Causes and treatment of hemorrhages on the skin. How to treat subcutaneous hemorrhages

One of the most common cosmetic defects that spoil the appearance are visible dilated blood vessels on the face. They appear differently in everyone: in some they appear in the form of a mesh or small red veins, while in others they spread across the face with red spots. There are many people who periodically experience pimples on their faces with purulent tops.

All these are manifestations of circulatory disorders. Each of the defects is a symptom of one of the types of skin diseases, which are united by a common name - rosacea. Women are more often affected by rosacea. This is due to the peculiarity of female hormones (estrogens), which affect vascular tone. Among the male population, lovers of strong alcoholic beverages become the owners of spider veins and redness on the face.

Couperosis does not pose a threat to health and life. But it causes a lot of grief (especially for young women). Some try to disguise them with powder or foundation. Others decide to remove spider veins on their face using healing methods found in fashion magazines or suggested by someone they know. But before you start fighting the signs of rosacea, you should familiarize yourself with the reasons for its occurrence . In addition, enlarged capillaries on the face, as a consequence of one or another disease, must first be treated by a dermatologist, and then proceed to cosmetic procedures.

Diseases that cause vasodilatation on the face

Telangiectasia

The most common disease observed in young women is telangiectasia. As it develops, a network of blood vessels appears on the face. It is often inherited if one of the parents (or grandmothers) had one of the skin diseases such as acrodermatitis or rosacea. In this case, you should not postpone a visit to a dermatologist. However, I would like to remind you that these harmless diseases should not be confused with systemic lupus erythematosus, although many are in a hurry to make a similar diagnosis for themselves or someone else. SLE is characterized by a “butterfly” located on the wings of the nose and cheeks, and, unfortunately, this is far from the only symptom of this severe pathology. Systemic lupus erythematosus affects the entire body.

Various manifestations of telangiectasia

Telangiectasia can be acquired, developing in people of certain professions who have to work outside in any weather. For example, at retail outlets in open markets or at a construction site. Very often its signs appear on the faces of janitors and geologists, cooks, etc. Temperature changes cause the blood vessels in the cheeks to dilate. At the same time, in the summer-spring period, the symptoms of the disease disappear and reappear with the onset of cold weather. To treat this disease, laser coagulation using selective photothermolysis is used.

Rosacea

Rosacea is one of the most unpleasant types of rosacea. With this disease, inflamed areas of red or pink color appear on the skin of the face. Their appearance is caused by the process of expansion of capillary vessels. Symptoms of rosacea occur with severe emotional shock (fear, worry about loved ones, anger). Often their appearance is provoked by drinking alcohol (even in small doses), or eating too spicy food. Rosecea is a frequent companion of steam bath lovers.

The first symptoms of rosacea resemble a scattering of acne in teenagers, which is located on the forehead, cheeks, chin and even on the nose. But over time (if appropriate treatment is not carried out), small pimples turn into large red nodules or rhinophyma. They can lead to a permanent loss of attractiveness. Rosacea is treated with diode lasers.

Hemangiomas

This disease belongs to benign neoplasms. Most often it is congenital (with abnormal development of vascular walls) or occurs in early childhood due to vascular damage. Unlike other types of manifestations of rosacea, the surface of the hemangioma is quite dense and protrudes slightly above the skin. The peculiarity of this defect is unpredictability of behavior. A hemangioma may remain a small speck for many years, or it may begin to rapidly increase in size.

Hemangioma itself is not dangerous. In children, it usually resolves spontaneously by school age. But with strong growth, it can disrupt the normal development of other vessels and various organs. Hemangioma located on the eyelids requires mandatory treatment. An argon laser is used to remove hemangiomas.

port-wine stains (left) and cherry hemangioma (right)

Many parents are concerned about the appearance of redness in the child's eye. Most often this is due to a violation of the integrity of the eye vessel during the game. But sometimes the cause of redness is that a capillary has burst due to high intraocular pressure. This often happens to adults too. In this case, the main thing is to consult an ophthalmologist as quickly as possible. He will determine the cause of the incident and prescribe the correct treatment, which will help in the future to avoid problems with the blood vessels of the eyes.

Nevus flamingo

A variety of this disease is nevus flaminga. Its symptoms are accumulations of blood vessels on the face with abnormal expansion. In this case, a continuous stain is formed (it is called a wine stain). It can appear suddenly and disappear just as quickly. But more often it increases, changing its color. In the recent past, port-wine stains were considered an incurable disease. But today there is no trace of them left, thanks to treatment with a yellow dye laser with a pulsed flash.

Arachnid hemangioma

Some people periodically experience small red “spiders” appearing on their face. Upon closer examination, you can see that these are like frozen droplets of blood, from which small vessels diverge in different directions, like the legs of a spider. After a day or two, the “spider” disappears (spontaneously resolves). This defect is called arachnid hemangioma (stellate) or arachnid nevus. It occurs as a result of clogging of arterioles. No doctor intervention is required to resolve the nevus. Most often, gengioma is observed in pregnant women. This is due to circulatory disorders caused by fetal development. Nevus can appear not only on the cheeks, but also on the wings of the nose.

Etiology of red rashes

There are many different reasons why red stars may appear on the body. The reason for their appearance may be hidden not only in an allergic reaction, but also in inflammation or a malfunction of the pancreas. The formation of red dots on the body may be the result of an insect bite.

Other reasons why speckles may form are due to high vascular permeability. The walls of capillaries have a high capacity of red blood cells. To establish the correct diagnosis, it is necessary to take a blood test. It is based on the results of this analysis that the specialist excludes autoimmune diseases that can cause capillary fragility. Autoimmune diseases of the body's connective tissue are characterized by the formation of red dots on the skin. They can accompany diseases such as scleroderma or lupus erythematosus.

Red rashes may appear on the body in limited cases of such diseases. When spots appear at an early stage of pathology development, doctors regard this as evidence of extensive damage not only to the skin, but also to the subcutaneous tissue. Against the background of red spots, lupus erythematosus is accompanied by the formation of foci of peeling.

Causes of rosacea

Based on the symptoms of the disease, we can conclude that the vessels on the face become noticeable for the following reasons:

Due to exposure to temperature changes in winter;
Under the influence of sunlight during a long stay on the beach or doing garden work;
With nervous overload;
From eating spicy and too hot food, alcohol;
Under the influence of elevated temperatures in a steam bath or sauna;
If the hormonal system is disrupted while taking hormonal medications;
In the presence of hereditary factors.

