Vascular birthmarks and benign vascular conditions are formed due to abnormalities of blood vessels under the skin, most of these lesions are red or purple in color.
Port-wine stain: The most common type of birthmark appears commonly on the face as pink-red flat patches which turn purple-red; varies in size; can grow in size or look more prominent or rise from the skin as you grow older. Port-wine stains usually do not fade or disappear. These birthmarks may be a cosmetic concern if located on the face and some around the eye may be associated with eye and or brain problems.
Hemangiomas: Red thick skin growths generally, most of them require treatment, and some clear with time. Though hemangiomas often not present at birth, but appear in infancy. These hemangiomas need special attention by a dermatologist if they happen to occur near the eye, mouth, neck, and chin, and as they can obstruct the child’s ability to see, hear, eat, or breathe.
Telengiectasia:they are permanently dilated and tortuous blood vessels measuring 1-3 mms
Rosecea : also called as acne rosacea. It’s a chronic skin disease which manifest as redness, visible blood vessels and sometimes acne like bumps on central part of face involving nose and cheeks.
Venous lake : is soft compressible purplish blue lesion usually affecting lip and oral mucosa. It occurs due dilated small veins.
Pyogenic granuloma: it is acquired benign rapidly growing reddish lobular and often pedunculated vascular tumor which occur due to trauma or irritation and is characterized by overgrowth of connective tissue and capillaries
Small leg veins / spider venis: small dilated blood vessels that appear as red, blue or purple lines in a web like pattern, usually found on face or leg.
Poikoloderma of civatte: it present as mottled reddish-brown pigmentation over the sides of the neck and upper chest due long term exposure to sunlight and ageing.
Severe acne : Severe acne present as large papules, pustules , nodulo-cystic lesion with severe inflammation often leading red acne scars affecting the face, back and shoulders
Red acne scars: Red acne scars also known as post-inflammatory erythema which is the sequel e of severe acne appearing as persistent red or pinkish spots on the face, back and shoulders.
Stretch marks : also known as striae. Striae rubra typically appear as red or purplish streaks over the skin due to rapid stretching which breaks the underlying collagen and elastic fibers, usually seen during pregnancy, puberty with rapid weight gain.
Angiofibromas : are small reddish or pinkish nodules occurring commonly over the face, composed of fibrous tissue and blood vessels.
Keliod or hypertrophic scar :fibro-proliferative disorder occurring as a result of abnormal healing of the injured or irritated skin due to trauma, burn, surgery, vaccination, skin piercing, acne, and herpes zoster. It usually occurs over the face (low part), neck, ears, chest, shoulders, and upper arm giving a claw-like appearance.
Among these Portwine stain, Hemangiomas, rosecea , telengiecasia, red acne scars and keliods are most common problems
Clear Skin Hair & Laser centre, Kurnool is equipped with the latest, advance and USFDA approved, most commonly used vascular lasers in the world
V beam Prima : Pulse Dye laser (PDL)
Derma V : Long Pulse KTP & NdYAG
Deka Motus: Long pulse Alexendrite
BTL Aesthetics: Intense Pulse Light
Lumenus Resurfx: Frac. Erbium Glass 1550
Deka & Finexal: Ultra Pulse Frac CO2 laser
However among all these technologies PDL is the gold standard laser and in combination with other technology gives the best outcome.
Lasers work in on the basis of selective photothermolysis (superficial vessels contain more of oxyhemoglobin and deeper vessels contain deoxyhemoglobin. The target chromophore in vascular lesions is hemoglobin present in RBC. After absorption of laser by hemoglobin present in RBC, light energy is converted to thermal energy. Thermal energy diffuses radically within the blood vessels leading to selective microvascular damage, through photocoagulation and mechanical injury. The end result is thrombosis of blood vessels.
Fractional laser in combination with solid lasers helps for better penetration, efficacy and to avoid dyspigmentatory changes.
| DO | DON'T |
|---|---|
| Avoid direct exposure to sunlight during the first 4-6 weeks following your laser treatment. | Do not forget to apply sunscreen of SPF 30+ and wide-brimmed hats, sunglasses, sun-protective clothing or bandages may also be used for sun protection. |
| Showers are permitted, but gently pat the area to dry. | Do not scratch, pick or rub the treated area. |
| Wash the treated area with a mild soap daily. | Do not apply make-up to conceal treated areas for 24 hours. Be careful not to rub or abrade your skin when removing make-up. |
| If your face has been treated, keep your head elevated by sleeping on 3-4 pillows for 2-3 days to help prevent | Do not forget to use medicines prescribed by doctor. |
| swelling. Ice compresses applied during the first 1-2 days also minimize swelling. |
