Skin vascular lesions: A new therapeutic option with sequential laser‐assisted technique

2020 
Treatment of skin unaesthetic vascular lesions is still suboptimal. In this paper we present a multi-center study evaluating the efficacy and safety of the sequential 755nm Alexandrite and 1064nm ND:YAG lasers for the treatment of acquired and congenital vascular lesions of the skin. 171 patients were included in the study (141 female and 30 male), median age 38, skin type from I to IV. Numbers of patients categorised for treated disease: 22 Spider angiomas, 67 Facial Telangiectasia/ Spider veins, 58 Leg Telangiectasia/ reticular leg veins, 24 PWS. Of those lesions 30.7% was on legs, 63.7% on face (6.7% on forehead, 10.1% on temples, 21.7 % on cheeks, 25.2% on nose, 1.7 % on chin) and 5.6% on chest. Spider angiomas required from 1 to 3 treatments. Facial telangiectasias had been treated from 1 to 4 times. Leg telangiectasias needed from 2 to 6 treatment sessions. Regarding Port wine Stains it takes from 6 to 9 laser treatment to reach the clearance of the lesion. All the vascular disorders treated showed marked improvement while side effects were limited to low pain sensation and transitory fenomena. This sequential treatment is an effective, safe and new approach for unaesthetic skin vascular lesions. This article is protected by copyright. All rights reserved.
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