Port-wine birthmark on face? (Photo)

Question

I have a small port-wine birthmark right under my lip. I’ve always hated it. I was never treated when I was a child, and I was told by a dermatologist I probably wouldn’t have my luck treating it at this point. I was encouraged to seek a 2nd opinion, so I’ve come here. I’d love to get this sucker taken off, would prefer a doctor that takes care credit.

Jason Emer, MD · Answer

This can be improved with a combination of lasers (Pulsed Dye, Excel V, Vbeam) and microneedling/prp. It will take a series of treatments. I recommend getting a formal evaluation with a cosmetic dermatologist. Best, Dr. Emer

Raffy Karamanoukian, MD, FACS · Answer

Fractional laser is an amazing and highly effective treatment in our office. We use the laser treatment to help with acne scars, large pores, fine wrinkles, tissue collagen loss, scars, sebaceous hyperplasia, active acne, and for brightening dark pigmentation. Although there are very strong fractional lasers such as CO2 laser, we use lighter treatments for corrective skincare and maintenance of results. Our Thulium fractional laser, clear and brilliant laser, and Ultra Thulium laser are excellent options in our clinic. We also perform CO2 fractional and erbium depending on skin tone and tolerance for downtime. Patients do have to use a Melarase cream before and after treatment to help further reduce pigmentation after laser. Dark spots can improve with these treatments. I recommend fractional laser for incisional scars as well, especially after plastic surgery.

Best,
Dr. Karamanoukian
Realself100 Surgeon

Best,
Dr. Karamanoukian 
Realself100 Surgeon

Mark Hamilton, MD · Answer

Thank you for your question and sending an image. Port wine stains are very treatable with lasers. It does take a series of treatments and may not reach 100% clearance, but certainly significant improvement is possible. I would consult with a physician who regularly uses lasers and treats birthmarks such as yours.

Davin Lim, MBBS, FACD - Account Suspended · Answer

80-90% chance of improving this with vascular lasers. You will need a bruising setting for the best results. See my before and after photos on birthmarks for a full explanation. You will require between 3-7 sessions, spaced 2-4 months apart. See a laser dermatologist to guide you. Dr Davin S. Lim. Brisbane. Australia.

Port-wine birthmark on face? (Photo)

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