Spider Angioma darker after Vbeam treatment? (photos)

Question

My daughter had vbeam laser treatment for a spider angioma. It was pink/red before treatment and now it is brown/red. Her skin is smooth (no swelling or scabbing). It has been 4 days and the spot is still darker than before. Will this take care of itself over time? I don't think this darkness is a result of bruising, but I can't find any comments on vbeam treatment resulting in what looks like dead blood under the skin. My dermatologist says it looks normal...but I want a second opinion. Thanks!

Raffy Karamanoukian, MD, FACS · Answer

Vbeam laser is an excellent modality for patients who have rosacea, blushing of the skin, facial and body telangiectasia, spider veins, redness, post surgical redness, and skin flushing. It is a safe procedure that can be used at varying depths to help treat micro blood vessels in the skin. We also use it in our office for facial skin inflammation, keloids, and hypertrophic scarring. It is an important part of scar therapy. Vbeam can be combined with chemical peels and other lasers, but experience with the treatment is essential. The Vbeam laser does not affect deeper tissue. Schedule a consultation with an expert in Vbeam and you will find it to be an excellent modality for many skin types. 
 
Best, 
Dr. Karamanoukian
Realself100 Surgeon

Steven F. Weiner, MD · Answer

The purple color is related to coagulation of the red blood cells in the angioma.  Completely normal.  As the body heals and the angioma involutes, this get better.  "Looks worse before it gets better" is what I tell patients.

Jeffrey C. Poole, MD - Account Suspended · Answer

You should expect a darker blue/purple reaction (purpura) after Pulsed-Dye Laser (V-Beam) for about 10-14 days on average.  It may take as long as 3-4 weeks for the angioma to fade.  The vast majority of angiomas resolve with 1 treatment, but some do require additional sessions.  Your child's reaction is perfectly normal and expected.

Spider Angioma darker after Vbeam treatment? (photos)

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