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Aesthetic and vascular medicine

The term “venous insufficiency” defines a pathological condition due to difficulty in the return of venous blood to the heart.

Chronic venous insufficiency is a very common problem in the Italian population, as it is in other industrialized countries.

CVI initially causes disturbances such as a sense of heaviness in the limbs, which may be more evident when the patient has been standing for a long time, especially when they aren’t moving and when it is warm; another symptom is the appearance of darker capillaries (telangiectasia).

This can also be associated with the presence of dilation of the superficial veins of the legs: if these veins become large and tortuous they are referred to as varicose veins.

If the first conservative approaches, such as elastic restraint and pharmacological treatment, have not produced the expected results, the vascular specialist can intervene with minimally invasive methods, such as sclerotherapy or laser therapy to treat imperfections that develop initially.

If left untreated CVI may lead to the appearance of a brownish or yellowish skin colour mainly at the ankle level: this is caused by iron deposits resulting from the destruction of red blood cells (ochre dermatitis): in this case the skin becomes thinner, drier and less elastic.

This disorder often precedes the onset of ulcers (known as venous stasis ulcers), which are usually painful and heal with great difficulty.

Unlike the vascular specialist, the aesthetic medical professional also deals with imperfections of other parts of the body, mainly of the face, the area where more attention is paid.

The most requested treatments aim to make the skin look younger and reduce wrinkles (laser, fillers, and peeling) but often patients also need to reduce imperfections related to juvenile acne (scars) and age-related skin spots.

PIAM has paid close attention to the problems of these patients for many years, providing both acute and chronic treatments, offering innovative solutions which meet patients’ needs.