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Last Updated: Oct 23, 2019
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What Should You Know Before Going For Vascular Lesion Treatment?

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Dr. J RajeshCosmetic/Plastic Surgeon • 27 Years Exp.Mch - Plastic Surgeon , MS - General Surgery, MBBS
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Cutaneous vascular lesions are the most common birthmarks found in children. Flat vascular lesions have a tendency to persist but raised vascular lesions, called hemangiomas may involute gradually. They are the result of several or huge vessels that are formed underneath the skin and can lead to complications like pain, bleeding, cosmesis or disfigurement. It is necessary to seek treatment for both medical and cosmetic reasons.

Cutaneous vascular malformations are best treated by laser surgery and it is effective sometimes for cosmetic reasons. Hemangiomas may need surgery for residual lesions after involution of the lesion. Use of laser surgery, successfully can help in eliminating certain targets (chromophores) within your skin by putting into use the beam of requisite wavelength, energy setting and pulse duration. Initially these caused serious side-effects like scarring of the skin or permanent dyspigmentation but after the development of photothermolysis technique, the side-effects were less seen.

Things to keep in mind before lesion treatment

The main forms of treatment include laser therapy. Surgery is less used at present as it poses the risk for hemorrhage. The patient should be aware of a few things before going through the treatment procedures.

1. Cutaneous vascular malformations are best treated by laser surgery can be effective sometimes for cosmetic reasons hemangiomas may need surgery for residual lesions after involution of the lesion.

2. Laser therapy can treat vascular lesions such as telangiectasias or spider veins, port wine stain, birthmarks and strawberry hemangiomas. The laser is safer and more effective because it proves to be useful in treating the blood vessels of a lesion without affecting the surrounding tissues.

2. The patient may experience temporary discoloration of the skin surrounding the treatment site. This blue-green discoloration is known as purpura and it usually fades within a week.

3. The laser therapy is more effective in case of people who have a lighter skin color. In case of heavily tanned or deeply pigmented skin, the laser light may not be able to reach the surface of the lesion.

4. A topical antibiotic in the form of an ointment or cream may be required by some patients after the treatment. If you wish to discuss about any specific problem, you can consult a Cosmetic/Plastic Surgeon.

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