How to treat red dots on the body, what helps with red dots?

Having identified the cause of the appearance of blood spots on the body, you need to try to eliminate it first:

Red dots in arthritis disappear on their own if the patient strictly adheres to the doctor’s prescriptions. The use of non-steroidal anti-inflammatory drugs, muscle relaxants and anesthetics in combination with laser, magnetic or shock wave therapy can change the situation for the better in a short time.
For cirrhosis, drug treatment should be combined with diet. In addition, the patient must strictly control body weight, avoiding significant changes, and fluid balance in the body.
When the cause of the appearance of red dots is gastrointestinal diseases , treatment is carried out by a gastroenterologist. He will prescribe a diet, prescribe painkillers and drugs that stop the action of enzymes.

How to treat red dots on the body

Hardware methods for getting rid of vascular defects on the face

Today, there are many different methods that can quickly and painlessly remove vessels on the face that spoil the appearance. The most effective methods today are hardware methods (not to be confused with surgical operations). The essence of these methods is that they are all aimed at closing (sealing) a diseased vessel that interferes with normal blood flow in the skin epithelium of the face . The blood begins to move around it. At the same time, a new network of small capillary vessels is formed in the subcutaneous layer, due to which the face looks much fresher and younger. Among modern techniques are laser removal of blood vessels on the face; photocoagulation; electro-optical synergism and a number of others.

Laser coagulation

Methods for removing dilated vessels on the skin of the face, such as cryodestruction (treatment with liquid nitrogen at low temperatures) and electrocoagulation (cauterization with electric current), are gradually becoming a thing of the past. They are being replaced by gentle techniques, thanks to which cosmetic problems recede once and for all. After removing damaged vessels with modern devices, there are no relapses, no scars remain on the skin. During the laser star removal procedure, the patient does not experience discomfort.

Various types of laser systems are used to remove spider veins and redness on the skin. Green and yellow laser radiation are considered the most effective. It is used when red blood vessels on the face merge into port-wine stains (nevus flammans). There are two types of laser with a yellow light beam:

Powered by copper vapor with a wavelength of 578 nm.
Pulsed Sclero Plus or Vbeam (using dyes and a flash lamp), its wavelength is 585 nm.

Neodymium lasers are widely used to remove wine stains, for example Palomar (USA), XP Spectro Fotona Technology and others.

The essence of the method using dyes and flash is as follows:

The dilated vessels must be heated to a temperature at which they are soldered. This is performed with a yellow, pulsed laser. At the same time, the skin around them maintains its normal temperature and is not damaged.
Removal is carried out methodically, sequentially using a laser beam at certain points. The plot is not cultivated entirely, but in a checkerboard pattern.
After the procedure is completed, the treated areas on the eyes become lighter. After a day they become covered with a crust that cannot be touched. A network of new capillary vessels is formed under it. The crust will fall off on its own in about a week.
Completely normal complexion will be restored three months after the procedure.

Removal of telangiectasia can be performed using two methods:

Non-selective (electrocoagulation)
Selective (laser coagulation using selective photothermolysis).

The selective method has another name - copper vapor laser coagulation. In Russia, it is most often performed using the Yakhroma Med laser unit on an outpatient basis. The order of the procedure is as follows:

Under the influence of a laser beam, pathological blood vessels are heated to a temperature of approximately 70°C. In this case, their walls stick together, causing damage to the vessel. The tissue surrounding the vessel with pathology remains undamaged.
If the patient's skin is hypersensitive, it is cooled.
The operating mode of the device is set in such a way that after the procedure is completed, no traces in the form of a crust remain on the face.

This method is even used to remove foci of inflammation on the wings of the nose. But at the same time, extreme care must be taken so that the vessels in the nasal cavity do not burst.

Rosacea is removed with a long pulse laser. For this, a quadro diode laser from the German company Asklepion is usually used. It creates powerful pulsed radiation with wavelengths reaching 810 and 970 nm. This allows you to remove large formations on the face.

Video: a story about the procedure for removing blood vessels on the face

Photocoagulation

An equally common method for removing small vascular networks and other manifestations of telangiectasia in the early stages is laser photocoagulation. All manifestations of rosacea disappear instantly. This occurs as a result of the penetration of a laser beam into a changed area of a vessel with an accumulation of blood, and heating it. In this case, it sticks together and then dies. Photocoagulation can be performed using a Eulight laser machine, an ELLIPSE I2PL device, and others.

Sclerotherapy method

The essence of this method is that, thanks to a special substance injected into the affected vessel, it sticks together and is removed from the main bloodstream. There are several types of this procedure:

Microsclerotherapy. It is carried out to remove the vascular network in case of telangiectasia. The sclerosant is injected with a very thin needle, so the patient does not experience pain.
Foam-Form sclerosis. Allows you to get rid of the manifestations of Rosacea by introducing the drug, whipped into foam, into the vessel.
Echosclerosis. In this case, the most accurate introduction of sclerosant into the vessel occurs due to their laser scanning. Used to remove hemangiomas.

It should be noted that in Russia, only a few clinics have the legal right to perform sclerotherapy of blood vessels on the face. This is due to the high likelihood of complications, including stroke and vision loss. Therefore, in our country, the most accessible and widespread technique is laser coagulation.

Ozone therapy

One of the unsurpassed methods of treating the manifestations of rosacea is ozone therapy. During the procedure, the vessels on the facial skin are injected with ozone. For hemangiomas and rosacea, ozone is injected into the neoplasm using a microneedle. Biochemical oxidation occurs, leading to the disappearance (destruction) of the vessel with pathology. This is the safest method for removing capillary vessels. This procedure is performed in specialized ozone therapy centers and clinics. The advantage of this is that simultaneously with the main effect, the skin is filled with oxygen, giving a rejuvenating effect.

Beautek therapy

The latest technique called Beautek therapy, using the ITPL series device of the same name, is widely used in eliminating all types of rosacea (telangiectasia, rosacea, etc.). There are six types of them, and each of them is designed to perform a specific cosmetic procedure. The developers of this technique are specialists from Germany.

When performing the procedure, areas where blood vessels are visible on the face are treated with electrolyte gel. Acupuncture points are displayed on the computer display, which are affected by pulsed microcurrent transmitted through a sensor-electrode. The uniqueness of this procedure is that the computer is able to recognize the state of the cells and send them impulses of varying strengths. After their exposure, the cell returns to its normal, healthy state.

