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Neodymium long-pulse laser as a monotherapy for unaesthetic vessels of various locations: a series of clinical observations

https://doi.org/10.21518/akh2023-038

Abstract

The article presents a series of clinical cases describing the successful use of the long-pulse neodymium laser in removing unaesthetic reticular veins and telangiectasia of various locations. The first two cases demonstrated reticular varicose veins of the lower limbs in female patients with a fear of injections, which were treated without compression garments and ecchymoses with excellent effect. The outcome of treatment was comparable with that of classical sclerotherapy. The third case showed a successful laser removal of large telangiectasias on the hands, which developed following the long-term use of injection narcotic drugs as part of trophovegetoneurosis. Such pathology is rare for medical practice and approaches to its treatment have not been developed. The fourth case showed large telangiectasias of the buccal and zygomatic regions A good effect after the use of a large diameter spot in that area was demonstrated. The fifth case demonstrated the treatment of the veins in the buccal region, including the vein curving over the mandibular angle. The outcome of the treatment allowed to evaluate not only the aesthetic effect of the procedure, but also the severity of side effects in that area. In the sixth case, the periorbital vein, which divides into two branches, was investigated. The treatment was successful despite the different structure of the vein wall and depth of occurrence. The seventh case demonstrated the removal of large temporal veins. The outcome of treatment was presented on the following day, reflecting the degree of visual discomfort in the early post-procedure period. The final outcome a month after treatment was also demonstrated. In conclusion, the eighth case demonstrated the effectiveness of the treatment of scattered small red telangiectasias on the face using a long-pulse neodymium laser.

About the Authors

M. A. Parikov
Innovative Vascular Center
Russian Federation

Matvey A. Parikov, Surgeon-Phlebologist 

3, Baltiyskaya St., St Petersburg, 198095



A. V. Patsyuk
Almazov National Medical Research Centre
Russian Federation

Anna V. Patsyuk, Cand. Sci. (Med.), Associate Professor, Head of the Academic Department of the Cardiovascular Surgery Department 

2, Akkuratov St., St Petersburg, 197341



S. S. Kulagina
Phlebology Center
Russian Federation

Svetlana S. Kulagina, Cardiovascular Surgeon, Phlebologist 

54, Okeansky Ave., Vladivostok, 690106



E. V. Ozherelev
Phlebology Center
Russian Federation

Evgeniy V. Ozherelev, Cardiovascular Surgeon, Phlebologist 

54, Okeansky Ave., Vladivostok, 690106



M. S. Agadzhanyan
Medical and Sanitary Unit “Neftyanik”
Russian Federation

Marine S. Agadzhanyan, Cardiovascular Surgeon, Phlebologist 

12, Schiller St., Tyumen, 625048



M. V. Plotnikov
Republican Clinical Hospital; Clinic of Plastic and Reconstructive Surgery “Aesthetic City”; Kazan State Medical Academy – a branch of the Russian Medical Academy of Continuing Professional Education
Russian Federation

Mikhail V. Plotnikov, Cand. Sci. (Med.), Associate Professor of the Department of Cardiology, X-ray Endovascular and Cardiovascular Surgery; Cardiovascular Surgeon; Cardiovascular Surgeon 

138, Orenburgsky Tract, Kazan, 420138;
10/6, Chernyshevsky St., Kazan, 420000;
36, Butlerov St., Kazan, 420012



A. V. Maksimov
Republican Clinical Hospital; Kazan State Medical Academy – a branch of the Russian Medical Academy of Continuing Professional Education
Russian Federation

Aleksandr V. Maksimov, Dr. Sci. (Med.), Associate Professor of the Department of Cardiology, X-ray Endovascular and Cardiovascular Surgery; Cardiovascular Surgeon, Chief Researcher 

138, Orenburgsky Tract, Kazan, 420138;
36, Butlerov St., Kazan, 420012



Sh. E. Orudzhev
Medical Center “Vitamin”
Russian Federation

Sharif E. Orudzhev, Surgeon, Phlebologist 

6, Poligonnaya St., Orenburg, 460026



K. O. Zhdanov
VenoClinica
Russian Federation

Konstantin O. Zhdanov, Surgeon, Phlebologist 

50, Pushkin St., Chelyabinsk, 454091



A. A. Sinitsyn
Medical Center “Mir Zdorovya”
Russian Federation

Aleksandr Al. Sinitsyn, Cardiovascular Surgeon 

50, Pobedy Ave., Kursk, 305021



S. O. Perkov
Medical Center “Mir Zdorovya”
Russian Federation

Sergey O. Perkov, Cardiovascular Surgeon 

50, Pobedy Ave., Kursk, 305021



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Review

For citations:


Parikov M.A., Patsyuk A.V., Kulagina S.S., Ozherelev E.V., Agadzhanyan M.S., Plotnikov M.V., Maksimov A.V., Orudzhev Sh.E., Zhdanov K.O., Sinitsyn A.A., Perkov S.O. Neodymium long-pulse laser as a monotherapy for unaesthetic vessels of various locations: a series of clinical observations. Ambulatornaya khirurgiya = Ambulatory Surgery (Russia). 2023;20(2):71-79. (In Russ.) https://doi.org/10.21518/akh2023-038

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ISSN 2712-8741 (Print)
ISSN 2782-2591 (Online)