vascular.pptx

Vascular Vascular Vascular • Dilated blood vessels are visible enlarged blood vessels that appear on the face and other parts of the body. They are fine, red veins that are commonly located on the nose, chin, or cheeks. These vessels usually appear as a result of aging, pregnancy, childbirth, bi...

Vascular Vascular Vascular • Dilated blood vessels are visible enlarged blood vessels that appear on the face and other parts of the body. They are fine, red veins that are commonly located on the nose, chin, or cheeks. These vessels usually appear as a result of aging, pregnancy, childbirth, birth control pills, oestrogen replacement therapy, sun damage, and Rosacea • The visible blood vessels are removed by light absorbed by the blood that destroys the vessel. After some time, the vessel disappears restoring the skin’s natural appearance. IPL allows for quick treatment of dilated blood vessels without damaging the surrounding skin. • PARAMETERS • 3+ treatments, 3-4 weeks apart. How do vascular treatments work? • Target chromophore is oxyhaemoglobin in small capillaries in the upper dermis. • Tissue interaction is thermal tissue. • Blood is coagulated and heat produced radiates into vessel wall. • Heat is being conducted to the smallest and most superficial vessel walls. • Destruction of the vessel. •Capillaries are actually only epithelial cell thick •They are so thin that blood cells can only pass through them in single file. •Supported by loose connective tissue. • Controlled injury to the blood vessels initiates the body’s natural response to break down and remove damaged tissue. New cells rebuild and replace the problem area with clear, beautiful skin. Location of vessels Damaged capillaries are located in the epidermal junction. Areas to treat • Face • Cheeks • Chest • Arms • Nose/chin • IPL is not recommended for leg veins as the circulatory system is more advanced and effectiveness of treatment is minimum. Anything above the heart is recommended. Vascular lesions • Telangiectasia • Spider nevi • Rosacea/diffuse redness • Acne rosacea • Cherry angioma • Couperose • Sun damage • Poikiloderma Spider Nevi Is a type oftelangiectasis (swollen blood vessels) found slightly beneath the skin surface, often containing a central red spot and reddish extensions which radiate outwards like a spider's web. Rosacea • Is a chronic skin condition characterized by facial redness, small and superficial dilated blood vessels on facial skin, papules, pustules, and swelling. Rosacea affects all ages and has four subtypes, three affecting the skin and the fourth affecting the eyes (ocular type). Left untreated it worsens over time Rosacea cont. • For vascular treatments the goal is to destroy blood vessels in the inner layers of the skin by heating them to 70 °C. Although blood vessels are targeted, the light energy is also absorbed by other structures in the skin such as melanin (pigment for skin and Acne Rosacea • Acne Rosacea is a skin disorder limited to the nose, cheeks, chin, and forehead, typically beginning during adulthood. The facial skin becomes oily, reddened and bumpy. Small red blood vessels are visible. In extreme cases, the nose may appear very red and bulbous. • Vascular settings combined with acne setting can have great Sun Damage Although most people love the warmth and light of the sun, too much sun exposure can significantly damage human skin. The sun's heat dries out areas of unprotected skin and depletes the skin's supply of natural lubricating oils. In addition, the sun's ultraviolet (UV) radiation can cause burning and long-term changes in the skin's structure. Common side effects are: • Dry skin • Sunburn • Actinic keratosis (solar keratosis) • Long term changes in skins collagen • Pigmentation • Wrinkles • Redness Couperose • Couperose is a condition where the skin appears red due to the presence of small, dilated red blood vessels visible on the face. It is similar to Rosacea in that individuals of either condition are left with a prolonged red complexion – thus making redness a defining factor of both Rosacea and Couperose. • 3 + treatments 3-4 weeks apart Telangiectasia • Are small dilated blood vessels near the surface of the skin or mucous membranes, measuring between 0.5 and 1 millimetre in diameter. They can develop anywhere on the body but are commonly seen on the face around the nose, cheeks, and chin. They can also develop on the legs, although when they occur on the legs, they often have underlying venous reflux or hidden varicose veins, which make them difficult to treat with IPL. • 3+ treatments recommended, 2-3 weeks apart. Cherry Angioma • Are cherry red papules on the skin containing an abnormal proliferation of blood vessels. They are the most common kind of angioma. • Most often needing 3+ treatments to clear. Poikiloderma of Civatte •Poikiloderma is a skin condition that consists of areas of hypopigmentation, hyperpigmen tation, telangiectasias and atrophy. •Poikiloderma is most frequently seen on the chest or the neck, characterized by red colored pigment on the skin that is commonly associated with sun damage. The cause of poikiloderma of civatte is unknown. However fair skin, sun exposure, hormonal factors and some components of cosmetics and toiletries (photosensitising components) are all thought to play a part in the development of the condition. • Skin thinning (atrophy), redness from enlarged blood vessels Causes • Sun exposure • Aging • X-rays • Injury • Comedone extraction • Scar tissue: face lifts, mole removal • Medication:retin A, chemical peels, the pill. Medical causes • High blood pressure • Sclerodrema • Dermatomyositis • Lupus erythematosus • Chronic hepatitis • Raynauds phenomenon • AIDS • Rosacea Main causes • Sun damage • Hereditary • Hormonal issues • Thin, white skin • Perfume Identify the cause It is important to identify the cause as this will confirm longevity of treatment. If you start a series of treatments and the client is still facing a hot shower they will have minimal results. • HOT showers • Sun damage • Bad skin care routine • Drinking alcohol • Picking the skin • Hormonal issues • Medical conditions- often not possible to change Filters for vascular • 510 for medium vessels • 560 for thicker vessels beneath the skin of vascular lesions. • The darker the skin the longer the pulse width and lower the fluence • The lighter the skin the shorter the pulse width and greater the fluence Procedure • Treat small areas at a time • Use extra gel • Use only mild cooling -1 snowflake • Be light handed with hand peice as to not put too much pressure on the skin • Good treatment response: darkening and coagulation of section of vessel with no movement of blood. Possible swelling. • 3-4 week interval treatments minimum of 3 treatments for optimum results. Side effects and aftercare • Erythema which can last from a few hours to a few days • Oedema (swelling), which can be minimal or quite obvious and may last up to 3-4 days. • Darkening, if there is any pigmentation in the area • Soothing cream/gel post plus sunscreen • Avoid hot showers, pools, baths, exercise etc Before and after 2 treatments Post 2 and 3 Treatments 3 Treatments 2 Treatments 3 Treatments