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. 2007 Aug;21(3):147-58.
doi: 10.1055/s-2007-991183.

Current concepts: laser treatment of adult vascular lesions

Tomi L Wall  1
Affiliations

Current concepts: laser treatment of adult vascular lesions

Tomi L Wall. Semin Plast Surg. 2007 Aug.

Abstract

Patients frequently seek treatment of cutaneous vascular lesions for both medical and cosmetic reasons. Advances in the use of lasers and light sources enable physicians to effectively treat vascular lesions that were previously untreatable. Given the plethora of devices available, selecting the appropriate laser system and treatment parameters can be confusing for the laser surgeon. This article reviews current concepts in the treatment of adult vascular conditions. It highlights the different types of lasers and the most common vascular lesions amenable to therapy. Also, the article offers several pearls regarding selection of the laser and of the treatment parameters.

Keywords: IPL; Laser; port wine stain; review; skin; telangiectasia; treatment; vascular lesions.

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Figures

Figure 1
Figure 1
Nasolabial fold telangiectasias before treatment.
Figure 2
Figure 2
Nasolabial fold telangiectasias immediately after treatment with PDL. Note immediate purpura visible especially in the infranasal region.
Figure 3
Figure 3
Nasolabial fold telangiectasias before treatment.
Figure 4
Figure 4
Nasolabial fold telangiectasias immediately after treatment with IPL. Note erythema and slight edema of vessels in the alar groove.
Figure 5
Figure 5
PWS before treatment.
Figure 6
Figure 6
PWS several minutes after treatment with PDL. Note the desired light purpura.
Figure 7
Figure 7
PWS several minutes after treatment with PDL. Note the steel-gray purpura, which indicates that that fluence was probably higher than desired.
See this image and copyright information in PMC

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