Aesthetic clinics in
50 cities of Russia
(Treatment of different vascular and pigmented lesions such as port wine stains, telangiectasias, hemangiomas, lentigo, cafe-au-lait stains, red and yellow tattoos, post surgical telangiectasias, HPV warts. Wrinkles reduction and acne treatment).
Mechnikov State Medical Academy
Laser dermatological surgeon - Dr. Kluchareva Svetlana
Russian Laser Center of Russian Children Hospital
Leninski prospekt 117
#Phone:(007-495) 936-91-41, 936-94-76
For information about other clinics in Russia contact us!
Laser treatment of vascular lesions in aesthetic surgery.
Igor Danischuk, MD
Red and blue ectatic vessels (telangiectasia) can occur on face,
neck and legs of many people. Main factors such as abusing the
excessive sun exposure, genetic predisposition, freezing of skin may
play a role in occurrence of facial telangiectasia. Alcohol abusing
also is a factor but people avoiding the alcohol drinking may have a
“red nose”. Young women may have ectatic vessels on legs
appearing during a pregnancy. Old women and men may suffer from leg
telangiectasias due to the weakness of the vessel walls.
Some people have continuous vascular lesion of red or purple
colour. It is a port wine stain or haemangioma. Port wine stain
appears at birth but in times it becomes bumpy and more disfiguring.
During the last ten years selective laser coagulation become the
main treatment method of cutaneous vascular lesions. Electrocautery
used in recent years for treatment of telangiectasia has high risk
of complications. There are no effective methods except
dermatological lasers for treatment of port wine stains.
Update there is different lasers using in dermatology, aesthetic
and plastic surgery. They can be divided on tree groups:
– lasers for ablating of tissue using also for skin
– lasers for destruction of dark pigment using for hair and
– lasers for treatment of vascular and pigmented skin
Selective laser coagulation is based on the principle of
selective photothermolysis. Pulsed lasers of green-yellow spectra
used for the treatment of vascular lesions. In our center we use the
copper vapor laser system Yachroma-Med. This laser system has been
specially designed for treatment of pigmented and vascular lesions.
Laser beam penetrates a skin and affect on vessels under epidermis.
Red pigment of blood accumulates almost all laser energy. A
temperature of the vessel increase to the temperature of coagulation
then the vessel disappears. Skin vessels selectively warmed and
coagulated by laser light without injuring the surrounding skin.
Patients usually well tolerate the treatment of telangiectasia.
Laser feels like a hot needle being touched against the skin.
Patient’s eyes protected by special laser goggles.
Removing a port wine stain is more difficult. Number of vessels
per square sentimeter in port wine stain is many times more than in
case of telangiectasies. It takes one or two treatment for removing
telangiectasies but five or more treatment for removing a port wine
stain. About 70% of port wine stain disappear after laser treatment
and others notable cleared. Port wine stains, which not can be
completely treated, consist of deeper vessels.
When port wine stain is resistant to the treatment increasing the
number of treatment isn’t reasonable because excessive treatment
can cause skin atrophy and scarring.
When telangiectasia treated skin in the treatment area appear red
and swelling immediately after procedure Small scabs can occur on
another day. All phenomena resolve themselves in two to five days.
When telangiectasia treated healing time lasts seven to ten
Special care for skin needed after laser treatment of vascular
lesions. Every day during two weeks is necessary to use
anti-bacterial ointment, which is advised by your doctor. Excessive
exercise, alcohol and aspirin must be avoided for at least 24 hours
after treatment. Accidentally scratching off the crusts may cause
scars. Skin must be protected against sun exposure with high
protector factor sunscreens.
Selective laser coagulation became a common method for skin
vascular lesion treatment and use about 20 years around the world.
Every year 150 thousands of patients with teleangiectasies
undergoing the procedure of laser removing of ectatic vessels. The
method approved by FDA (Food and Drug Association) USA.
Many patients worry about reappearance of ectatic vessels. If
there is genetic predisposition and the factors continue affect
telangiectasies may reappear. According of our experience several
years usually past before occurrence of new teleangiectasues. Then
they can be easily removed by selective laser coagulation. Once
removed telangiectasias and port wine stains never occur again.
Igor Danischuk, MD
Head of Medical
Cosmetology Department of the Central Scientific Research Institute of
dermatology and Venerology, Moscow, Russia, Head of the Laser Aesthetic Surgery
and Cosmetology Center Danischuk's clinic