The device activates the synthesis of elastin and promotes the production of collagen, normalizes the water-salt balance and fat metabolism. The flow of blood and lymph improves significantly. All these processes go unnoticed by the patient. He doesn't feel any discomfort. But this is one of the most expensive procedures. The minimum cost of one procedure is 3000 rubles.

Rehabilitation period

Following the recommendations of specialists after getting rid of spider veins on the face guarantees that the results will be maintained for a long time. Doctors warn that for some time after the procedures it is necessary to avoid cosmetics based on alcohol, nicotinic acid and other substances that irritate the skin. For a month after therapy, you should not use aggressive peelings and facial scrubs to avoid the recurrence of rosacea.

After laser therapy or sclerotherapy sessions, crusts may appear on the affected areas. It is strictly forbidden to pick or comb them, otherwise there is a risk of infection or scarring. Before healing, the affected skin should be washed only with warm water without soap, and should not be rubbed with a towel. Massaging, steaming or cleaning is not recommended. Until the pigmentation has completely passed, you should refrain from tanning in the open sun or in a solarium, and also limit your visits to the bathhouse or sauna. Attention is also paid to the patient's nutrition. Dishes with a lot of salt, sugar or spices can aggravate vascular spots. For this reason, it is recommended to adhere to the diet until complete recovery. You should completely give up alcohol, coffee and strong tea with sugar.

The use of homemade masks and natural ingredients will have a positive effect on the results of cosmetic procedures after removing a vascular spot on the dermis. They can be made from blueberries, raspberries, strawberries, parsley or potatoes. Essential oils from rosemary, peach and lemon will have a healing effect. However, you should not rely only on traditional medicine; it is not able to remove dark rashes.

Red skin lesions appear as a result of poor circulation, stress or hormonal changes. It is possible to get rid of them forever with the help of hardware cosmetology. Modern methods are highly effective and painless; consultation with a specialist is required before use. Vascular birthmarks in newborns can be removed by some of these methods.

You can ask your question to our author:

Recommendations after the procedure

An important point after eliminating the manifestations of any type of rosacea is to prevent relapse , that is, the appearance of new vascular networks. To do this, you must follow all the doctor’s recommendations and instructions in the postoperative period, which are as follows:

Injury to the treated area of skin should be avoided.
For 24 hours, do not use alcohol-containing lotions or other cosmetics for skin care, and avoid makeup.
For two weeks, cover your face with the brim of a hat from exposure to sunlight. During the same period it is prohibited to visit the solarium.
To protect the crust from ultraviolet exposure at the site of treatment, treat the area around it with a special sun protection cream (filter 20). After the crust disappears, continue using this cream for the entire treated surface.
The crust should not be wetted, touched with hands, or tried to be torn off, as new capillaries are forming underneath it. It will fall off on its own in a few days.

Classification of subcutaneous hematomas

The most common and easiest to treat cases. More precisely, they most often do not need treatment - they go away on their own. Usually these are the consequences of a weak or unintentional household blow and do not pose a danger. An exception may be an extensive and advanced hematoma; treatment in such cases is mandatory.

Stages of subcutaneous hematomas:

Easy. It appears slowly, within a day after the injury, but goes away quickly (1-2 days depending on the sensitivity of the skin) completely on its own. It does not require any additional measures of prevention or treatment, it is usually mildly expressed on the skin, and when pressed there is slight pain or even just discomfort.
Average. For this type of soft tissue hematoma, treatment may well be necessary - such a bruise should be shown to a traumatologist. Appears already 3-5 hours after the injury, there is a pronounced bluish color, swelling in the affected area and partial limitation of the functionality of the limb (if we are talking about a bruise of the limb).
Heavy. Appears within 1-3 hours and requires urgent medical attention. The affected area is large and changes in color and area right before your eyes. Severe pain is typical and complete loss of limb functionality is possible.

It should be remembered that at all stages of hematoma above the lung, qualified medical care is required. This way there is a chance to prevent large-scale internal hemorrhage and damage from stagnant blood to internal organs if the injury occurs close to them. Soft tissue hematomas after a bruise heal quickly and stably under observation and as a result of surgical treatment, but if you leave things to chance, nothing good will come of it - stale blood is very suitable for the reproduction of many groups of pathogenic bacteria that cause tissue decay, infect healthy systems and organs of the body and can even lead to long-term infectious disease throughout the body.

Nutrition

People who have undergone coagulation must adhere to some dietary restrictions. Firstly, you should avoid all dishes that worsen rosacea. These include:

Spicy sauces and marinades,
Salted and pickled foods;
Spicy seasonings and canned food;
Chocolate and products containing caffeine.

It is necessary to completely abstain from alcoholic beverages, including grape wines. But add a multivitamin to your diet, which includes:

To strengthen vascular walls - vitamin K;
In order to reduce capillary fragility - vitamin P;
For the formation of collagen and increasing vascular tone - vitamin C.

Ultraviolet irradiation

The sun is life! We know how important vitamin D is for beauty and health, but we must not forget about the harmful effects of ultraviolet rays.

In particular, it was found that 50% of UVA rays penetrate the skin to the papillary and reticular layers. They damage the endothelial cells of blood vessels and the basement membrane of the lymphatic microvessels of the skin, which leads to disruption of blood outflow.

As a result of adverse environmental influences and violations of internal regulatory mechanisms, the number of patients suffering from disorders of skin microcirculation is increasing - seeking help as cosmetic defects develop.

We are faced with the task of increasing the tone of the vascular walls and restoring their structure, eliminating the signs of sensitive skin (erythematous-squamous spots, rosacea, angioneurosis) and the associated discomfort.

As a result of adverse environmental influences and violations of internal regulatory mechanisms, the number of patients suffering from skin microcirculation disorders is increasing.

Especially to solve these problems, ]Pevonia Botanica[/anchor] has developed a line of RS2 products for very sensitive skin with microcirculation disorders.

Main active ingredient : licorice extract

, contains 18-beta-glycerrisic acid.

The medicinal properties of licorice were known long before the discovery of its component composition; modern scientific research has proven that glycyrrhizic acid is a unique natural compound with anti-inflammatory, reparative and vasoconstrictor effects. The composition also includes green tea, incense, B vitamins and microelements - all together this has a prolonged restorative effect on the structure of the vascular wall, strengthening blood vessels, reducing the manifestations of rosacea and congestion.

