Wearing a skirt or shorts? Treating leg vessels with IPL and Nd:YAG laser in The Hague
Wearing a skirt or shorts? Treating leg vessels with IPL and Nd:YAG laser in The Hague
Sometimes they are confused with varicose veins, but visible leg veins often do not fall into that category. That is why you can say goodbye to them. And that is nice. Red capillaries, spider veins, blue leg veins, or various types of veins mixed together? No problem. A vascular pattern by no means always consists of just one type of vein. Within the same area, fine red veins, diffuse redness, and somewhat larger or deeper-lying blue veins can occur side by side.
Therefore, at Medikadermis, I do not treat with a single technique as standard. With the Lumenis M22 can I IPL and the 1064 nm Nd:YAG vascular laser combine within a single treatment plan. This allows me to target and treat various components of the vascular picture.
You book the treatment area, I choose the technique. Within the booked area, I can use IPL, Nd:YAG, or both techniques when the vascular appearance requires it. Therefore, you do not pay extra because different types of vessels need to be treated within the same area.
Personal advice on your veins
Are you unsure about the type of vessels or the correct treatment size? I will take a look with you during an initial consultation.
The price depends on the size of the treatment area. You can choose from XS, S, M, and L. In the accordion-style overview of treatment sizes, you can see with photos which surface area corresponds to each size. Unsure about the right size? I will take a look with you during the consultation.
Why do I combine IPL and Nd:YAG for veins?
Visible blood vessels differ in color, diameter and depth. You can see this particularly well on the legs. In one area, for example, very fine red vessels, blue-purple branches, and somewhat larger blue vessels can lie side by side.
Consequently, a single technique is not equally suitable for every component of such a vascular image.
IPL can be used for suitable fine, superficial red blood vessels and diffuse redness. IPL uses a spectrum of light in which the desired wavelength range is selected using filters.
The 1064 nm Nd:YAG laser can be particularly interesting for suitable vessels that are somewhat larger or located deeper. The 1064 nm wavelength penetrates relatively deep into the skin.
When both types of vessels are present within the same treatment area, I can use both technologies during the course of treatment. Therefore, you do not have to choose between 'IPL' or 'laser' in advance.
The vascular image determines the technique. I look at what is actually visible in your skin and tailor the treatment accordingly.
Which blood vessels can I treat with IPL and Nd:YAG?
The treatment is intended for suitable superficial and deeper visible vessels. Depending on the vascular picture, I can look at, among other things:
- fine red capillaries and telangiectasias;
- besenreiser and spider veins on the legs;
- blue-purple leg veins;
- certain reticular bone vessels;
- couperose on the face;
- diffuse redness with a visible vascular component;
- spider nevi;
- cherry angiomas;
- other suitable superficial vascular abnormalities.
Not every red, blue, or purple blood vessel is automatically suitable for IPL or laser. Therefore, I assess the type of vessel, the location, your skin type, and any circulation-related concerns beforehand.
Read more about redness and various types of vascular problems within RED →
Spider veins and leg veins: what can I treat?
Beesenreiser They are fine, visible blood vessels that are often red, blue, or purple in color. They can appear as small branches, lines, or a network on the legs. You also see terms like spider veins or spider veins for these.
Especially in the case of leg veins, the vascular appearance is often mixed. Around a somewhat larger blue vein, for example, much finer red or purple branching may be visible.
That is an important reason why I offer this treatment as a combination treatment and not as two separate products.
For finer and more superficially located vessels, IPL may be suitable. For certain larger or deeper vessels, I can use the 1064 nm Nd:YAG laser. When both occur within the same area, a combination of techniques can be used.
So you don't have to decide for yourself whether your leg veins are 'IPL veins' or 'laser veins'. I will assess that for you.
Can this combination also be used for capillaries in the face?
Yes. The same idea applies to visible blood vessels on other parts of the body. Blood vessels in the face can also vary in diameter, depth, and color.
In the case of couperose, for example, fine superficial blood vessels and more diffuse redness can occur side by side. Depending on the skin condition, IPL, Nd:YAG, or a combination can be used within the treatment plan.
With rosacea, I look beyond just the visible blood vessels. Rosacea can also be accompanied by flushing, sensitivity, inflammation, and a fragile skin barrier. Therefore, I do not automatically treat every skin with rosacea with IPL or laser.
Read more about rosacea treatment in The Hague →
View the treatment for redness and capillaries in the face →
How does an IPL and Nd:YAG vascular treatment work?
In vascular treatment, use is made of the absorption of light energy by hemoglobin in the blood. The absorbed energy is converted into heat.
The goal is to generate sufficient heat in the selected vessel to damage it, while sparing the surrounding skin as much as possible.
The body can then gradually clear away the treated vessel in the period following the treatment.
IPL and Nd:YAG do not do this in exactly the same way. IPL uses a selected spectrum of light, while the Nd:YAG laser works with a specific wavelength of 1064 nm.
These different optical properties make it possible to better tailor the technique to the properties of the vessel.
How does the vascular treatment proceed?
Beforehand, I examine the entire treatment area. In doing so, I pay attention to, among other things, the color, diameter, depth, and distribution of the visible vessels.
Next, I determine which technique or combination of techniques is appropriate.This may mean that different types of vessels within the same treatment area are approached differently.
During the treatment, you may feel warmth or brief pricks. How this feels varies depending on the technique, setting, location, and person.
Immediately after the treatment, the skin may be temporarily red or warm. Blood vessels may initially become darker or more clearly visible, and some local swelling may occur.
Afterwards, I will assess the skin reaction and you will receive personalized aftercare advice.
How many treatments are needed and when will I see results?
The response varies by vessel. Some vessels respond faster than others, and within a single treatment area, different types of vessels can also respond differently.
Multiple treatments are often necessary to achieve a significant reduction in visible blood vessels. The number of treatments that are beneficial depends, among other factors, on the vascular profile, the size of the area, and the response to previous treatment.
The result develops gradually. The body needs time to clear away the treated blood vessels.
Moreover, treatment does not automatically change the predisposition to develop visible blood vessels. Therefore, new blood vessels may develop in the future.
During the treatment process, I repeatedly assess which small vessels are still present and which technique offers the most added value for any potential follow-up treatment.
When is IPL or vascular laser not the right treatment?
Not every visible blood vessel is a cosmetic vascular that needs to be treated with IPL or laser.
Large varicose veins, marked swelling, heavy or painful legs, and other symptoms that may be consistent with a venous circulation problem. request a different assessment.
IPL or Nd:YAG can treat a visible vessel, but does not resolve an underlying venous insufficiency.
If I see indications that there is more going on than just a superficially visible blood vessel, I will discuss this with you, and additional medical examination or a different treatment may be more appropriate.
In the case of edema or a suitable medical indication, edema and compression therapy can be part of the treatment within Medicadermis.
When can a vascular treatment not be performed?
I assess in advance whether light or laser treatment can be safely performed at that time.
Recent strong sun exposure, self-tanner, certain photosensitizing medication, pregnancy, active infections or wounds in the treatment area, and certain skin conditions, among other things, may be reasons to postpone or not perform the treatment.
Skin type also plays a role in the choice of technique and settings. Therefore, I discuss medication, sun exposure, skin reactions, and relevant medical details beforehand.
At Medikadermis I work with the Lumenis M22 and the technique and settings are tailored to the vascular profile and the skin.
What is the recovery time and what aftercare is important?
After IPL or Nd:YAG, temporary redness, warmth, swelling, or darkening of the treated vessels may occur.Sometimes scabs or pigment changes occur. The reaction depends on the technique, the treatment area, and your skin type.
Carefully protect the treated skin from the sun and use SPF 50+ daily. Avoid intense heat, saunas, and strenuous activity during the first 48 hours. Do not rub or scrub the skin and allow any scabs to heal naturally.
You will receive personal aftercare advice after the treatment. Please contact us in case of an unexpectedly severe skin reaction, blistering, or increasing pain.
Which treatment size and price should I choose?
With this treatment, you do not choose between IPL and Nd:YAG. You choose the size of the treatment area.
Within that area, I determine which technique is necessary. When different types of vessels are present, I can combine IPL and Nd:YAG without you having to book two separate vascular treatments.
Below you see four examples. The indicated area in the photo gives an impression of the maximum treatment surface area. The photos are illustrative; during the consultation, we will determine which area suits your vascular profile.

