on lateral area of the thigh and the leg. When they are associated the telangiectasies (spider veins),  they are a source of inverted blood flow and blood stasis.  In other words, they are partly responsible for the emergence of the vases and they should also be treated for better results. It is as if the reticular veins or microvarices were the branches and the vases the leaves.  It doesn't make any sense to treat the leaves and to leave the branches that will bear new leaves after some time.

Aesthetic Microsurgery Procedure of reticular microvein combined with telangiectasia under local anesthesia

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Telangiectasia of lateral face of the thigh	Telangiectasia of lateral face of the thigh close view	Telangiectasia of lateral face of the thigh prepared to microsurgery, marked with a special ink.	The microvein is prepared to microsurger. A special ink , determine the localization of the microveins	Look the association of the microvein matrix with he telangiectasias. This is a frequent condition at lateral view of the thigh, The Albanese Venous System .
The matrix vein is extracted

 

Microsurgery under Epidural Anesthesia
Indication	Type 1
Place for the procedure	Day Hospital
Hospitalization after the procedure	Not necessary
Rest after the procedure	4 Days
Time for the procedure	1  a 3 hours
Return to domestic activities	4 Days
Return to Professionals Activities	4 Days
Return to Sport  Activities	7 Days
Restrictions	Sun for 30 to 45  Days

It is basically the  same procedure that can be carried out with local anesthesia, but it's used  for patients who have  a large number of microvarices. In this case the Epidural anesthesia substitutes the local anesthesia. When the varicose veins are in great number, this procedure is more comfortable. The surgery is made at the day hospital. The patient may leave the hospital on the same day. The rest period after the procedure  and the restrictions are the same ones indicated for the treatment with local anesthesia.

 

 

Ambulatory Phlebectomy under Local  Anesthesia
Indication	Type 2 e 3
Place for the procedure	Day Hospital or Clinic
Hospitalization after the procedure	Not necessary
Restless	4 Days
Time for the procedure	1  a 3 hours
Return to domestic activities	4 Days
Return to Professionals Activities	4 Days
Return to Sport  Activities	7 Days
Restrictions	Sun for 30 to 45  Days

This treatment is indicated for patients who  have collateral varicose veins of larger caliber (medium or big), but in a small number without the involvement  of the saphenous vein. The veins are removed with local anesthesia, as in a microsurgery. The patient can go back  home on the same day. The procedure can be accomplished at day hospital or in the Clinic.

 

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Median size varicose vein	Ambulatory Phlebectomy under local Anesthesia	The varicose veins are extracted