Drug therapy

Drug therapy serves as a complement to the hardware method of removing vascular networks on the face . It includes drugs whose action is aimed at strengthening the blood vessels on the face and preventing the appearance of new signs of rosacea. These include:

Ascorutin is a drug that reduces vascular permeability and reduces capillary fragility, due to the content of vitamins P and C.
Alpha-linoleic acid Omega-3. It increases the elasticity of blood vessels. Thanks to this fatty polyunsaturated amino acid, the formation of atherosclerotic plaques is reduced.
Alpha tocopherone or Pinogen. These antioxidants help remove metabolic products from blood vessels.
The drug Gingo-biloba has a similar effect.

Medicinal ointments for local treatment are prescribed by the attending physician. It is recommended to use a special cosmetic cream for rosacea, a delicate light green color. It can be found in pharmacies and beauty centers. The most popular are the following:

Tiande;
Uriage Roseliane;
Alezans Lierak, containing seaweed;
Sensibio from Bioderma, which is excellent protection against the adverse effects of temperature changes;
Doctor Taffy with calendula.

Many manufacturers offer samples of their products. This allows you to check the effect of the cream and its compatibility with the patient’s skin. Which is very convenient, since these products are expensive.

It should be noted that all of these remedies are good for preventing the development of the disease. If symptoms do appear, it is better to immediately resort to hardware methods to remove them.

Types of stains

There are several types of formations, some of them are not dangerous and go away on their own. Doctors distinguish 4 main diseases in which a spot appears on the face, torso or limbs: hemangioma, telangiectasia or rosacea.

Hemangioma is a benign formation on the dermis that occurs at birth or in adulthood. The cause of the disease is the improper development of the vascular network; over time, the spot on the body increases in size. The following forms of hemangioma are diagnosed:

Capillary. A small formation appears on the body, which gradually grows. In children, the dermis of the legs and head is affected; the size of the papule reaches up to 10–12 cm. The pigmentation color is scarlet, dark burgundy or wine. This form of the disease goes away on its own during the first 7–8 months of the child’s life. If the formations are located on the face or places subject to frequent friction, then they need to be removed using a laser.
Cavernous. The signs are slightly different from the previous form: the child develops a raised cherry papule (may have a purple tint), which sometimes bleeds. When you press on the dermis, it temporarily brightens, but then returns to its original shade. Removal of the hemangioma is necessary if it is located in the neck or face.
Nevus flamingo has distinctive symptoms. At the beginning, a large spot of light color appears on the leg, arm or body, then it grows and changes the shade to a more saturated one. Small subcutaneous bumps or scars are often visible on the surface. Sometimes the spots are called wine stains; they can appear and disappear on their own over a long period of time. It is easy to get rid of nevus even at an early age by resorting to laser therapy.

Strengthening blood vessels

The ability to remove blood vessels on the face with a laser does not relieve the need to strengthen them. After all, only elastic capillaries with good tone contribute to normal blood flow, preventing the appearance of mesh and redness on the skin. The following masks, which you can make with your own hands, help strengthen facial blood vessels.

Day mask

Take extracts of blueberries and mimosa flowers, broom leaves, galangal roots, cypress seeds and grape seed oil. Mix all components, taken equally. Apply to the skin of the face. To enhance the effect, cover with a cloth moistened with hot water. Wash off the mask with warm water. Lubricate your face with a cream appropriate to your skin. Both masks are made every other day for two months.

Small blood vessels on the skin of the face are well strengthened by a compress of parsley juice scalded with boiling water mixed with milk. Gauze soaked in this mixture is applied to the face for 30 minutes. It is recommended to do this compress every two days. Strengthening blood vessels is facilitated by daily rubbing of the face with an aloe leaf, as well as ingestion of the following infusion:

Take a tablespoon of chokeberry berries, two tablespoons of hawthorn flowers and mistletoe leaves. Brew them in a thermos with a liter of boiling water and leave. Drink half a glass three times a day.

Night mask

It contains Sophora extract, dandelion roots, calendula flowers and essential oil from grape seeds. All components are taken equally. The mask is evenly distributed over the front surface. Excess is removed with a soft cloth.

Treatment

Treatment of asterisks is based on the prerequisites for their occurrence, or rather, its elimination. You cannot eliminate the disease on your own - it is a waste of time. In this case, consultation with a phlebologist is necessary. Treatment should be carried out comprehensively: taking specially prescribed medications, eating a healthy diet, and performing certain physical exercises. During the first stage of the disease, medications applied to the skin by rubbing, as well as taking products that improve blood circulation, help well. “Heparin ointment” for spider veins is widely used. With its help, defects disappear from the body quickly enough.

There are much more effective medical methods to combat the disease. These include:

Microsclerotherapy – injection of a special drug under the skin.
Electrocoagulation – “cauterization” of problem areas. After this procedure, burns may remain on nearby soft areas of the skin. Used to remove spider veins on the body. Not used on the face.
Ozone therapy - a mixture of air and ozone is injected into the affected tissue. Used to process mesh data on the lower extremities.
Laser photocoagulation is treatment using a laser beam. The procedure takes place in several sessions and leaves no consequences. This is the most aesthetic and ideal way to remove spider veins on the nose and face in general.

Traditional medicine

Traditional medicine also offers remedies to help get rid of defects that spoil the appearance.

Juice therapy is considered the most effective. It uses freshly squeezed white cabbage juice. It contains the largest amount of various minerals and vitamins. But it has a slightly bitter, unpleasant taste. Carrot juice will help improve it. We also recommend plum juice, which contains a large amount of vitamin P, which is so necessary for the elasticity of capillaries and other blood vessels.
Some healers recommend lubricating the affected areas with apple cider vinegar or fresh tomato juice. But this product should be used very carefully, as the acid they contain can cause burns.
Among the medicinal plants for rosacea, it is best to use chamomile and calendula (marigold) flowers. You can wash your face with water infusions of these plants. They perfectly care for the skin, relieving any irritation, as they have a calming effect.

Question answer

Laser surgery can be an effective way to treat spider veins. For many people who suffer from the condition, laser treatment can provide long-term relief from these unwanted spider veins.

No. Topical medications should be applied twice daily, morning and night. Allow the medicine to dry completely for 5-10 minutes. At this time, the medicine is quickly absorbed into the skin of the face. Then resume your regular skin care routine and activities. Sweating from hot weather or exercise the same day will not reduce the effectiveness of the topical medication.

