Aesthetic and vascular medicine

The term “venous insufficiency” refers to a pathological condition caused by the difficulty of venous blood returning to the heart.

Chronic venous insufficiency (CVI) is a widespread issue among the Italian population, similar to other industrialized countries.

In its early stages, CVI causes symptoms such as a feeling of heaviness in the limbs, which tends to worsen when standing for long periods, especially when remaining still or in warmer weather. Another symptom is the appearance of darker capillaries (telangiectasias).

This can also be accompanied by the enlargement of superficial veins in the legs, which, when they become large and twisted, are known as varicose veins.

If initial conservative approaches — such as elastic compression and drug therapy — fail to produce the desired results, a vascular specialist may use minimally invasive techniques to correct early aesthetic issues, such as sclerotherapy or laser therapy.

If left untreated, CVI can lead to the appearance of brownish or yellowish skin discoloration, primarily around the ankles. This is caused by iron deposits resulting from the breakdown of red blood cells (hemosiderin dermatitis), which makes the skin thinner, drier, and less elastic.

This condition often precedes the development of venous stasis ulcers — typically painful wounds that are difficult to heal.

Unlike a vascular specialist, an aesthetic doctor also treats imperfections in other parts of the body, particularly the face, which tends to receive the most attention.

The most requested treatments aim to make the skin appear younger and to reduce wrinkles (using laser treatments, fillers, and peels). However, patients frequently request treatments to reduce imperfections caused by teenage acne (such as scars) and age spots.

For years, PIAM has paid close attention to the needs of these patients, offering innovative and tailored solutions for both acute and chronic treatment.