Vascular networks, dilated veins and rosacea are pathological uneven vasodilation, in which a characteristic pattern appears on the skin in the form of threadlike lines of red and sometimes dark purple color. Pathology can develop both on the body and on the face.
Couperosis and dilated veins on the face: what can and cannot be done?
First, let’s look at the types of veins that can occur on the face. The most common are:
Dilated veins of the paraorbital region: veins around the eyes (often located at the lower and outer edges of the eye), temporal veins (formed in the temple area, sometimes capturing the frontal part of the face, and then the scalp). Most often, the diameter of such veins is from 0.5 mm to 4 mm.
Separate single vessels, telangiectasias – small veins with a diameter of less than 1 mm of blue, purple and pink, localized in the face, wings of the nose, above the upper lip, chin.
Couperosis – an accumulation of dilated vascular networks in the cheeks, cheekbones, less often in other areas – neck, décolleté, etc.
The first two types of veins (paraorbital, temporal, individual telangiectasias) in most cases are only an aesthetic feature not associated with any significant pathology. The patient is allowed to play sports, fly an airplane, sunbathe and swim. Even if a trip to the south provokes a couple of new vessels, the situation will still not be critical. With such veins, you can live a normal life without tying yourself up to any noticeable restrictions.
The paraorbital and temporal veins can increase in size during intense exercise. This phenomenon is a consequence of increased blood flow. After training, it completely disappears, the veins return to their previous size.
As for rosacea, it is important to understand the reason for the appearance of pronounced vessels on the face. For example, exposure to temperature factors (cold or heat) can aggravate the situation. Therefore, long snowboarding and skiing, frequent trips to the sauna, solarium and prolonged sun exposure should be limited. The same applies to alcohol, nicotine – they affect the tone of blood vessels, which also manifests itself on the face.
The answer to the question “is it possible to go in for sports with rosacea” will also be positive. In moderate amounts (not in hot or frosty weather), physical activity gives only a short-term rush of blood and a temporary increase in the vascular pattern on the face. Accordingly, after playing sports, everything becomes as before.
The choice of cosmetic procedures for this pathology also has its own characteristics. For example, peeling for rosacea is allowed, mainly superficial (enzyme). The cream for rosacea is recommended to be selected in conjunction with a cosmetologist. It is also important to remember that any active massage for rosacea is not indicated, as it can provoke deterioration.
If the appearance of blood vessels on the face is caused by any serious disease (for example, systemic lupus erythematosus, SLE), then the restrictions become stricter. Patients should avoid prolonged exposure to the sun (possible photosensitivity). The sports program must be coordinated with the attending physician – rheumatologist, cardiologist or other specialized specialist.
SLE can affect various organs and systems, therefore, the limiting factors for sports are no longer the vessels on the face, but pathologies of the joints, heart, etc. More detailed information about all the restrictions can be obtained after a thorough history taking at an in-person consultation with a doctor.
Pathology of the veins of the lower extremities: what can and cannot be done?
Now we will analyze various options for changes in the veins of the lower extremities, while we will not consider acute situations such as thrombosis (where there are much more restrictions), but only anatomical options for varicose veins.
The first type is telangiectasias (vascular networks, asterisks, vessels up to 1 mm in diameter) and reticular veins (convoluted veins with a diameter of 1 to 3 mm). This type of pathology refers to an aesthetic option and does not have serious limitations.
In sports – everything is possible. However, if the family (parents, grandparents) has a pathology of the veins of the legs, or the patient himself has a significant pathology of the veins of other localizations (hemorrhoids, varicose veins of the pelvis, varicocele), then some sports associated with lifting heavy weights, straining (weightlifting, bodybuilding, wrestling) is more likely to lead to venous disease.
Dynamic loads such as cycling, walking, swimming, jogging, on the contrary, are the best prevention of leg vein diseases.
Allowed for this group of patients: travel to warm countries, tanning and air travel, since all these actions do not lead to a significant progression of the disease.
It is also worth knowing that an aggressive effect on the skin and subcutaneous tissue (anti-cellulite, LPG massage, wax hair removal, laser hair removal) enhances this pathology. However, to say that this is contraindicated is also impossible, since the above manipulations will not entail significant harm to health.
The second type – varicose veins – swollen, dilated and convoluted veins with a diameter of more than 3 mm. They have more significant restrictions than in the previous version:
Prolonged exposure to heat (sauna, steam bath) is not recommended, as they increase the risks of venous thrombosis.
Flight by plane – subject to all recommendations – is not contraindicated. Recommended: imitation of walking in a chair, frequent walking around the cabin, use of compression hosiery. If all the recommendations are followed, the state of venous blood flow is comparable to that of a person without varicose veins.
Sunbathing is not contraindicated, but staying in a static position must be alternated with walking, swimming in the sea, lake or river.
Massage, especially power, sports, anti-cellulite, LPG – in the projection of varicose veins (inner thigh, posterior inner surface of the lower leg) – is contraindicated, since mechanical action on the vein increases the risk of thrombosis. With 100% confidence in the absence of blood clots in the vein, the option of lymphatic drainage with avoiding the zones of varicose veins, pressotherapy is possible.
In sports, preference should be given to dynamic loads, where the lower leg muscles are actively contracted: cycling, walking, swimming, jogging, etc. Static sports with vein clamping (some exercises in yoga, Pilates), sports associated with lifting weights, straining (weightlifting, bodybuilding, wrestling), as well as striking the limbs (kickboxing, Thai boxing, taekwondo, etc.), can lead to aggravation of pathology, sometimes – to thrombotic complications.