Vascular Therapy & Pigmented Lesions

Vascular disorder characterized by erythema, flushing, telangiectasia and some acne-like papules.

Rosacea

Birthmark in which swollen vessels created red-purple discoloration of the skin

Port Wine Stain

Caused by trauma, a superficial vessel found on the face

Telangiectasia

Bright red lesion that can be raised or flush with the skin typically under 1mm in size

Cherry angioma

Poikiloderma of Civatte is highly responsive to ____ treatments

IPL

Mottled red-brown discoloration caused by chronic sun exposure on the face, neck and decollate

Poikiloderma of Civatte

Bright red birthmark that appears as a rubbery bump made of blood vessels

Hemangioma

Dark blue, to purple growth that is common on the lips or ears

Venous Lake

What wavelengths can be used to treat vascular conditions?

1064nm, 500-600nm, & IPL

What vascular lesions cannot be treated by an aesthetician with a laser?

Varicose veins

How long do clients need to avoid strenuous activity post vascular treatment?

48 hours

If you treat an area larger than a 4X4 the client must do what post treatment?

Elevate

A rash or purple spots within the skin due to small capillary bleeding and is considered a clinical end point for some laser treatments

Purpura

If a client is on a blood thinning medication they need to avoid use at least ___ week(s) prior with physician consent

1

T/F: Bruising is a common reaction when treating vascular lesions

TRUE

T/F: When heat from the laser is applied it causes coagulation and vessel closure that are eventually absorbed by the body

TRUE

What color of veins can be treated by an aesthetician?

Red & Purple

T/F: When treating pigmented lesions, it is important they get cleared by a physician before treating

TRUE

Darken in response to the sun, small tan-medium brown macules

Freckles

Also called moles, raised lesions that are perfectly symmetrical and vary in shades

Nevus

"Liver spots", comes with age and increased UV exposure, do not fade with absence of sun

Solar Lentigines

Stimulated by sun exposure, heat, or even hormones. Cannot be treated by most laser treatments

Melasma

Brought on by trauma, in lighter fitz it can be red/purple and in darker fitz it will be more purple/brown

Post Inflammatory Hyperpigmentation (PIH)

Not caused by the sun, small benign lesions that are rough in texture and have a warty like appearance

Seborrheic Keratosis

Ablative laser is needed to remove these lesions

Seborrheic Keratosis

Dry, scaly patches over a reddish-brown patch on the skin, considered an early stage of skin cancer

Actinic Keratosis

What wavelengths can be used to treat pigmentation issues

755nm, IPL, & Ablative Lasers

Can be treated by a physician using ND:YAG, Ablative lasers, cryotherapy or blue light therapy (420nm)

Actinic Keratosis

T/F: All Fitzpatricks can be treated with Alex and IPL when treating pigmented lesions

FALSE

What is the clinical end point when treating pigmented lesions

Ashing/Darkening of lesion, Audible pop, & Erythema/edema

You should not use ______ when treating pigmented lesions because it interferes with the TDT

Cooling

It can take up to ______ weeks for pigmented lesions to scab and slough off

3

How long do you need to wait between treatments when treating vascular lesions?

6-8 weeks

T/F: You should not see any kind of blistering or bleeding when treating pigmented lesions

TRUE

Vascular lesions are present in the

Dermis