Fine Red Veins More Prominent After V Beam Laser?

Question

Can very fine, thread-like red veins look worse one day after a Vbeam treatment? I thought that they were eradicated instantly, as has been my past experience with Vbeam treatments. I'm not talking about swelling or purpuric bruising. The actual veins that were lasered look more defined/redder a day after. I also asked for a purpuric setting, but the nurse performing the treatment said she couldn't get my skin to bruise. It would only momentarily turn purple and then quickly return to normal.

Jason Emer, MD · Answer

These lasers are not instant, they take up to 2 weeks to see the effect.  It would be normal to see redness and worsening first.  Also, most people need a series of treatments.  Please see  an expert.  Best, Dr. Emer.

Raffy Karamanoukian, MD, FACS · Answer

Our protocol for hyper-erythematous redness uses a combination of lasers and Nanofractional RF to help reduce localized and perfuse hypervascularity in the skin. We begin with an evaluation of the redness and evaluate the cause of the hypervascularity. Treatments with Limelight IPL, Vbeam Perfecta, and Nanofractional RF are then used to reduce the blood vessels and telangiectasia within the skin. Patients benefit from post-treatment application of Elevase Moisture Booster with ceramides. 
  
Best, 
  
Dr. Karamanoukian
  
Realself100 Surgeon

Michele S. Green, MD · Answer

V-Beam is the gold standard for redness and definitely takes a few treatments to see results.  With the newer technology there is no reason to induce purpura except when treating port wine stains.  Most patients have some temporary redness or a pink color from the treatment.  If you are concerned please consult with a board certified dermatologist who is an expert in lasers and the V-Beam laser.  Best, Dr. Green

Fine Red Veins More Prominent After V Beam Laser?

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