Typically, the tube label or prescription attached to the package will indicate the expiration date. However, if you feel that your medicine is not working, it is time to consult your doctor. Topical medications are usually prescribed for use once or twice a day/every day/regularly. In a survey of more than 1,000 patients with rosacea, 74% said their condition worsened if they did not use medications as prescribed. Moreover, of those who comply with drug therapy, almost 70% say their health has improved.

Prevention of vasodilation on the face

A person who periodically bursts blood vessels needs to properly care for their skin at home. The following is contraindicated for use :

Scrubs and peels containing coarse particles that can cause skin irritation;
Alcohol-containing lotions and other skin care products;
Creams, gels and other cosmetics that contain menthol or honey (these are strong allergens).

Water for washing should be moderately warm. Hot water, like cold water, causes blood vessels to dilate. After washing, it is not recommended to dry your face; you just need to apply a towel to it for a few seconds to remove excess water.

In a beauty salon, it is better to choose superficial peeling using chemical agents. Steaming and manual massage procedures for rosacea are contraindicated. But masks with collagen, thermal massage, and phytotherapeutic procedures are very useful.

The main rule is to be attentive to the condition of your skin. Choose gentle methods and means of caring for her. And then no cauterization will be required.

Couperosis on the face: reasons for its appearance

Doctors note that the main reason for the appearance of stars is genetic predisposition.

Additional factors that lead to the development of rosacea are:

Frequent consumption of alcoholic beverages. Red wine has a vasodilating effect on the skin. This negatively affects the skin of the face.
Having bad habits. They have a negative effect on the circulatory system and contribute to the development of rosacea.
Eating very hot or spicy foods, which leads to capillary fragility.
Sudden temperature changes. People should avoid prolonged stay in an area with an aggressive climate, avoid temperature changes and do not jump from a bathhouse into cold water.
Ultraviolet rays have a negative effect on the skin. Direct sunlight or prolonged stay in a solarium destroys the capillaries on the surface of the face.
Aggressive products. These include hot chocolate and coffee. They increase blood flow to the surface of the face.
Stress, emotional swings, nervous breakdowns. They increase blood pressure and negatively affect blood vessels.

Many women often ask the question: “Is it possible to wipe your face with rosacea with a piece of ice?” Doctors give a clear answer to this question: “NO!”

Chinese gymnastics

Chinese medicine is famous for its unique ability to eliminate various ailments without the use of drugs. One of the effective means to strengthen the blood vessels on the face is therapeutic exercises developed by Chinese healers. It should be performed in the morning, after morning exercises (or after it) repeat each exercise at least 15 times. All exercises are performed in a “sitting” position (on a chair or with your legs tucked cross-legged on the floor).

Exercise "Wave". The back is straight. Hands are on knees, eyes are closed. When inhaling, you need to stick out your stomach as much as possible. As you exhale, pull your stomach back in.
Vigorously rubbing the ears with your fingers (index and thumb).
Ear massage. The palms are located above the auditory openings and pressed tightly against them. In this position, move your palms up and down. In this case, flexion and extension of the ears occur.
Head massage. It is performed by moving the palm from the frontal part towards the back of the head, and back.
Massage the eyebrows with the phalanx of the thumb (from the back). Movement from the bridge of the nose towards the temple. Then the finger moves back.
Imitation of washing. The face is covered with the palms, in a movement reminiscent of washing.

Ointments and creams for spider veins

Qualified specialists recommend using the following ointments to get rid of spider veins:

Troxevasin. It contains rutin, which strengthens the walls of blood vessels and improves blood microcirculation in the capillaries. For chronic gastritis, gastric ulcer or kidney failure, this remedy is not recommended for use.
Diroseal. It is an alternative to the previous remedy, relieves inflammation from the problem area, thickens the upper layer of the epidermis and improves cell regeneration. With prolonged use, the product promotes complete resorption of the stars. According to doctors, after using Diroseal, rosacea does not appear again.
Heparin ointment. This remedy helps to quickly get rid of rosacea. It is important to remember that it contains a huge number of contraindications and can only be used with the permission of a doctor. This is due to the fact that the product can very easily cause an exacerbation of allergies on the face, as well as lead to the development of skin hyperemia. It must be applied carefully. Caution is due to the fact that the ointment can cause inflammation of the capillaries, as evidenced by photographs of patients undergoing treatment. Do not rub into the problem area.

During long-term use of Heparin ointment, it is worth monitoring blood clotting.

Troxevasin, Diroseal, Ascorutin and Heparin ointment - remedies for rosacea on the face can be bought in a pharmacy without a doctor's prescription. But, we recommend purchasing them only after consulting a doctor.

This treatment can be carried out at home, and the photo shows step by step the effectiveness of the therapy.

Acupuncture in strengthening blood vessels

Acupuncture or exposure to biologically active points is used in the treatment of many diseases. Tibetan medicine offers several simple exercises that affect the active points of the hands, responsible for restoring normal blood flow. This technique is called Kumnyai.

Stand up straight. Place your hands in front of your chest, palms with interlaced fingers facing your face. It is necessary to separate them by slowly pulling your palms in different directions.
The situation is the same. But only the little fingers are closed. Repeat the previous movement, trying to separate them.
Repeat this exercise with each finger.
Place the little finger of one hand between the middle and index fingers. He needs to be pulled out of there. After 10 repetitions, perform the exercise, squeezing the fingers of one hand and then the other hand in turn.

Each exercise must be performed at least 10 times.

Folk remedies for the treatment of rosacea

At home, you can prepare your own face masks using the following ingredients:

Ginger. It slows down the aging process of the skin, strengthens the immune system and improves blood microcirculation in the vessels. For the mask you need 5 grams of ground ginger. It needs to be diluted with 100 ml of hot water. Cool the resulting composition and apply it to the face with cotton wool. Keep the mask on for 20 minutes and wash it off with water.
Apple vinegar. It nourishes and cleanses the skin. It also has an antiseptic effect and improves skin regeneration. To make a mask, mix vinegar and water in a ratio of 1:4. Lubricate the problem area 1 to 2 times a day.
Green clay. It tightens pores, improves metabolism, relieves swelling and redness of blood vessels. For the mask you need 1 tablespoon of clay. Mix it with water. The resulting composition is rubbed into the problem area and lasts for about 10 minutes. Then we wash our face with water.
Lemon. A lemon mask improves metabolism, accelerates cell regeneration, saturates the skin with vitamin C and other nutrients. For the mask, squeeze lemon juice and add 2 tablespoons of olive oil to it. Apply the composition to gauze and apply to the face. It is important to remember that the mouth and eye area remains free. The mask lasts about 10 minutes, and then it is washed off with water. This is done once every 10 days.

