Vascular Lesions

Vascular lesions are more common abnormal conditions in the skin and subcutaneous tissues. Spider veins, varicose veins in the legs, and varicose veins are extremely common in the population. A less common but very conspicuous condition is wine discoloration, especially when present on the face. Among other classifications, there are different types of vascular malformations, including capillary malformations, venous malformations, lymphatic malformations, and arterial malformations. In the pediatric population, the most common type of vascular lesion is the hemangioma. These are benign tumors that usually appear as pink to red spots shortly after birth and continue to grow over time, even through adulthood. Women have a high prevalence of these aesthetically displeasing venous problems, with more than half of the adult population afflicted by them.

How Does The Vascular Lesions Treatment Work?

Delya offers a vascular lesion treatment program that closes abnormal blood vessels in a non-invasive and effective manner, reducing or eliminating their outward manifestations. The treatment utilizes Intense Pulsed Light (IPL) or a precise 980 nm laser wavelength to target only the malformed blood vessels under the skin, blocking their blood supply.
The fundamental aim of laser treatment of vascular lesions is to use the absorption of light by hemoglobin to heat the walls of blood vessels, thereby destroying the abnormal vessels in a targeted manner. The wavelength chosen should be selectively absorbed by hemoglobin and the pulse length should be short enough to confine the heat to the blood vessels and avoid unnecessary damage to the surrounding tissues.

Why Choose Laser/Light Therapy For Spider Veins?

Laser / light therapy is considered the treatment of choice for spider veins on the face, and it can also be used on other parts of the body.

Capillary malformations (wine stains; case number 9) require a series of treatments. Care needs to be taken to avoid overlapping areas of laser exposure during treatment to prevent pigmentary changes and ulceration. The interval between laser treatments is at least 2 weeks. The goal of the treatment is to achieve significant discoloration. However, it is not possible to make these lesions disappear completely. Again, no scarring was observed after treatment. In most cases, anesthesia is not required for lesions outside the face in adults.

Facial capillary dilatation and rosacea can also be treated with the 980 nm semiconductor laser. Dilated capillaries in the nose are particularly painful to treat. The pulse duration should be at least three times shorter than the pulse interval to avoid ulceration. Rosacea requires a series of treatments to achieve good results. Sun protection should be used during treatment, along with topical metronidazole for rosacea.

Spider blood vessels in the legs that do not respond to sclerotherapy can be treated with a semiconductor laser. Red spider veins are more effective than blue ones. Spider veins on the legs may reappear after a period of time.

Keloids can be treated with laser therapy during the reddening stage. At this point, the laser treatment targets the neovascularization. Semiconductor lasers reduce the redness but have no effect on the width or height of the keloid. For this reason, treatment is combined with exfoliative laser and/or intra-lesional corticosteroid injections. No further growth of the keloid has been observed after treatment with the semiconductor laser.

The power, pulse duration and pulse interval must be carefully adjusted during treatment to avoid scar formation and hypopigmentation. Wearing protective eyewear is essential to prevent accidental injury to the eyes.

Vascular Lesions