Vascular Laser Therapy

What is it & is it safe?

Vascular lasers use light to target and destroy unwanted capillaries and blood vessels of the skin. The laser wavelength is chosen to selectively target the abnormal blood vessels only, sparing the surrounding normal skin structures. When used properly by trained staff, the procedure is extremely safe and effective. To make the procedure more comfortable, the skin is kept cool with a chilled plate so that the heat energy is not transferred to other areas of the skin to cause unwanted side effects. A cool gel will be used on the skin to facilitate skin contact of the handpiece. When the device fires, there is a bright flash followed by a brief stinging pain similar to a rubber band flick. This is followed by a mild burning sensation that may last for a few hours.

What can Vascular Lasers do for me?

Blood vessels & facial redness

·      Reduces and eliminate broken capillaries

·      Facial redness may be the result of thousands of broken capillaries that when treated will lead to reduction in the appearance of facial redness

·      Leads to less facial flushing and burning

Other vascular lesions that can be improved include: spider angiomas, Hemangiomas and capillary malformations.

How many treatments will be needed? 

In most cases, three treatments should be enough generally spaced 1 month apart. More treatments may be required depending on the individual.

What happens after treatment & how long with the results last?

The treatment area will be red and slightly sensitive for a few hours. Make-up may be applied if desired. Occasionally there may be swelling (especially around the eyes) and/or mild scabbing that will settle within a week. Treated vessels may darken which is a good sign but is not necessary for the treatment to be effective. Most of the treated vessels will disappear although may return after 24 hours indicating a need for further treatment. The treatment results are long lasting but new vessels may occur naturally, or as part of the underlying rosacea process, requiring top-up treatments years later.

What are the unwanted side effects of Vascular Laser?

Side effects are uncommon but may include:

·      Burns to the skin leading in crusting

·      Alteration in pigment – darker or lighter

o   Darker skin individuals or those with recent tanning are at greater risk of developing both increase or decrease in pigment

o   The alteration in pigment may either be temporary or rarely, permanent

·      Scarring and indentations – usually as a result of burns (extremely rare)

Is everyone suitable for Vascular Laser?

There are certain circumstances in which we may not treat:

·      Pregnant or breastfeeding women

·      Children under age 18 without parental consent

·      Current significant skin disease/ infections such as cold sores at the site of treatment

·      History of keloid scarring (special precaution in high risk areas)

·      Patients on medication that causes sensitivity to light

·      Any emotional, mental or medical condition that may lead to unrealistic expectations

Post Treatment Response

Some temporary redness may be present in the area that has been treated, however this should subside within a few hours. Contraction, disappearance, lightening or darkening of the vessel will become apparent within 15 seconds after the laser treatment. Blistering rarely occurs during the first 3 days following laser treatment. Blistering should be treated with care, keeping the area moist with an ointment until the area has healed. Some patients develop raised papules similar to hives, this is a normal variation and usually subsides in a few hours.

Post Treatment Care

·      Post treatment discomfort may be relieved by paracetamol or mild analgesic.

·      A cold compress or icepack can be used after treatment and is recommended in darker skin types. Apply for 10 minutes every hour until discomfort subsides.

·      Shower with cool water on the treated area.

·      Avoid sun exposer. A broad spectrum sun block containing zinc must be applied 15 minutes prior to exposure and reapply every 2 hours or after swimming.

·      Vaseline or moisturiser should be applied to the area to prevent drying and crusting. If crusting develops allow to fall off naturally, do not pick it off.

·      If blistering does occur, keep moist with Vaseline.

·      Do not shave the treated area for 2-3 days following treatment.

·      Avoid exercise, spas and saunas for 48 hours.

·      The treated area is very delicate and should be treated with care.