Treatment of deep underlying reticular veins by Nd:Yag laser and IPL source

The purpose of this paper is to estimate the efficacy of Nd:Yag laser and IPL combined action for the treatment of deep (up to 5 mm) and large (up to 3 mm in diameter) reticular varicosity of the lower extremity.

A group of 38 subjects (2 male and 36 female) aged from 34 to 65 years were treated for deep reticular varicosity of the legs. All patients underwent various clinical analyses in order to evaluate and exclude pre-existing cardiovascular pathology, coagulation disorders as well as pathology due to saphena incontinence. Also, for the first three months they underwent ambulatory specialistic treatments at 21-days intertreatment interval.

A reduction of venous network of 80-90% after 2 treatment sessions with Nd:Yag laser was obtained in 84% of subjects. Successive 3 treatment sessions with IPL have achieved complete vanishing of the treated venous network in 36 patients (95%).

A combined action of Nd:Yag laser and IPL has demonstrated its particular efficacy in non-invasive treatment of deep and extensive reticolar varicosity of the lower extremity, considering also that it is well tolerated by patients and applicable in each single case on out patient basis.