Cutting edge treatment options for vascular lesions on the face
Vascular skin lesions such as telangiectasia in the face are generally common cosmetic blemishes. Women consider such vascular ectasia to be annoying, as it is difficult to conceal them with makeup. Among men, there is also increasing readiness to have these removed and to pay privately for the treatment.
For the treatment of fine, superficial vessels, which are common in the face, the QuadroStarPROYELLOW and the QuadroStarPROGREEN (577 & 532nm) are highly suitable. In fact, these special wavelengths are readily absorbed by the hemoglobin of the blood vessels. That means that the light is converted to heat, the blood vessel is damaged and disappears. The water surrounding of the vessel (tissue contains a high percentage of water) doesn’t absorb the green or yellow light at all, which results in the surrounding skin being spared. The vessels are ‘erased’ immediately without unattractive purpura (purplish discoloration). The risk of pigment changes and scarring is also very low.
Cutting edge treatment options for vascular lesions on the body
Leg veins remain one of the cosmetic problems where treatment is sought very frequently. For larger ectatic vessels, which are normally deeper in the skin, for example leg veins, the penetration depth of the green and yellow light is often not sufficient. Therefore, a longer wavelength of light in the near infrared range with sufficiently high power is necessary. The high-power diode lasers of the MeDioStar NeXT Family feature a special handpiece with a smaller spot, designed specially for the treatment of blood vessels.
Due to the higher penetration depth of laser light, lasers with wavelengths in the infrared range, such as the MeDioStar diode laser, are very well suited for the coagulation of leg veins and small vessels on the face. The blood readily absorbs the light while the water in the surrounding skin does not, ensuring effective damage to the blood vessel while protecting the surrounding skin at the same time.
How the treatment works
When treating vascular lesions, the light beam goes into the skin and is absorbed by the hemoglobin of the blood. This means that the blood is warmed significantly. This leads to an inflammation of the inner wall of the vessel and thus generates a bonding of the vessels. The result is the occlusion of the vessel, which takes some time depending on the size of the vessel (it takes more time for larger vessels, up to a few months for the deep bluish ones). Each laser beam has a certain color (wavelength). For small ectatic vessels, which are normally red and superficial, the yellow and green laser beams are particularly suitable, because they are readily absorbed by the blood. On the other hand, the water absorption is very low. Since normal skin consists mainly of water, the bloodless skin remains almost cold and so there is a very minimal risk of damaging the skin surrounding the vessel. For larger and deeper vessels (bluish), the infrared laser beam is more effective because this light penetrates deeper.
What is the course of treatment?
For larger bluish vessels on the legs (to be treated with infrared laser beams), the skin has to be cooled first. This pre-cooling is not recommended for small red vessels, because they contract under cooling – the blood is gone and so there is no absorption, which means there is no effect. The doctor then scans the affected skin areas with the laser beam. You will feel small pricks, which indicates that the treatment is working. Normally, anesthesia is not necessary. The duration of the treatment depends on the size of the skin lesion; in most cases, it takes only a few minutes. Depending on size of the lesion, redness and swelling may occur following treatment. In some cases, the development of small crusts is possible – these should be left alone.
How many sessions are necessary?
In most cases, you will get the results after a single treatment, which is performed after a thorough examination and consultation by your doctor. The interval for a second or third treatment should be at least six weeks.
What complications may occur?
No medical treatment is completely risk-free. Normally, this laser treatment has minimal complications. They can include transient pigment changes (light or brown spots) in the treated area, which last for a few weeks or months after the treatment, and the formation of crusts (that normally heal without leaving any scars).
Asclepion Laser Technologies is working closely with physicians, clinics and universities to improve technologies to assess their effectiveness and safety as well as to improve its application. In clinical studies, scientific questions are answered in a controlled environment. This ensures the best possible results for both the users and patients.
Successful treatment of facial vascular skin diseases with a 577-nm pro-yellow laser.
