Telangiectasias, or permanently enlarged subpapillary plexus vessels, are characterized by red coloration visible through the skin and commonly referred to as spider veins or couperose skin.  Telangiectasias are classified into primary (i.e. congenital developmental defects of arteries and veins) and secondary (due to external factors).

Determination of the origin of telangiectasias requires a dermatological consultation


Very commonly, spider veins are the result of rosacea. Rosacea is a prevalent and chronic skin disease, most commonly encountered in mature subjects.  It is quite commonly misdiagnosed as regular acne or allergy caused by other diseases  The disease derives its name for its presentation involving periodical facial redness or predisposition for capillary breakage. Practice shows that the first symptoms of the disease are quite commonly ignored by patients. These symptoms (redness, broken capillaries) should be the first warning sign urging the patient to consult a dermatologist, as untreated rosacea may develop into more serious stages.


In case of patients presenting with broken capillaries on their face or elsewhere on their bodies, physicians at Medicus Self develop a treatment plan aimed at maximum reduction of the symptom. The basis for implementation of this treatment plan consists in the evaluation of the extent, stage, and size of lesions and the analysis of the history of treatment during the dermatological consultation.

At our Clinic, patients are offered several state-of-the-art, safe and effective treatment options. Treatment plans include combined techniques so as to stay true to our corporate standard of meeting patients’ expectations as quickly as possible, and most patients expect the results of acne-prone skin treatment to be evident as quickly as possible.

Patients often conceal their broken capillaries under a thick layer of makeup, which may cause a significant discomfort. Depending on the scale of the problem, we may recommend the following therapeutic procedures:

Thermavein electrocoagulation consists of a delivery of an electrical impulse which coagulates the tissue and thus closes the vessels.

Gentle Yag Prois a neodymium YAG laser emitting light at the wavelength of 1064 nm (deeper action).  A pulse of light impacts the lesion to be absorbed by the blood vessel, resulting in its damage. The damaged vessel is then eliminated from the system within 2-8 weeks.  A cryogenic agent is applied to the skin along with the laser pulse to cool it down and thus avoid painful overheating. In case of extensive or branched lesions, the procedure should be repeated; appropriate procedure series are scheduled individually as part of the Medicus Self treatment plan.

V-beam perfecta – makes use of pulsed-dye laser (PDL) technology. A pulse of light impacts the lesion to be absorbed by hemoglobin (the dye within the blood vessel), resulting in its damage. The damaged vessel is then eliminated from the system within 2-8 weeks. In many cases, appropriate effect is achieved following a single procedure. In case of deeper lesions, series of several procedures are recommended.

Sclerotherapy (used only for lower limb lesions) consists in a vessel-damaging agent being introduced into the vein so as to obliterate it. The method is used for the treatment of small superficial veins.

Vascular surgery