PDL - Patients ask, Dr. Ringpfeil answers
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Pulsed dye lasers have been used for many years for vascular birthmarks, angiomas, and enlarged capillaries (telangiectasias), and present an extremely effective, safe, non-scarring treatment. The newest pulsed dye lasers are equipped to prevent bruising, thereby minimizing downtime for most cosmetic treatments. Some birthmarks, however, are still treated with bruising settings.
Removal of unsightly vascular structures and redness.
Sunscreen, sun avoidance. In addition, for the treatment of facial blood vessels in rosacea, avoidance of alcohol for 2 weeks prior and 4 weeks after the procedure is recommended.
Sun avoidance for 3 months. Vigorous use of sunscreens. Avoidance of alcohol for 4 weeks with treatment of facial blood vessels in rosacea. The night following the treatment avoid sleeping face down to minimize swelling.
Flat angiomas typically respond to a single treatment. Thick angiomas require more than 1 treatment. Facial veins including those in rosacea as well as leg veins require 2-4 treatments. Birthmarks (strawberry hemangiomas, Port Wine Stains) require many treatments. Treatments can be rendered 4-6 weeks apart.
Most angiomas will be corrected permanently. In few instances, the body will form new vessels after 5-10 years. Such conditions include rosacea, genetically determined spider veins and blood vessels in certain connective tissue disorders. Port Wine Stains may stay away for life if treated in infancy. Those treated in adulthood may require periodic maintenance treatments.
History of bleeding or clotting disorder, diabetes, certain auto-immune conditions.
Redness for 1-2 days, swelling for up to seven days, possible bruising for up to fourteen days (treatment of angiomas, birthmarks, and larger facial blood vessels), bruising for up to three months (leg veins).