Vascular LesionTreatment

The Fotona Nd:YAG laser emits energy at 1064nm — a wavelength that is selectively absorbed by oxyhemoglobin (the pigment in red blood cells) within blood vessels. When the laser energy is absorbed, it generates heat that coagulates the vessel wall. The collapsed vessel is then absorbed by the body over the following weeks and disappears from the skin surface. Surrounding tissue is unaffected because the targeting is selective — the laser energy passes harmlessly through the overlying skin to reach the vessel.

The number of sessions depends on the type, size, depth, and extent of the vascular lesion. Isolated cherry angiomas and small broken capillaries may clear in one to two sessions. Diffuse facial redness and rosacea typically require three to five sessions for significant improvement. Port wine stains and larger vascular birthmarks require more sessions. We provide a realistic estimate at your consultation after assessing the lesion.

Most patients describe a brief snapping or stinging sensation as each pulse is delivered — similar to a rubber band flick. The sensation is momentary and well-tolerated without anaesthesia for most vascular lesion treatments. The Fotona system includes a cooling mechanism to protect the skin surface and improve comfort during treatment.

Downtime is minimal for most vascular treatments. You may experience redness and mild swelling in the treated area for a few hours to a couple of days. Treated vessels may appear darker or slightly bruised for a few days before fading. Cherry angiomas may crust briefly. Sun protection is essential after treatment — we recommend avoiding direct sun exposure for at least two weeks.

Vessels that have been successfully treated do not return. However, new vessels can form over time — particularly with ongoing sun exposure, rosacea triggers, or genetic predisposition. Maintenance sessions once or twice a year help sustain results for patients prone to recurring redness or spider veins.

The 1064nm Nd:YAG wavelength has a low affinity for melanin, making it safer across a wider range of skin tones than shorter-wavelength vascular lasers. Our practitioners assess your skin type and the nature of the lesion at your consultation and adjust laser parameters accordingly to ensure safe and effective treatment.

Yes. Fotona vascular treatment is frequently combined with other Fotona protocols — such as Fotona 4D for facial rejuvenation or Twinlight for acne-related redness — in the same session. It can also be performed alongside Picosure for pigmentation concerns. Your practitioner will design a combined approach if appropriate for your skin goals.