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Vascular laser treatments
Lasers used in vascular treatments
Port wine stain laser removal
Telangiectases laser removal
Spider angioma laser removal
Cherry angioma laser removal
Pyogenic granuloma laser treatment
Venous lake laser treatment
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Vascular malformation laser removal
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  Cherry or strawberry angioma laser removal

Cherry or strawberry angiomas are acquired vascular lesions. They are named after their appearance with a cherry or strawberry type look to them. They are not a dangerous condition, but they can be cosmetically unappealing. Since they have a bearing on a person's appearance there is a significant demand for the cosmetic laser correction of these two scarring conditions.

These two types of angiomas are different from congenital vascular lesions and malformations. Apart from the spider and cherry angiomas, acquired vascular lesions include telangiectases, pyogenic, granuloma, venous lake and leg vein abnormalities. These conditions are marked by varying degrees of blood vessel ectasia.

Treatment of cherry and spider angiomas are much sought after among various laser-assisted skin treatments. Selective photothermolysis is the fundamental practice in the treatment of these acquired lesions, which includes spider angiomas as well. This laser treatment approach first originated in the 1980s and since then various types of lasers and light sources have been used effectively for the treatment of vascular lesions. The most common treatment methods include:

  • Wavelengths between green and yellow
  • Near infrared lasers
  • Broadband light sources

Though these each have their own drawbacks, they form the standard treatment procedures for vascular lesions. Spider angioma and cherry or strawberry angiomas are commonly acquired lesions and respond well to laser corrections.

Clinical features of cherry or strawberry angioma

Cherry angiomas occur in the form of tender vascular tumors of the skin. They commonly develop later in life. Clinical characteristic include:

  • Papular telangiectases that generally occur on trunk and the proximal extremities
  • Occurrence in large numbers
  • Bleeding caused by slight distress
  • A cosmetic annoyance
  • Diameter of each vessels varies between 0.1 to 1 mm
  • Vessels are either show either localized or widespread distribution

Treatment of cherry or strawberry angioma

Laser or IPL treatment has proved to be highly effective in the treatment of this type of acquired angioma. Single pulse lasers are usually required for fine papular lesions. More hypertrophic lesions necessitate two single pulses. Out of the two, one should be combined with diascopy and one without it. This must be done to ensure total correction of the angioma.

On certain patients, it is also necessary to fix up a second laser session after 4–6 weeks of the first PDL application. The best type of PDL settings should include:

  • Dynamic cooling at 595 nm wavelength
  • Spot size of 7-mm
  • Fluences between 8–10 J/cm2
  • Dynamic cooling device (DCD) settings of 30-40 millisecond spray and 20-30 millisecond delay
 

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