It is important to remember that rosacea at an early stage may indicate the body’s predisposition to vasodilation. This increases the risk of varicose veins and stroke several times. To prevent this, a person needs to engage in prevention.

You can use folk remedies only after consultation with a cosmetologist. Does massage help with rosacea?

Cosmetologists note that you can get rid of stars with the help of lymphatic drainage massage. It reduces pressure in blood vessels, relieves redness and improves blood flow.

Experts note that when diagnosing rosacea there are clear contraindications, for example:

use towels made of rough materials;
do steam inhalations using essential oils;
carry out manual facial cleansing and use hand massagers;
performing lymphatic and Japanese massage. This is due to the fact that they are performed under pressure.

In turn, aerobics has a beneficial effect on the face, as evidenced by numerous positive reviews. You can get acquainted with the technique in the following video, gymnastics for the face by Carol Maggio:

Vascular skin lesions

June 13, 2006

What is rosacea?
How to prevent the appearance of rosacea? Cuperosis is a circulatory disorder in the skin that requires dermatological and cosmetic treatment. Skin sensitivity - a predisposition factor to rosacea.
Sensitive skin, due to its special susceptibility, responds to harmful external influences with a burning sensation, tingling, itching, sometimes redness or even inflammation. Such redness is uniform, does not have clear boundaries, and usually occurs on the cheeks, nose, forehead, and chin.
During the initial period of the disease, redness and a burning sensation may be temporary.
Subsequently, the vessels dilate and lose elasticity: the redness becomes permanent and acquires a more intense shade.
This is the very stage of rosacea, at which others already see dilated small vessels of the skin, called telangiectasia.
Couperosis occurs more often in women than in men, and is more typical for light skin than for dark skin. Accompanied by an unpleasant burning sensation, the disease can create difficulties for a person socially and professionally. However, women suffering from rosacea are naturally especially concerned about the aesthetic side of the problem.
Since rosacea has a vascular nature, any factors under the influence of which venous stagnation occurs contribute to the development of this disease. So, redness can be caused by:
eating spicy or too hot food;

alcohol;

smoking;
sudden changes in temperature.

Problems associated with blood vessels can be aggravated by exposure to ultraviolet radiation and hormonal disorders. Finally, stress also has an adverse effect on the development of rosacea.

If your skin is predisposed to rosacea and rosacea (rosacea, which is often accompanied by vascular pathology), pay attention to the following tips: 1.

The list of products that can provoke an exacerbation of rosacea and rosacea and, if possible, their consumption should be reduced to a minimum:

liver, yogurt, sour cream, cheese;
chocolate, vanilla, soy sauce, yeast products (except bread);
pickles, avocado, spinach;
legumes;
citrus fruits, tomatoes, bananas, red plums, raisins, figs;
spicy and very hot dishes.

alcohol, especially red wine, beer, whiskey, gin, vodka, champagne;
hot drinks including hot cider, hot chocolate, coffee and tea.

2. Daily skin care:

Every day you need to start with a thorough and gentle cleansing of the skin;
It is necessary to use only gentle cosmetics. It is not recommended to use cleaning products containing granules or abrasives.
For sensitive skin, which is naturally predisposed to the appearance of rosacea, it is necessary to use special cosmetic products that do not disturb the epidermis and protect the skin from adverse external influences. An example is the Polish cosmetics Dr. Irena Eris, whose laboratories have developed a special line - Pharmaceris N, which allows you to fully and safely care for skin with fragile, cracking capillaries, with a tendency to subcutaneous hemorrhages, blushing and in the initial stages of pink acne (rosacea). The drugs in this line not only strengthen the walls of blood vessels, but also protect against external factors that increase their fragility. The KORFF C-Normalizer line also allows you to fight rosacea. The cosmetic milk is intended to remove makeup, the night cream has a restorative effect, the day cream well moisturizes and protects the skin from adverse factors, the concealer pencil nourishes the skin and evens out its tone.
preparations must be applied to the skin of the face only with fingertips, without using special devices (cosmetic mittens, massage brushes, etc.);
wash your face with warm water;
Avoid using cleansing foams;
use milk and tonic that do not contain alcohol, acetone, or oils;
at the end of the cleaning procedure, it is better to let the skin dry on its own in the air, or you can wipe your face dry with a thin paper napkin;
You need to cleanse your face 2 times a day: morning and evening.

3. Try not to stretch or scratch your facial skin. Rough towels, brushes and sponges should be avoided.4. After washing your face, you should wait for the water to completely dry on your skin before applying any medications or skin care products. Before applying topical medications, you should leave your face alone for a few minutes. Allow this preparation to be completely absorbed for 5-10 minutes after application, and only then apply any moisturizers or decorative cosmetics.

5. Men should use electric razors, giving them preference over machine tools and blades.

If easel shaving is your preference, avoid using dull blades, which may cause additional cuts during a close shave. Alcohol-containing aftershave lotions, which cause burning, should be avoided.

Apply sunscreen. If you live in a sunny area, you should apply sunscreen year-round with an SPF of 15 or higher.

If possible, reduce sun exposure as much as possible from 10 to 14 hours during months of intense solar radiation.

7. In order to avoid irritation, it is recommended to use special preparations created for sensitive skin or for the care of children's skin.

8. It is important to ensure that the skin does not overheat. If it is not possible to be in a cool, well-ventilated area on hot, humid days, then you should always carry cold drinks with you and drink them constantly in small sips. If necessary, you can apply a piece of ice to reduce the temperature of your facial skin or use cold water from a spray.

9. Moisturizer.

You need to apply the cream as often as your skin needs hydration. When using external medications, moisturizer can be applied after the application of the medications, waiting until they are completely absorbed.

10. Decorative cosmetics should be used to camouflage spots and redness on the skin.

Green-toned cosmetics are available in most cosmetic departments to cover up redness. Next, foundation can be applied to match the skin tone. It is recommended to avoid powder, which can emphasize dry skin and lead to fine flaking.

11. Vitamin therapy is a very important aspect of skin health.

If you have rosacea (rosacea), vitamin complexes must include zinc and should not contain any components of algae or sea extracts, iodides or sea salts that can provoke acne.

