| PREGNANCY AND AESTHETICS | PEER-REVIEW
Treatment can be either conservative or active. Active medical intervention can be divided into surgical and non-surgical treatments. Newer methods including endovenous laser treatment, radiofrequency ablation, and foam sclerotherapy appear to work as well as surgery for varices of the greater saphenous vein44
. The medical term for spider veins is telangectasias.
These fine red and purple veins are approximately 1 millimeter or less in size and can occur anywhere on the body. Patients most commonly seek treatment for spider veins on the legs and chest. Spider veins are often found in combination with varicose veins. Laser and IPL treatment of spider veins is accomplished using the 595 nm pulsed-dye laser, the 1064 YAG laser or IPL. These systems produce vein specific wavelengths which seal the spider veins45,46
. Sclerotherapy has been used in the treatment of
varicose veins for over 150 years. The procedure is used to treat smaller varicose veins with a chemical sclerosing agent or type of foam in order to make these vessels necrose or shrink in size. In this rather simple procedure, veins collapse and fade from view. The procedure may also remedy the bothersome symptoms associated with spider veins, including aching, burning, swelling and night cramps. The medicines that are commonly used as sclerosants are polidocanol (POL), sodium tetradecyl sulphate (STS), glycerin and chromated glycerin and hypertonic saline47
. The liquids can be mixed at varying
concentrations of sclerosants and varying sclerosants/ gas proportions, with air, CO2
or O2 References
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prime-journal.com | March 2015 ❚ to create foams. A number of techniques have been performed for over
Key points Pregnancy causes
many changes in a woman’s body
The growing foetus
causes mechanical changes by stretching skin, muscle, and fasci
The amount of
physiological change during pregnancy varies among women but often persist long after the post-partum period
Many women find it
difficult to deal with these major body changes
Skin stretches during
pregnancy and loses the ability spring back into shape forming sagging breasts and stretch marks
a century, from the more invasive saphenous stripping, to less invasive procedures like ambulatory phlebectomy and CHIVA. Stripping consists of removal of all or part the saphenous vein (great/long or lesser/short) main trunk. The complications include deep vein thrombosis, pulmonary embolism and wound complications including infection48
. There is evidence for the great
saphenous vein growing back again after stripping. Declaration of interest None Notes This paper covers most of the aesthetic problems
associated with pregnancy and their current management. Treatments will change with time and the author’s preferences are based on his personal experience and skill level. Some of these problems also occur outside of pregnancy but become exacerbated due to the physiological changes that occur during gestation. Finally it is important to remember that patients after the pregnancy can have a period of depression and we will take attention of this and I believe it will be important to use the scale of Body Dysmorphic Disorders of Yale- Brown to know the real motives of the patients for the aesthetic procedure. Specifically BDD manifests in greater levels of depression, which can occur is post natal patients at a higher incidence49
.
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