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Advanced Art of Cosmetic Surgery Thomas M. DeWire, Sr., MD, FACS Specializing in Cosmetic Plastic Surgery |
PhotoDerm MultiLight VL Mode |
| PhotoDerm MultiLight VL Treatment of Spider Veins, Vascular Lesions, and Birthmarks: | ||
| Photoderm VL takes advantage of a discovery termed Selective PhotoThermolysis to specifically target certain tissues with Intense Pulsed Light. Intense Pulsed Light is similar to laser technology, but emits a broader, and thus more controllable, spectrum of light which allows computer manipulation to target specific tissue components of the skin. In the case of lesions of the vascular system, such as spider veins of the face or legs, vascular birthmarks, small varicose veins, prominent facial and neck veins, and blood vessel lesions of the trunk, the target tissue is hemoglobin in the blood. A computer is then used to selectively pulse the light source in a specific wavelength range, heating visible blood vessels, while sparing all the surrounding | normal
skin. This technique controls depth of penetration,
and degree of heating, eliminating the need for tedious and potentially painful
needle vein sclerosis, and eliminating the need for electric spark cautery which can
leave scars. This technique is effective for most
patients, but must not be used in
patients with recently tanned skin, or those
with darker complexions, due to cross - reactivity with the skin's
natural melanin pigment. Representative patient
photos from our Skin Care
Suite are shown below. All it takes is a flash of light ! |
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Immediate results of Photoderm VL treatment of spider veins of the ankle are shown. Areas that persist will benefit from a subsequent treatment. Complications such as scarring are unlikely, although, there sometimes is mild discoloration of the skin, termed hemosiderin deposition, which will fade away with time. A mild sting is felt at the time of treatment, especially with deeper veins, but we use a custom cooling device to chill the skin before treatment, adding to patient comfort. |
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A 25 year old female with a hormonally related Vascular Malformation of the nose is pictured before and after single treatment with the PhotoDerm VL and VascuLight (PhotoDerm DL) modes of the MultiLight System. The lesion is completely gone at 2 weeks after the treatment. These lesions are made up of a central deep artery, and a very superficial network of capillaries, giving the characteristic red blush type lesion. The deeper central artery required the VascuLight treatment for the complete eradication. (See VascuLight below) |
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Immediate result of
treatment of several spider angiomas of the upper
chest (see inset) with a
combination of Photoderm VL set for superficial
veins, and the Photoderm VascuLight InfraRed NdYAG
Laser to treat the typical central
arteriole vessel that feeds this common Vascular
Malformation. Redness at the treatment
area will fade rapidly and reflects the release of histamine
into the skin as the abnormal artery / vein structures
are permanently destroyed. (also See PhotoDerm VascuLight link below at left) |
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| ©Copyright 1997-2005 Advanced Art of Cosmetic Surgery: Thomas M. DeWire, Sr, MD, FACS Revised: October 29, 2007 04:06:54 PM |