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Source: //www.diva.by/beauty/body/skindefects/46426.html

Vascular neoplasms of the skin

Magazine “Les Nouvelles Esthetiques” No. 2 (72) 2012
Vascular neoplasms of the skin are multifaceted, mysterious and sometimes difficult to predict. They can be the first signs of both a malignant tumor and a systemic or infectious disease.

What vessels form the microvasculature of the skin? The microvasculature includes vessels whose diameter is less than 100 microns. These vessels, according to their main functions, can be divided into resistive capillaries, sphincters, capillaries, resistive postcapillaries and shunt vessels.

It is the microvasculature that is the section of the vascular bed where the blood performs almost all of its metabolic functions. Significant thickening of the skin vessels is observed near the sensory organs, around the natural openings of the face and in the skin of the fingertips.

Vascular tumors and diseases can affect all parts of the microvasculature.

How is the blood supply to the epidermis and dermis? There are no blood vessels in the epidermis, but in the dermis there are two parallel vascular plexuses - superficial and deep.

These choroid plexuses consist of arterioles, venules and capillaries and are connected to each other by perpendicularly located vessels. The accepted division into two choroid plexuses is quite arbitrary and is used mainly for the diagnosis and description of inflammatory skin diseases.

From the superficial plexus located in the reticular layer of the dermis, multiple capillary loops extend into the papillary layer. For every square millimeter of skin there are from 40 to 70 such loops. Each loop of the so-called capillary “candelabra” has an ascending arterial part and a descending venous part.

They are the ones who nourish the epidermis. Capillaries are true exchange vessels, and other vessels create the conditions necessary for exchange.

Are there arteries and veins in the skin? No, the arteries and veins that supply the skin lie in deeper tissues, including subcutaneous fat. This is why severe bleeding does not occur when the skin itself is injured.

And large veins, as with varicose veins and some vascular tumors and malformations, are only visible through the skin.

What diseases belong to the group of vascular neoplasms of the skin?

Vascular neoplasms of the skin can be divided into four large groups - benign tumors, malignant tumors, vascular malformations and vascular hyperplasia.

What are the most common benign and malignant tumors of skin vessels in the practice of a doctor and cosmetologist? Among benign tumors of skin vessels are hemangioma, angioma, angiokeratoma, angioendothelioma, glomangioma.

Of these, the most common are hemangiomas in children, which affect 10 percent of newborns, and angiomas in adults - according to various authors, affecting from 40 to 70 percent of the adult population. Malignant tumors include Kaposi's sarcoma and angiosarcoma.

What diseases can be classified as vascular malformations and vascular hyperplasias? Vascular malformations of the skin include capillary, venular (“port-wine stain”), malformations, arteriovenous shunts, vascular nevus of Unna, serpiginous angioma, hereditary hemorrhagic telangiectasia, lymphhemangiomas. The most common vascular nevus of Unna encountered in clinical practice is the vascular nevus of Unna - it is diagnosed in 30% of newborns. Vascular hyperplasias of the skin include acroangiodermatitis, bacillary angiomatosis, pyogenic granulomas, angiolymphoid hyperplasia with eosinophilia, intravascular papillary endothelial hyperplasia. The most common types encountered in physician practice are telangiectasias and pyogenic granulomas (botryomycomomas). The risk group for this disease are children and pregnant women.

Can vascular neoplasms be a manifestation of other diseases? Yes, sure. Both hemangiomas and vascular malformations can be a component of other syndromes or systemic disorders.

The most common syndromes include Kasabach-Merritt, Sturge-Weber, Klippel-Trenaunay-Parks-Weber, Maffuxi, blue vesicular nevus, Gorham, Riley-Smith, Cobb, and diffuse neonatal hemangiomatosis.

Can vascular skin tumors be inherited?

Yes they can. Recently, more and more information has become available about the hereditary predisposition of certain vascular diseases and skin tumors.

Among them are Mibelli angiokeratoma, diffuse angiokeratoma of the body (Fabry disease), fucosidosis (Duron disease), hereditary hemorrhagic telangiectasia (Rendu-Osler-Weber syndrome), ataxia-telangiectasia (Louis-Bar syndrome).

What diseases of the skin and blood vessels must be differentiated from vascular neoplasms of the skin? Benign and malignant vascular tumors must be differentiated primarily from hemorrhages, vasomotor diseases, vasculitis, purpura, as well as those systemic diseases in which pronounced changes in blood vessels of a reactive nature occur.

Subungual hemorrhages, as well as hemorrhages in the conjunctiva and oral mucosa, can be one of the symptoms of subacute infective endocarditis and result from the deposition of immune complexes in the walls of blood vessels and disruption of their permeability.

Hemorrhages into the skin and mucous membranes can be an early sign of bacteremia in meningococcal infection. Moreover, during epidemics, a rash in patients with meningococcal meningitis appears in 50% of patients, and outside epidemics only in 20%.

As the disease progresses and acute meningitis develops, the rash becomes hemorrhagic, petechiae and ecchymoses appear.

In infants, meningococcal meningitis can go undetected for several days, so if there are hemorrhages in the skin, as well as fever or vomiting, it is necessary to first rule out meningitis. The appearance on the skin of small vascular spots, petechiae and a polymorphic rash in combination with intermittent fever and joint pain may be a sign of chronic meningococcal sepsis

Multiple hemorrhages in the skin and mucous membranes can appear in patients with rubella and measles, and can also be a manifestation of the hemorrhagic form of chickenpox. The degree of hemorrhage does not always correspond to the severity of the disease.

The hemorrhagic form of chickenpox is accompanied by the gradual development of DIC syndrome. Extensive hemorrhages in the skin and mucous membranes can be combined with nosebleeds and hematuria. Hemorrhagic rash is also an indicator of liver failure in patients with viral hepatitis.

The rash is more common in patients with hepatitis B and can be combined with arthralgia.

How does a hemorrhagic rash differ from multiple telangiectasia? Red-violet petechiae in hemorrhagic vasculitis, unlike telangiectasia, do not change color when pressed.

Telangiectasia or spider veins consist of a central feeding vessel and a capillary rim, so when you press on the central part, the entire star turns pale.

When the pressure stops, you can see how the capillaries fill with blood.

Why do hemorrhages in the skin change color over time, while hemorrhages in the conjunctiva of the eye remain bright red until they resolve? Hemorrhages under the conjunctiva, unlike subcutaneous ones, never change their color and remain bright red until completely resolved, since oxygen freely penetrates under the conjunctiva and saturates hemoglobin.

