I have been dealing with stubborn spider veins for a long time. Several doctors have treated them in the past-- they never got better and I was frustrated. She performed an ultrasound and found that I had sapenous vein disease. She treated it with a laser treatment then treated my spider veins. Now my legs not only feel better but they look way better!
Botox is a purified protein and does not have any interactions with travel vaccines or your ability to mount an immune response to vaccines,Safe Travels!
When it comes to open wounds, vaseline does a fantastic job of allowing the skin to heal or re-epithelize. Because it is thick and occlusive, it prevents the wound from drying up and scabbing. Numerous studies have shown that it is just as good as antibiotic ointment in healing wounds. No difference have been found in rates of infection between vaseline and antibiotic ointments. I only reserve antibiotic ointments if I suspect an active infection. Lubricant Jelly, on the other hand, is usually water or alcohol based, thus not thick or occlusive enough to help heal wounds. I would avoid using this. Scalps are difficult to cover in general because of the hairs around the wound. I would suggest either using less vaseline so the bandage can stick better OR using a lot of vaseline and avoiding the bandages all together. The goal is to prevent the wound from drying out!
One should always have eye protection during laser treatment-- whether it is Fraxel or other lasers. While the risk of eye injury is low, why risk it? In my office, I insist that every patient receive eye protection-- either in the form of goggles (for off face treatment), laser aid eyepads, or internal corneal eye shields. I also insist that everyone else in the room has adequate eye protection. Your eyesight is too important to risk it.
V Beam or Pulsed Dye Laser is the best option for broken capillaries on the face. Fortunately it is perfectly safe to use in someone with AICD (pacemakers and defibrillators) as no electric current is used. One must be cautious though if you are on blood thinners, as these will increase your risk for bruising and complications.
In general, facial capillaries are best treated with a laser. I try to stay away from sclerotherapy on the facial areas due to the risk of complications. While one can theorectically treat veins around the eyes with Sclerotherapy, I would not recommend it. The risk for serious complications including blindness and skin necrosis far outweighs the benefits, especially when there are much better alternatives. Telangiectases on the face are relatively uniform in size and depth and lasers can effectively eliminate these. In our office, we have many different laser systems for vein treatment including a Pulsed Dye Laser (595nm), KTP (532 nm, better for smaller vessels), the Diode (940nm, best for larger vessels), Gemini, Nd:Yag, etc. Just as important as using the right laser is finding the right doctor who knows the correct settings for your skin. I would recommend seeing an experienced dermatologic surgeon. Best, Dr. Mann
