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Moles and skin lesions are common, but any persistent or progressive changes should be checked urgently. Look out for changes in size, shape, colour, and symptoms like itching or bleeding, especially if they don't resolve within 1–2 weeks. The ABCDE rule (Asymmetry, Border, Colour, Diameter, Evolving) is a useful guide for spotting suspicious moles. Most melanomas appear as new lesions, often after age 30, and may stand out as an “ugly duckling” compared to other moles. Early detection is critical and greatly improves treatment outcomes.

The Science Behind It

Medical Description (Concise):

Moles and skin lesions are usually benign, but certain changes can indicate melanoma—a serious form of skin cancer. Early detection is key, and the following clinical signs should prompt urgent review:

  • Persistent or progressive changes in moles (lasting more than 1–2 weeks or evolving over time).
  • ABCDE warning signs:
    • Asymmetry – uneven shape
    • Border – irregular or blurred edges
    • Colour – multiple or uneven shades
    • Diameter – typically >6mm, but smaller lesions can also be suspicious
    • Evolving – any change in appearance or symptoms like itching or bleeding

Other red flags include:

  • New moles, especially after age 30, or any mole that stands out as an “ugly duckling.”
  • Non-healing lesions that ooze, crust, or bleed.

Early-stage melanoma is highly treatable. Prompt evaluation improves prognosis and reduces the risk of advanced disease.

About Left Image

What are the best lasers for this condtion

Nd:YAG Laser

(Available on Excel V and Excel V Plus)

Best for

Mild cases or isolated vessels.

How It Works

The long-pulse Nd:YAG laser emits energy at a wavelength absorbed by haemoglobin in blood vessels. This heat causes the targeted vessels to collapse, effectively treating both surface red veins and deeper blue veins.

Results

Treated vessels may disappear immediately or gradually fade over several weeks.

Combined Vascular Laser and BBL Approach

(Candela VBeam Perfecta, Excel V, Excel V Plus, Sciton BBL)

Best for

More severe cases or large areas of visible facial veins and redness, particularly in rosacea.

How It Works

This approach layers multiple vascular-targeting technologies in one session, including:

  • Nd:YAG Laser: For deeper blue or purple visible blood vessels.
  • Vascular-Tailored Settings of Broad-Based Light (BBL): For diffuse redness and widespread visible capillaries.
  • Pulse Dye Laser: (Candela VBeam Perfecta, Excel V Plus) For bright pink surface vessels and fine skin flushing.

Results

Effectively reduces visible veins, diffuse redness, and facial flushing commonly seen in rosacea.

Rejuran (Polynucleotides)

(Candela VBeam Perfecta, Excel V, Excel V Plus, Sciton BBL)

Best for

Stimulating collagen and vascular remodelling to reduce persistent skin redness.

How It Works

Often recommended in combination with vascular laser or BBL treatments to enhance skin healing, texture, and redness reduction.

While each treatment offers its own benefits, the most effective plan depends on your skin type and specific concerns. A consultation with our dermatology team at Scars & Lasers ensures a tailored approach that considers your overall skin health, treatment goals, and any potential risks.

Potential Treatment Protocols

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Number of Sessions
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FAQ

Frequently Asked Questions

Can dermal fillers be reversed?

Yes, hyaluronic acid-based fillers can be dissolved with an enzyme called hyaluronidase if needed.

Can laser treatments completely remove eye bags?

Lasers can reduce the appearance of eye bags by tightening the skin and stimulating collagen, but complete removal may require a combination of treatments or surgery in severe cases.

What forms of dark circles are hard to remove?

Genetic causes of dark circles are challenging to treat and include several types of pigmentation. Constitutional pigmentation, common in ethnic skin types, appears as a continuous C-shaped border around the lower and upper eyelids. This pigment is typically one to two shades darker than the rest of the facial skin and may also occur around the mouth, known as perioral pigmentation. Deep dermal pigmentation, such as Hori nevus, is treatable, though other forms of dermal pigmentation are more difficult to address. Pigmentary demarcation lines (PDLs) appear as a band of pigmentation 1-2.5 cm below the bony orbit of the eye, typically starting in adolescence and more commonly seen in individuals with darker skin.

Can laser treatments help improve contracture scars?

Yes, laser treatments, particularly UltraClear (laser coring), can help soften and flatten contracture scars. They work by promoting collagen remodelling, improving skin elasticity, and reducing tightness.