Why is it important to carry out timely diagnosis and treatment of vascular skin tumors? Only timely diagnosis and treatment can save the patient’s life, health and beauty, because some vascular neoplasms can have life-threatening consequences.

Hemangiomas, for example, can grow into vital organs and irreversibly disrupt their functions. Those. If a vascular tumor located near the eye or ear is not treated promptly, the child may lose sight or hearing. A tumor located above the larynx can impair respiratory function.

In addition, some forms of melanoma, one of the most malignant skin tumors, can mimic and be similar to vascular neoplasms.

How diagnostically important is dermatoscopy in recognizing vascular neoplasms? Dermatoscopy is one of the most modern non-invasive methods for diagnosing skin diseases, but it is not very informative in diagnosing vascular neoplasms of the skin.

When performing dermatoscopy, compression squeezes out blood elements from blood vessels, as a result of which many vessels become invisible. Therefore, a clinical examination in most cases is sufficient to make a preliminary diagnosis.

If a malignant tumor is suspected, histological verification of the diagnosis occurs after removal of the tumor or histological examination of the biopsy material.

Terms

Arteries are branched, diverging blood vessels that transport blood from the heart to the organs. They consist of three shells: inner, middle, outer. Rich in elastin fibers. Deliver nutrients and oxygen to cells.

The arteries that carry blood to the skin originate either from deep large trunks running near the skin or from muscle arteries. The diameter of the artery lumen is 0.4 cm, the average linear blood flow velocity is 10-15 cm/s, the average pressure is 95 mm. rt. Art.

, wall thickness – 1 mm, approximate cross-sectional area – 20 sq. cm.

Arterioles are small blood vessels that are branches of arteries. Consist mainly of muscle fibers. Deliver nutrients and oxygen to tissues.

The diameter of the arteriole lumen is 30 microns, the average linear blood flow velocity is 0.2-0.3 cm/s, the average pressure is 70-35 mm. rt. Art.

, wall thickness – 20 microns, approximate cross-sectional area – 400 sq. cm.

Capillaries are microscopic vessels connecting arterioles and venules. They have an exceptionally thin, fragile wall. Deliver nutrients and oxygen to cells.

The diameter of the capillary lumen is 5 microns, the average linear blood flow velocity is 0.03 cm/s, the average pressure is 35-15 mm. rt. Art.

, wall thickness – 1 micron, approximate cross-sectional area – 4500 sq. cm.

Venules are small blood vessels, branches of veins. The wall is represented by microscopic fibers consisting of loose connective tissue.

Improve microcirculation and ensure blood return to the heart. The diameter of the venule lumen is 20 microns, the average linear blood flow velocity is 0.5-1.0 cm/s, the average pressure is 15-10 mm. rt. Art.

, wall thickness – 2 microns, approximate cross-sectional area – 4000 sq. cm.

Veins are a system of converging blood vessels that deliver blood from organs to the heart. They have a structure similar to arteries, but the walls of veins are thinner, contain fewer elastic fibers and expand more easily.

Provide blood return to the heart. The lumen diameter of small and medium-sized veins is 0.5 cm, the average linear blood flow velocity is 1-5 cm/s, the average pressure is less than 15 mm. rt. Art., wall thickness – 0.

5 microns, approximate cross-sectional area - 40 square meters. cm.

Innervation of the skin - the nerves of the autonomic nervous system innervate blood vessels, smooth myocytes and sweat glands in the skin.

Source: //bogomoletsclinic.com.ua/ru/media/publications/sosudistye-novoobrazovaniya-kozhy

General information

Cuperosis (syn. spider veins, telangiectasia ) is a pathology of small blood vessels of the choroid plexus (capillaries, arterioles and venules) located within the subpapillary layer of the dermis, manifested by their persistent expansion and increased fragility.
This pathology (capillaropathy) can occur on any part of the surface of the body: on the legs, on the torso, on the face and other areas. Visually manifests itself in the form of a specific pattern (capillary network), formed by clusters of dilated capillaries. The formation of spider veins in itself does not pose a threat to health and life, but their formation is perceived extremely negatively and affects the quality of life, since many people perceive telangiectasia as a manifestation of vascular disease. Couperosis on the face is of particular importance, which is due to the formation of a cosmetic defect and severe psychological discomfort, especially among females. On the face, they mainly focus on the nose (the sides of the nose) and cheeks. Below are photos of rosacea on the face.

A few words about terminology. It should be noted that the term “rosacea” is used mainly in cosmetology, while in dermatology it is practically not used. In medical practice, its analogue is the term “telangiectasia,” which was specifically introduced to describe a superficial skin vessel visible to the human eye back in 1807.

About 80-90% of adults face the problem of telangiectasia, while their prevalence among women reaches 80%, while among men it is about 20%. Moreover, their frequency of occurrence correlates with age. Thus, in young women under 30 years of age, telangiectasia is detected only in 8% of cases, in women 30-50 years old - in 41%, and in women 70 years of age - in almost 72%. While for males these figures are 1.23 and 42%, respectively. More often, such disorders are typical for people with fair skin.

The diameter of capillary telangiectasia does not exceed 0.2 mm, which vary significantly in shape, location, color, and size. They can occur as single or multiple occurrences. The color and size of telangiectasia is determined primarily by their genesis. telangiectasias that do not protrude above the surface of the skin develop from arterioles and capillaries, while blue ones, often slightly protruding above the surface of the skin, are formed from venules and are wider. Often there is a transformation in the appearance of telangiectasia, that is, from thin and red they transform into wider blue ones, which is due to the “reflux” of blood from the venules under conditions of often increasing hydrostatic pressure.

Telangiectasias occur predominantly on the skin and much less frequently on the mucous membranes of the gastrointestinal tract, nasal cavity, mouth, and genitourinary/respiratory systems. In addition to the skin of the face, telangiectasias are often localized along the posterior outer surface of the thighs, in the popliteal area, in the area of the ankle joints, and also on the feet.

They can occur both as an independent phenomenon and in combination with other anomalies of the vascular bed (angiomas, shunts, arteriovenous aneurysms). Telangiectasia can be either a manifestation of a congenital syndrome or a manifestation of one of the symptoms of the disease. In this case, vascular changes can be of acquired or congenital origin.

Thus, telangiectasias, in addition to aesthetic ones, also cause physical suffering, which makes it possible to consider such changes in intradermal veins as a pathological process, and people suffering from rosacea require special treatment.