Купероз – осложнение, возникающее на фоне нарушения микроциркуляции крови. Оно развивается вследствие расширения или ломкости сосудов чувствительной кожи. Описываемое явление может стать предвестником возрастных изменений. С годами кожа истончается, поэтому сквозь нее становится хорошо видна сеть патологически измененных капилляров. С этой проблемой чаще сталкиваются женщины.
В группе риска обладательницы светлой кожи. Для многих из них наличие такого косметического дефекта становится источником постоянного стресса. На этом фоне нередко возникают депрессии, которые могут значительно сокращать продолжительность жизни. Поэтому так важно знать, почему появляется купероз и как можно с ним бороться.
Причины появления
Существует несколько версий развития купероза как заболевания кожи: генетическая предрасположенность, болезни печени, дистрофия подкожной жировой ткани, нарушение свертываемости крови. Дать толчок развитию патологии способны разные факторы:
- резкие перепады температур;
- постоянное потребление острой и горячей пищи;
- любовь к курению и крепким алкогольным напиткам (в особенности, к красным винам);
- прямое воздействие ультрафиолетовых лучей;
- длительный прием гормональных препаратов;
- лучевая терапия;
- стрессовые ситуации.
Спровоцировать приступ может чашка горького кофе или горячего шоколада, другие продукты, которые оказывают стимулирующее действие на кровообращение. Если есть в анамнезе случаи диагностирования купероза у ближайших родственников, нужно стараться избегать воздействия перечисленных провокаторов.
Симптомы купероза на лице
Начинается все с появления чрезмерного румянца. Потом на его месте возникает чувство жжения, покалывание и легкий зуд. Он усиливается при резких перепадах температур (во время купания или при входе в теплое помещение из холода). Пока сосуды имеют возможность сокращаться, подобные патологические проявления носят временный характер.
Постепенно кожа становится сухой, тонкой, сквозь нее начинает проглядываться сеточка патологически измененных капилляров. Нарушение микроциркуляции затрудняет подачу к глубоким слоям дермы необходимых питательных веществ и кислорода. Кожа теряет свой блеск, естественный цвет, бледнеет, приобретает серый оттенок.
Застойные явления становятся причиной развития воспалительных процессов, на поверхности покровов формируется раздражение, внешние проявления которого похожи на розацею. Подобное состояние требует длительного лечения и комплексной терапии.
Если вовремя обратиться к специалистам, они помогут подобрать оптимальную лекарственную схему, которая позволит укрепить сосуды и устранить досадные симптомы. Если время упущено, и патология смогла захватить большие участки кожи, самым эффективным способом решения проблемы будет удаление купероза. Сделать это можно разными способами.
Методы удаления купероза на лице
Существует несколько видов лечения, которые могут быть использованы в борьбе с куперозом:
- озонотерапия;
- мезотерапия;
- электрокоагуляция;
- фотолечение;
- лазерная терапия.
Применение озонотерапии становится оправданным тогда, когда сосудистый рисунок только начал формироваться, тогда, когда он лежит прямо на поверхности кожи. В одной молекуле озона содержится три атома кислорода. Воздействие на кожу такого вещества обладает противовоспалительным и регенерирующим свойством. Вводится озон прямо в капилляр тончайшей иглой. Предварительно кожа обрабатывается анестетиком. Это позволяет значительно снизить болевые ощущения от уколов.
Мезотерапия – процедура, предполагающая введение под кожу при помощи инъекций коктейля, в составе которого есть витамины и гиалуроновая кислота. Подобные элементы вводятся в соединительную ткань. В результате изменяется ее структура (становится более плотной). Она формирует давление на расширенные сосуды изнутри и возвращает их в нормальное состояние. Для достижения нужного эффекта необходимо провести около десяти процедур.
В основе последних трех методов лечения купероза лежит один принцип: удаление патологически расширенных сосудов за счет их склеивания.
Электрокоагуляция
Электрокоагуляция сегодня постепенно отходит на второй план. Ее вытесняют более современные технологии, позволяющие эффективнее бороться с описываемым косметическим дефектом, делать это быстро и безболезненно.
Несмотря на это электрокоагуляция продолжает быть востребованной. Ее применение позволяет воздействовать на расширенные сосуды слабым разрядом электрического тока. Он подается к проблемному участку при помощи тончайшей иглы, которая вводится прямо в сосуд, по ней к его стенкам устремляется ток.
Несильный разряд заставляет стенки полой трубки слипнуться. Подача крови прекращается, со временем закупоренный капилляр самостоятельно рассасывается. Электрокоагуляцией можно лечить купероз, если диаметр расширенных сосудов не превышает 3 мм. Количество сеансов зависит от площади зоны поражения.
