Pulsed Dye Laser for Cherry Angioma Treatment?

For a moderate case of cherry angioma, how many pulsed dye laser sessions are recommended to see desired results (on average)? How long does the treatment last?

Doctor Answers 10

Pulsed dye laser is an excellent choice for cherry angiomas

The pulsed dye laser in considered the gold standard for treatment of vascular lesions like cherry angiomas. It has an excellent safety record and can remove cherry angiomas in one treatment, unless they are very large. Other choices include

  • Nd:YAG (Gentle YAG)
  • KTP lasers
  • IPL

Having used all of these devices, I recommend the pulsed dye laser or Nd:YAG.

Best of luck!

Dr. Groff


San Diego Dermatologist
5.0 out of 5 stars 26 reviews

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One-1 treatment

I do at least 3-4 patients with Cherry angiomas and or spider angiomas. If your derm is good, the setting should give the lesions a bruise that fades over 7 days. It takes 2-3 seconds per lesion, hence if you have 20 lesions, it should take no longer than 5 minutes, with a little chit chat with your dermatologist.

I give realistic expectations to my patients, 80% of what I treat will fade with only one session, some lesions are larger or more resistant, in this case a second treatment is needed.

I hope this helps you. 

Regards

Dr Davin Lim 
Laser Dermatologist
Brisbane. 

Davin Lim, MBBS, FACD
Brisbane Dermatologist
5.0 out of 5 stars 7 reviews

Diolite 532 laser is usually the best option

DioLite 532 nm laser is a quick, comfortable and effective treatment for cherry angiomas.  Only one treatment is usually necessery.  These lesions clear very nicely in about 10-14 days.

Cherry Angioma laser treatment

The problem with hemangiomas or general "angiomas" is that these tend to be thicker lesions thich can penetrate below the level of the skin.  The pulsed dye laser will penetrate about 0.7mm into the skin which essentially treats only the top layers of the skin (epidermis and papillary dermis).  This is why it can be so difficult to treat these type of vascular lesions with a pulsed dye laser.

A better option would be to combine the pulsed dye laser with a Nd:YAG laser which can penetrate about 10mm into the tissue, depending on the laser settings.  Because of the deeper penetration, the Nd:YAG can treat the deeper component of the lesion and give a better and more reliable result.

John Burns, MD
Dallas Plastic Surgeon
4.5 out of 5 stars 18 reviews

Pulsed Dye Laser usually works for Cherry Angiomas

Most cherry angiomas (little red spots on the skin that increase with age) respond very well to pulsed dye laser - typically one or two treatments.  The larger ones (> 5mm) can sometimes be more stubborn.

Multiple spots can be treated at one visit - actually quite satisfying to treat usually because of the response rate with pretty low risk of complications.

Daniel Berg, MD
Seattle Dermatologic Surgeon

Pulsed dye great for cherry angiomas

For most small to medium (up to size of pencil eraser) just one treatment with the pulsed dye laser will effective for complete removal. Occasionally 2 treatments are needed and 2 treatments are more common for largercherry angiomas.

Cherry Angioma Treatment

There are several lasers that treat cherry angiomas, including the YAG laser and the PDL. Both target the blood vessels and hemoglobin within the vascular lesion, causing them to be destroyed.

Raffy Karamanoukian, MD, FACS
Los Angeles Plastic Surgeon
5.0 out of 5 stars 58 reviews

Pulsed dye Laser is the treatment of choice.

Using a pulsed dye (YAG) laser is the preferred method of treatment for your cherry angioma. IPL (intense pulsed light) treatments also work extremely well in this case. If the lesion is small, even a hyfrecator (a medical apparatus used to seal vessels) can give you desired results. The number of treatments does depend on the size of complexity of the lesions. As Dr. Lupton mentioned above, cherry angiomas usually do not reoccur once removed. However, you may need additional treatments for other lesions in the future.

Because of this, the best thing to do is establish a relationship with a board certified plastic surgeon who is experienced with these procedures Consult with him/her to choose the most appropriate treatment plan. Good luck, and thank you for your question.

Stephen A. Goldstein, MD
Englewood Plastic Surgeon

One to two treatments at most.

Cherry angiomas typically respond quite well to pulsed dye laser treatment. Smaller lesions usually only require one treatment although a small amount of bruising may occur post-treatment. This bruising is usually a mild purplish discoloration limited to the area of treatment and generally resolves over a week or so. Larger cherry angiomas may need multiple treatments (2-4 on average) or the addition of another laser (typically a YAG laser) if they penetrate quite deeply into the skin.

Cherry angiomas usually do not recur if they are completely eradicated with treatment. Persons prone to developing these lesions, however, will most likely continue to develop new lesions on other parts of their body over time.

Jason R. Lupton, MD
San Diego Dermatologist
4.5 out of 5 stars 7 reviews

These answers are for educational purposes and should not be relied upon as a substitute for medical advice you may receive from your physician. If you have a medical emergency, please call 911. These answers do not constitute or initiate a patient/doctor relationship.