Is There a Treatment to Get Rid of Facial Telangiectasias Due to Systemic Scleroderma?

Several years ago I tried 2 different lasers and did not have luck getting rid of the red dots. Maybe there are better lasers for this now. I have had Drs tell me that I will never be able to get rid of the dots.... Thank you.

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6 Doctor Answers | Asked by LondonChanel in London

Doctor Answers (6)
Community Comments (1)

Laser Treatment and Scleroderma

Thank you for your question. Facial telangiectasias are a symptom of sun damage, rosacea, and other factors and is associated with some forms of scleroderma. Lasers have evolved over time and I would seek the advice and supervision of your Board Certified Dermatologist to determine if you are a candidate for laser therapy. I hope this helps.

Treatment of Facial Telangiectasias Due to Systemic Scleroderma

Ipl and vascular lasers can be used to treat telangiectasias due to systemic scleroderma. Not every ipl or vascular laser is appropriate so you should consult with 2 - 3 experienced and expert practitioners to explore your options.

IPL and Pulsed Dye laser offer the best option for treating the fine telangiectasia associated with Scleroderma.

Both IPL and Pulsed Dye lasers are excellent in treating the vessels caused by scleroderma. Not all IPL or PDL treatments are the same. You need an experience laser doctor who knows how to use short high energy pulses to treat the fine, medium and larger vessels. An inexperience technician at a medispa will likely not know how to do this treatment safely. the best IPL's to do this treatment are the VascuLight, SmoothCool and the new MaxG IPL hand piece from... more

Mark Taylor, MD

Salt Lake City Dermatologic Surgeon

www.gatewaylasercenter.com

VBeam Pulsed dye laser great for red spots

Your red spots should respond to any vascular laser. My favorite for these is the Vbeam pulsed dye laser. For the angiomas - red spots - associated with scleroderma, more aggressive settings with the laser are required for best removal. These more intense settings can cause temporary bruising.

Single treatment with KTP laser will rid you of these vessels.

Any plastic surgeon or dermatologist experienced with many lasers (not just the one or two other doctors may have) can successfully eliminate most of these facial telangiectasias with a single treatment session with a KTP laser. (I always offer a free touch-up session no sooner than one month after the initial treatment session to ensure maximum improvement.) As a general rule, you should probably avoid any doctor who has a "one-laser-fits-all" attitude, as most lasers have... more

V-beam laser for blood vessels with scleroderma

I have had great success treating capillaries on the face with the V-beam laser in a few individuals. Successive treatments may be needed at which time the settings are changed based on the prior results. I start out cautiously and adjust slowly, with each month's treatment. Bruising may occur but this is temporary and can be covered with makeup.