Фотолечение
Принцип удаления расширенных капилляров фотовспышками схож с коагуляцией, но в отличие от нее оказывает на кожу щадящее воздействие. Световой поток проникает в глубокие слои дермы небольшими порциями, короткими импульсами. Процесс полностью контролируется врачом. Такое воздействие заставляет кровь в расширенных сосудах закипать, от этого она сворачивается.
В результате, капилляры закупориваются, перестают функционировать. Это приводит к их рассасыванию. Чтобы избавиться от купероза полностью, необходимо провести пять-десять сеансов. Эффект проявится не сразу. Длительность терапии – главный недостаток методики.
После проведения процедур за кожей необходимо правильно ухаживать:
- обрабатывать ее раз в день любым антисептиком;
- защищать от холода, ветра, солнца;
- не использовать косметику;
- отказываться от любых других косметических процедур, в том числе и от применения мезороллера;
- регулярно применять кремы с заживляющим эффектом («Бепантен», «Депантол»).
Дерматологи часто используют данный вид лечения купероза, если у пациента выявляется небольшая площадь поражения.
Суть удаления купероза лазером
Принцип действия предельно прост. Аппаратура настраивается таким образом, чтобы световой поток поглощал только гемоглобин. При помощи луча производится нагревание эритроцитов и их разрушение. Окружающие ткани от этого не страдают.
Разрушение эритроцитов провоцирует сужение капилляров, они спаиваются, кровь по ним уже не идет, поэтому визуально рисунок пропадает с поверхности кожи. Перед началом процедуры место, на котором будет производиться воздействие лазера, обкалывается анестетиками. Длительность коагуляции составляет пятнадцать минут. Для достижения результата необходимо произвести несколько сеансов.
Устранение купероза на начальных стадиях – прямое показание к проведению лазерной терапии, врач дерматолог обязательно посоветует провести ее своему пациенту, если сосудистый рисунок будет четко виден через кожу.
Противопоказания и ограничения к лазеротерапии
Как и любое другое медицинское вмешательство, лазеротерапия имеет свои противопоказания. Лечить сосудистые звездочки с ее применением нельзя:
- при обострении имеющихся хронических заболеваний;
- при развитии в зоне оперативного вмешательства инфекционно-воспалительного процесса;
- при наличии патологий соединительной ткани или склонности к образованию келоидных рубцов;
- при сахарном диабете или эпилепсии;
- при беременности и грудном вскармливании;
- при сердечно-сосудистых заболеваниях;
- при онкологии;
- при ревматоидном артрите.
Лазерная терапия не проводится во время длительного курса приема гормональных средств и стероидных препаратов. Параллельно с радикальным лечением купероза важно производить укрепление сосудов и профилактику повторного появления описываемого косметического дефекта.
Уход за кожей лица после лазеротерапии купероза на лице
После каждого воздействия лазером на поверхности кожи возникает покраснение, но оно проходит через несколько дней. На месте покраснения формируется корочка. Если ее постоянно смазывать заживляющими кремами («Бепантеном» или «Депантенолом»), она быстро отпадает, под ней остается ровный гладкий слой без рубцов и щербинок. Пока корочка не сойдет, врачи пациентам рекомендуют не умываться. Вместо водных процедур нужно производить обработку лица раствором «Хлоргексидина». Он поможет предотвратить развитие бактериальной инфекции.
В течение первых двух недель с момента проведения процедуры нельзя подставлять обработанные участки под прямые лучи солнца. При выходе на улицу нужно обязательно наносить солнцезащитные кремы. Важно стараться избегать высоких физических и психоэмоциональных нагрузок, защищать от холода или жары кожу лица. Специалисты настоятельно советуют в первый месяц после проведения лазерного лечения отказываться от использования косметических средств, в составе которых есть спирт, любые другие компоненты, способные вызвать раздражение кожи.
Цена удаления купероза на лице лазером
Стоимость лазерного лечения зависит от многих факторов:
- имиджа клиники;
- квалификации врача;
- вида лазерной установки, при помощи которой производится терапия купероза;
- количества процедур, необходимых для излечения;
- региона, в котором проживает пациент.
В среднем по столице, обработка одной зоны стоит около 5500 рублей, в регионах данная процедура стоит в два раза дешевле. Отзывы пациентов подтверждают безопасность и эффективность данного способа лечения. Многие отмечают, что хватает одной процедуры для того, чтобы полностью избавиться от сосудистой сеточки на лице. Чем раньше начато лечение, тем лучшего результата удается достигать. Косметический дефект исчезает, кожа лица становится ровной и чистой.