Mohamed EM, Mohamed Tawfik K, Hassan Ahmad W. J Cosmet Dermatol. 2019 Apr 29. doi: 10.1111/jocd.12963. [Epub ahead of print]
Treatment of erythematotelangiectatic rosacea, facial erythema, and facial telangiectasia with a 577-nm pro-yellow laser: a case series.
Kapicioglu Y, Sarac G, Cenk H. Lasers Med Sci. 2019 Feb;34(1):93-98. doi: 10.1007/s10103-018-2606-6. Epub 2018 Aug 10.
Treatment of superficial vascular lesions with the KTP 532-nm laser: experience with 647 patients.
Becher GL, Cameron H, Moseley H. Lasers Med Sci. 2014 Jan;29(1):267-71. doi: 10.1007/s10103-013-1330-5. Epub 2013 Apr 30.
Treatment of superficial cutaneous vascular lesions: experience with the KTP 532 nm laser
Clark C, Cameron H, Moseley H, Ferguson J, Ibbotson SH. Photobiology Unit, Department of Dermatology, Ninewells Hospital Medical School, University of Dundee, DD1 9SY, UK. Lasers Med Sci. 2004;19(1):1-5.
Comparison of the 532-nm KTP and 1064-nm Nd:YAG lasers for the treatment of cherry angiomas
Pancar GS, Aydin F, Senturk N, Bek Y, Canturk MT, Turanli AY. Department of Dermatology, Ondokuz Mayis University School of Medicine, Samsun, Turkey. J Cosmet Laser Ther. 2011 Aug;13(4):138-41. doi: 10.3109/14764172.2011.594058. Epub 2011
Acne rosacea: effectiveness of 532 nm laser on the cosmetic appearance of the skin
Maxwell EL, Ellis DA, Manis H. Art of Facial Surgery, Facial Plastic Reconstructive Surgery, Toronto, ON . J Otolaryngol Head Neck Surg. 2010 Jun;39(3):292-6.
Treatment of spider leg veins with the KTP (532 nm) laser–a prospective study.
Spendel S, Prandl EC, Schintler MV, Siegl A, Wittgruber G, Hellbom B, Rappl T, Berghold A, Scharnagl E. Lasers Surg Med. 2002;31(3):194-201.
Diode laser for the treatment of telangiectasias following hemangioma involution.
Cerrati EW, O TM, Chung H, Waner M. Otolaryngol Head Neck Surg. 2015 Feb;152(2):239-43. doi: 10.1177/0194599814559192. Epub 2014 Dec 1.
The utilization of a new yellow light laser (578 nm) for the treatment of class I red telangiectasia of the lower extremities.
Sadick NS, Weiss R. Dermatol Surg. 2002 Jan;28(1):21-5.
Copper bromide laser treatment of facial telangiectasia: results of patients treated over five years.
McCoy SE. Lasers Surg Med. 1997;21(4):329-40.
An evaluation of the copper-bromide laser for treating telangiectasia.
McCoy S., Hanna M, Anderson P, McLennan G, Repacholi M. Dermatol Surg. 1996 Jun;22(6):551-7.
Laser therapy as an eminence in superficial small vessel removal
Laura Lasinger, MD, specialist of dermatovenerology, poster for 11th AMWC 2013 – 11th AntiAging Medicine World Congress, Montecarlo, April, 4th to 6th, 2013
Vascular Treatment with MeDioStar High Power Diode Laser from Asclepion Laser Technologies
MU Dr. Karolina Kykalova, Institute of Aesthetic Medicine, Prague, Czech Republic
Response of spider leg veins to pulsed diode laser (810 nm): a clinical, histological and remission spectroscopy study.
Wollina U, Konrad H, Schmidt WD, Haroske G, Astafeva LG, Fassler D. J Cosmet Laser Ther 2003;5:154-62
With its extensive range of services, Asclepion sees itself as a competent partner for dermatologically and aesthetically oriented practices, institutes and clinics. Decide now for the treatment with the most advanced laser technology and discover a new world of professionalism and quality.