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Vascular lesions are visible changes in blood vessels that appear on the skin, often showing up as red, purple, or blue marks. They’re usually caused by dilated, damaged, or abnormal vessels. While generally harmless, they can be bothersome for cosmetic reasons and occasionally signal an underlying issue. They most commonly affect areas like the face, neck, and legs.

The Science Behind It

What vascular lesions do we treat?

Telangiectasia: Fine, dilated vessels often on the face or legs

Spider angiomas: Central red spot with radiating vessels

Port-wine stains: Flat, reddish-purple patches due to malformed capillaries, present at birth

Cherry angiomas: Small, bright red benign vascular papules

Hemangiomas: Benign vascular proliferations, common in infancy

Venous lakes: Soft, compressible blue lesions, often on sun-exposed skin

Contributing Factors to Vascular Lesions

  • Genetics
    Individuals with a family history of vascular lesions may be more prone to developing them.
  • Sun Exposure
    Ultraviolet (UV) radiation can damage and weaken blood vessels, contributing to the development of telangiectasia and other superficial vascular changes.
  • Aging
    As skin and blood vessels naturally thin with age, vascular lesions can become more visible.
  • Hormonal Changes
    Fluctuations due to pregnancy, hormonal therapies, or contraceptives can trigger vascular changes such as spider angiomas.
  • Skin Trauma or Irritation
    Ongoing friction, physical trauma, or conditions like rosacea may lead to the formation of visible surface vessels.
  • Medical Conditions
    Underlying disorders such as liver disease or systemic vascular abnormalities can be linked to the presence of vascular lesions.

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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FAQ

Frequently Asked Questions

Are vascular lesions harmful?

Most vascular lesions are benign and don’t pose a medical risk. However, they may cause cosmetic concern or, in rare cases, indicate an underlying condition.

What causes vascular lesions to develop?

Vascular lesions can result from genetics, sun exposure, aging, hormonal changes, or underlying conditions like rosacea. They may also appear after skin trauma or during pregnancy.

Will the results last?

Yes, treated vessels are permanently removed, but new ones can form over time. Maintenance treatments may be recommended, especially if triggers like sun exposure persist.

How are vascular lesions treated?

Laser and light-based treatments such as Pulse Dye Laser (VBeam), Long-Pulse Nd:YAG, and Broad-Based Light (BBL) are commonly used. These target the vessels while leaving surrounding skin intact.

What areas of the body are most commonly affected?

The face, neck, chest, and legs are most commonly affected due to sun exposure and thin skin in these areas.