Отзывы
Елена 41 год Екатеринбург
Недавно стала замечать, что на щеках и в носогубных складках стали появляться синие некрасивые звездочки. Кожа, несмотря на хороший уход, становилась дряблой, некрасивой, долго держалось раздражение. После посещения душа оно усиливалось, а уж если приходилось принять на грудь рюмку-другую, щеки делались пунцово-красными, как у Матрены. И все бы ничего, но появление красноты сопровождалось сильным жжением. Лицо буквально горело и от мороза, и от жары. Терпеть это становилось все сложнее и сложнее. Поэтому решилась и записалась на прием к дерматологу, он поставил мне диагноз «купероз» и порекомендовал пройти курс лечения лазером. Сеанс длился двадцать минут, никакого неприятного дискомфорта не было. На щеках купероз пропал через два сеанса, но на носу красные прожилки еще остались. Их легко можно замаскировать тональным кремом.
Купероз появился на крыльях носа, пошла к своему косметологу, он посоветовал обратиться за консультацией к дерматологу. Тот поставил мне диагноз, назначил лазерное лечение. Получила один сеанс, перед его проведением кожу очистили и обработали анестетиком, потом врач надо мной колдовал. По завершении процедуры, когда действие анестезии закончилось, возникло сильное жжение, но терпеть можно. В итоге, цвет кожи выровнялся, но врач объяснил, что нужно проводить профилактику купероза, а то он опять вернется.
За три сеанса лазеротерапии пришлось выложить 15000 рублей. Не всем сразу была довольна. После каждого сеанса кожа становилась красной, покрывалась корочкой. Врач предупредил, что снимать ее самостоятельно нельзя, пришлось брать отпуск за свой счет и сидеть дома неделю, ждать, когда корки спадут. Второй сеанс был после того, как кожа полностью восстановилась, поэтому лечение затянулось на три месяца. В итоге, сосудистая сетка исчезла, но не полностью, процентов тридцать осталось. Но она заметно посветлела, поэтому ее можно маскировать тоналкой. Врач не дал никаких гарантий на то, что болезнь себя снова не проявит. Поэтому теперь задумываюсь над тем, как можно продлить эффект от лазерного лечения.
Купероз – не только косметический недостаток. Расширенные сосуды нарушают питание дермы, вызывая преждевременное старение кожи. Наша клиника предлагает лазерное удаление купероза с помощью эффективного лазера Cynergy.
Удаление купероза лазером
Как убрать купероз на лице лазером
Косметический дефект, который проявляется в виде сеточки расширенных сосудов, называется куперозом. Он не только снижает привлекательность, но и нарушает питание кожи, что приводит к преждевременному её старению.
Избавиться от купероза мечтают не только женщины, но и мужчины, у которых сосудистые сеточки чаще всего появляются на носу, вызывая негативные ассоциации. Раньше с куперозом боролись с помощью электрокоагуляции и криотерапии. Однако такие процедуры могли привести к деформации кожи и образованию рубцов.
Современная косметология предлагает лазерное лечение купероза — эффективный и безопасный метод, при котором повреждённые сосуды запаиваются под действием лазера, не повреждая при этом кожу.
Сколько стоит лазерное лечение купероза
Цена 1 сеанса лазерной терапии сосудистых дисхромий
Нос | 4 600 руб |
Лоб | 6 700 руб |
Щека | 6 900 руб |
2 щеки | 12 900 руб |
Подбородок | 4 600 руб |
Лицо полностью | 19 000 руб |
Шея | 17 500 руб |
Декольте | 24 000 руб |
Как происходит лазерное лечение купероза
Для удаления расширенных сосудов используется определённая длина волны, активно поглощаемая гемоглобином. это приводит к нагреванию сосудов и их склеиванию. Чаще всего для удаления купероза лазером используют неодимовый и PDL-лазер (на красителях).
Наша клиника для удаления купероза применяет лазерный аппарат Cynergy, использующий одновременно возможности 2-х лазеров: PDL и неодимового. Применение технологии Multiplex значительно повышает эффективность и увеличивает безопасность процедур, по сравнению с применением этих лазеров по отдельности.
Однако, имеются противопоказания лечения купероза лазером, а именно:
- онкология и сахарный диабет;
- беременность и кормление грудью;
- тяжёлые заболевания сердца и крови;
- заболевания и повреждения кожи в зоне воздействия.
Удаление купероза лазером фото до и после
Удаление купероза лазером является благодарной процедурой. Мы видим эффект довольно быстро. Клинический результат — выраженный уже после первой процедуры.
Удаление лазером купероза на лице является деликатной процедурой. Кожа на лице чувствительная и у многих пациентов довольно тонкая, необходимо выполнить коагуляцию сосудов аккуратно, не повредив эпидермис, и не нанести ожоги пациенту в ходе терапии.
