The Pulsed Dye Laser (PDL) is the treatment of choice for small facial veins and facial redness such as that associated with Rosacea. This procedure is much more effective than IPL for removing small veins and redness. The laser energy is applied to the skin which causes the proteins in the vein wall to coagulate. The damaged vessels are then removed by the immune system over the next few weeks. Most small vessels can be treated in just a few short treatments. For the redness and flushing associated with Rosacea, a package of five treatments is usually recommended. To reduce the redness even faster, products such as Redness Relief have proved more effective than prescriptions such as MetroGel. When paired with the proper sunscreen, such as SkinMedica Daily Physical Defense, patients are able to maintain their results for years.
What is pulsed dye laser treatment? -David Verebelyi, MD
The Pulsed Dye Laser (PDL) uses a beam of light at a specific wavelength that is used mainly to treat vascular lesions on the skin.
PDL is one of the most well-studied laser technologies today. Our newest rendition of this amazing laser is faster and safer than its predecessors. This procedure can be safely and effectively performed on all skin types.
There is a short burst of cold air that is applied to the skin before the laser pulse. This both provides protection to skin and gives some anesthesia. When the laser is applied to the skin, patients feel some stinging, similar in sensation to the snapping of a small rubber band against the skin. Most patients tolerate PDL without any topical anesthetic. However, any patient who would like topical anesthetic can request it at the time that they make their appointment.
Do not tan or use any tanning lotions for two weeks before your procedure. You may want to take some ibuprofen (400-800 mg) a half-hour before your treatment.
Dark glasses are worn to protect the patient’s eyes from the light. With the patient in a comfortable, relaxed position, the PDL light is flashed on the area of skin being treated.
The average PDL treatment usually lasts about 15-20 minutes, but procedure time can vary depending on the size of the treated area.
The number of PDL treatments varies depending on the lesion or condition being treated. For example, a single spider vein on the face usually requires only one or two treatments, whereas a port wine stain involving the cheek, may require multiple treatments.
Most PDL treatments cause some mild redness and swelling over the treated area for about 24 hours. Occasionally, you may also notice some mild bruising over the treated area, which lasts from 7-14 days. For treatment of Port Wine Stains, patients should expect bruising for 7-14 days. Mineral-based make-up may be used to cover the bruising.
It is important to protect your skin from the sun using a sunscreen that contains titanium dioxide and zinc oxide with an SPF of 30 or higher every day. You should also use a mineral-based make-up.
We are always happy to meet with you to review your needs. Please callto schedule an appointment or use the Free Consultation Form and someone will call you as soon as possible.
Dr. Verebelyi is a nationally recognized authority on laser surgery. He is board certified by both the American Board of Family Practice and The American Board of Venous & Lymphatic Medicine. Dr. Verebelyi helped create the Fundamentals of Laser Surgery course given by American Society of Laser Medicine & Surgery (ASLMS) where he has worked as both a director and instructor. He is a Fellow at the ASLMS, member of the American College of Phlebology and a member of Mensa.
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