Objectives: This presentation provides an overview of the treatment of vascular lesions in patients with skin of colour. Variation in treatment protocol is needed to avoid complication due to different skin reactions and risk of complications.
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Materials / method: The pulsed dye laser remains the gold standard for treating vascular lesions such as portwine stain, haemangioma, telangiectasia, angioma, venous lake, facial erythema in rosacea, poikiloderma and leg veins. The other includes the long pulsed Nd:YAG (1064nm), Alexandrite (755nm) lasers. The IPL has also be used to treat superficial capilaries. The use of vascular lasers on skin of colour poses a challenge because of the darker skin type has a tendency to develop PIH and keloids.
Results: PDL emits a wavelength of 585/595nm which is preferentially absorbed by oxy-hemoglobin. The availability of larger spot sizes improved the penetration and reduces scattering effect and allows for better clinical effect and shorter treatment time.
Conclusion: Careful selection of wavelengths, larger spot size, pulsed duration and skin cooling devices have enable reduction of complications from vascular lesion in patients with skin of colour
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