Удаление купероза на лице лазером рекомендовано проводить в осенне-зимний период. В летний период лечение купероза лазером на лице проводят пациентам без отягощенного анамнеза по гиперпигментации. При наличии патологии со стороны надпочечников и гепатобилиарной системы, мы выполняем процедуры с середины сентября по май.
По статистическим данным 80% пациентов проходят лечение купероза на лице лазером в летний период времени, а 20% пациентов имеют противопоказания к удалению купероза лазером в летний период времени.
Для любителей дачного отдыха мы рекомендуем после проведения процедуры использовать специальные сосудоукрепляющие и солнцезащитные средства по уходу за кожей. Это необходимо для усиления терапевтического действия проведенной процедуры, а также профилактики рецидива, предупреждения появления новых сосудистых элементов на коже лица.
Нужно четко понимать, что лазерное удаление купероза является симптоматической терапией, то есть убирает уже имеющиеся сосуды на лице. Стоит отметить, что предварительное проведение патогенетического лечения сосудов всегда идет на пользу пациенту. Мы рекомендуем провести около 2-х процедур сосудистой и антиоксидантной терапии кожи лица и лишь далее проводить удаление купероза лазером на лице. Данная тактика позволит минимизировать риск появления новых сосудов на лице. После проведения лазерной деструкции сосудов мы рекомендуем дополнительно выполнить еще 2 процедуры увлажняющей и сосудистой терапии кожи лица. Убрать купероз на лице лазером задача непростая, но выполнимая, а вот минимизировать появление рецидива – довольно сложно.
Именно поэтому мы рекомендуем проводить патогенетическое укрепление сосудов кожи до лазерного лечения и после него. Стоит учитывать, что у пациентов с куперозом на лице серьезно повреждена сосудистая стенка. Необходимо укрепить стенку сосудов и минимизировать процесс перекисного окисления липидов. Именно по этой причине, мы проводим инъекционное укрепление сосудов и выполняем лечебные сосудистые пилинги, которые укрепляют сосудистую стенку и повышают их эластичность. Многие сосуды уходят до лазерного лечения. Лазерное удаление купероза убирает оставшиеся сосуды, что значительно минимизирует травмирующее действие на кожу светового пучка.
Лазер от купероза должен быть хороший. В первую очередь необходимо, чтобы во время процедуры не было ожогов. А для этого важно, чтобы пучок света действовал строго на сосуды и не повреждал кожу. Высокая селективность светового пучка является первым условием грамотной и безопасной терапии.
Второе, что стоит учитывать, если Вы хотите убрать купероз лазером, это наличие в системе качественного и эффективного охлаждения. Система динамического охлаждения на фреоне признана самой лучшей в аспекте безопасности.
Если Вы решили убрать купероз лазером, обязательно сходите на первичный осмотр к грамотному доктору, чтобы исключить диагноз розацеа. При наличии данного диагноза проводить лазерное лечение купероза нецелесообразно, так как часто лазерное воздействие приводит к обострению основного заболевания.
Лазерное удаление купероза на лице основано на принципе склеивания сосудов. В сосудах содержится оксигемоглобин. Оксигемоглобин – это хромофор, то есть вещество, способное поглотить энергию света. Оптимальной для поглощения является энергия с длиной волны 595 нм. Хромофор поглощает энергию светового излучения, что приводит к деструкции, склеиванию сосудов, либо их разрыву.
Сосуды, которые залегают в более глубоких слоях кожи, мы подвергаем склеиванию, при поверхностном расположении – разрыву.
Лечение купероза не сопровождается реабилитационным периодом, так как видимые сосуды мы обрабатываем в режиме склеивания, а не разрыва. Поэтому пациент может смело планировать выполнение процедуры без отрыва от производства и активной социализации.
Методика лазерной терапии передовая, дает много положительных результатов. Но все нужно использовать грамотно и с умом. Важен подход доктора. Удаление купероза лазером требует грамотного подхода в выборе параметров лазера и методики выполнения. Принципиальное значение имеет количество и наслоение пассов, которое показано данному пациенту в конкретном случае. Именно данный момент является ключевым. Стоит обозначить, что лазер от купероза на лице дополнительно обеспечивает выравнивание цвета и тона кожи, что придает коже отдохнувший и свежий вид.
При появлении купероза на лице рекомендовано сразу обратиться к дерматологу, косметологу, не дожидаясь роста сосудистых элементов. Все сосудистые образования (купероз, телеангиоэктазии, гемангиомы, сосудистые звездочки и др.) рекомендовано удалять своевременно. Лазерная терапия дает выраженное выравнивание цвета кожи лица, убирает купероз, телеангиоэктазии. Помните, что лечение купероза важно сочетать с патогенетической инъекционной увлажняющей терапией для предотвращения появления новых сосудов на лице.
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