XS — maximum 5 × 5 cm
A small vascular area
For example, a small cluster of spider veins, a few visible capillaries, or a small, well-defined vascular area.

S — maximum 10 × 10 cm
A small to medium-sized vascular area
For example, a distinct cluster of besenreiser with fine red, blue, or purple branching within a single area.

M — maximum 14 × 14 cm
A larger vascular area
For example, when multiple red and blue-purple vessels are scattered over a larger continuous area. Within such a mixed vascular picture, various techniques may be required.

L — maximum 17 × 17 cm
An extensive vascular area
For a larger continuous area with, for example, fine spider veins and larger or deeper-seated visible vessels. IPL and Nd:YAG can be combined within this area when appropriate.
Unsure about the right size? Focus primarily on the total surface area within which the vessels are located, and not just the length of a single vessel. During the free consultation, I will examine the distribution of the vessels, and together we will determine the required treatment area. Current prices are listed with the product variants.
Do I pay extra if both IPL and Nd:YAG are needed?
No. At Medicademis, you book the treatment surface, not a separate device.
If both superficial and deeper suitable vessels are present within that treatment area, I can employ various techniques when appropriate for the vascular picture.
That is deliberately structured that way. After all, a vascular problem does not adhere to the boundaries of a single technology. Especially with leg veins, I regularly see a combination of fine red branching, diffuse redness, and larger blue-purple vessels.
One treatment area, one pricing structure, various possibilities. The technique I use is determined by the vessels that need to be treated.
Treating blood vessels with IPL and Nd:YAG in The Hague
Do you have spider veins, red capillaries, blue leg veins, or various types of veins mixed together? You don't have to figure out for yourself whether to book IPL or a vascular laser.
During the initial consultation, I examine the complete vascular appearance. Based on factors such as color, diameter, depth, and location, I determine which technique or combination of techniques may be appropriate.
You choose the treatment area. I choose the technique.
Do you want to know more about the different forms of redness and visible blood vessels? Then take a look at the guide to redness and vascular treatment in The Hague.
Which vascular treatment suits your skin?
You do not have to choose between IPL and vascular laser yourself. I assess which approach suits your vascular condition.
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Personal guidance disclaimer
A Fair Use Policy applies to personal guidance, including video calling, whereby medicademis reserves the right to limit the number of contact moments at its own discretion in the event of excessive demand for support (i.e., a structurally higher number of contact requests than the average for our other clients), and to communicate this unilaterally before proceeding to do so. Naturally, this reservation does not apply should complications unexpectedly arise after the treatment.