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Hemangiomas, either
flat or textured, can be at the very least worrisome to the parents of
a child suffering from it, and sometimes physically disfiguring. Surgery
and steroids were the treatment options before the advent of pulsed dye
laser therapy. The natural course of these lesions include an early growth
phase to about 1.5 years, followed by a slowing and then involution phase.
New research has shown that laser treatment as early as 3 months of age
can result in a very fine cosmetic result, and avoids the stigmata that
children can suffer during the school years. There is very little incidence
of permanent color change or scarring, although these can occur. The average
number of treatments may range from 5 to 8, with the most resolution coming
in the first few treatments.
Fine blood vessels
on the face are cosmetically unappealing and can be difficult to treat
with conventional therapies. The light of the DIOLITE and pulse dye lasers
pass right through
the skin with very little damage, delivering their energy directly to
the blood vessel. The light is magnetized to the red blood cell, and very
little energy is leaked to the surrounding tissue. This decreases the
chances of permanent color change and scarring. Most vessels are completely
removed in one treatment, although more treatments may be necessary. Once
the vessels are gone, they usually do not return; this treatment does
not, however, keep you from getting others.
The sensation of the
laser has been compared to the sting of a rubber-band snapping the skin,
but can be uncomfortable. Children and infants will often be given something
orally to relax them for the procedure. Adults are asked to use anesthetic
cream to numb the area before the procedure. The Diolite laser leaves
very little mark at the treated sites and you are able to return to work
with out any special care or precaution. With the pulsed dye there will
be bright bruise-like marks at every spot where the laser light
is applied. A special green concealer and skin tone can be used to cover
the marks until they have completely disappeared. This purpura is temporary
and will fade over the next two to three weeks. There may be pinpoint
bleeding or crusting after the procedure, leaving a faint darker redness
or dark brown appearance at the site. This will resolve before your next
visit. An SPF 15 sunblock should be used constantly, until everything
has faded.
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