Spider Angioma Treatment

At A Glance; spider angiomas & spider naevi

  • Best Results1 session
  • Treatment Recovery1+ days
  • Procedure Time1 second
  • Skin SpecialistNurse, Dermatologist
  • Duration of ResultsPermanent
  • AnaestheticCooling spray/gel
  • Back to WorkImmediately
  • Cost$ (Medicare rebate for some cases)

Spider Angiomas & Spider Naevi

Spider angiomas & spider naevi are common vascular lesions found on the face & chest of children & young adults. The most reliable way to treat spider angiomas is with a vascular laser. Most cases require one session. Treatments are pain free, especially with lasers that use cryogen sprays. 

FactsFacts On Spider Angiomas & Spider Naevi

  • Spider angiomas & naevi are a benign proliferation of capillaries
  • They are found in children & young adults
  • Spider angiomas are diagnosed clinically, without invasive testing
  • Vascular lasers can erase spider angiomas with one simple painless treatment
  • Treatment take less than 1 second to perform
  • A Medicare rebate applies if lesions are seen beyond 3 meters & involve the face

How do dermatologists diagnose spider angiomas?

In 99% of cases a clinical examination with a hand held microscope can diagnose these vascular lesions. Spider angiomas consist of a central ‘feeding’ spot (body of a spider), with branching ‘legs’. Pressure on these lesions causes them to disappear. 

What is the best treatment for spider angiomas?

A vascular laser is the best way to treat spider angiomas, telangiectasias & broken capillaries. Laser targets the deep vessels, whilst sparing the upper layers of skin. 

We use the following lasers to treat vascular lesions; DermaV, VBeam Prima & Perfecta, Sciton Joule, 755 Alex as well as the ExcelV in my Sydney office. My favorite lasers incorporate in-built cooling sprays, known as cryogen gas. They markedly reduce discomfort for patients during the treatment; especially good for treating spider angiomas in children.

What is the procedure like?

Laser light feels like a short snap.  In some cases we double pulse, meaning 2 short snaps delivered over 1-2 seconds.  All procedures are done in our accredited laser suites in Brisbane & Sydney. During the procedure you will have eye protection glasses on. Pain? About 2 out of 10. 

What is recovery like?

After the procedure you will have some bruising that will last for 2-4 days. I prefer a bruising setting as this has a much higher chance of clearance, as compared to more conservative settings. 

Will broken capillaries of spider angiomas & naevi recur?

Recurrence is rare. Partially treated spider angiomas may recur, & hence why we prefer bruising settings to get the job done within one session. For more mature patients, there may be a genetic susceptibility to spider angiomas, hence you may develop more over time; especially for females. 

Davin’s viewpoint on treating spider angiomas & spider naevi

Vascular lesions such as spider veins, angiomas, broken capillaries & red birthmarks are best treated with special vascular lasers. 

I prefer lasers with cryo cooling, the best is probably DermaV; it is more reliable than the Candela Prima laser. Cooling gives that extra level of protection to the epidermis, allowing for higher energy levels & greater patient comfort. In Sydney I use the ExcelV laser by Cutera. Most cases of spiders only require one session

BBL, broad band light, (not Brazilian Butt Lift) is another way to reliably treat spider angiomas, telangiectasias & broken capillaries – veins. We use the M22 or Sciton Joule for this job. The latter has templates, however one can use a hole punch & cut out a template on 4X folded paper. It works a treat to protect the surrounding skin. 

Spider angiomas on the chest, on the background of sun damaged skin (common in Brisbane & Sydney), is very tricky to manage as lasers work too well. It’s like fixing a deep scratch on a 40 year old car; you’ll rectify the problem, but there will be color changes in the background. A solution is-

  • Small spot (3-5 mm) size to target angiomas
  • Blend in the surrounding skin (sun damage areas) with thulium lasers
  • Blend in the redness with vascular lasers (big spot)
  • 3-6 sessions over 6 months

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