Vbeam Perfecta for port wine stain without purpura? (Photo)

Question

It has been five years since my last treatment, which was a disaster. Two weeks of bruising, scabbing, and bleeding with no results to show for it. It was a Vbeam. I want more treatments because I can't have this get worse. I'm 31 and age is not going to help. I cannot have purpura like that again, however. Will sub-purpuric settings on a Vbeam Perfecta give me any results?

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

Jason Emer, MD · Answer

The best way to treat port wine stains are with a combination of lasers (pulsed dye, proyellow, excel V). It may take a series of treatments. I recommend getting a formal evaluation with an expert. Best, Dr. Emer

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