Vascular Lesions
Causes & Advanced Treatment Options
Vascular lesions are visible blood vessel irregularities that appear on the face or body. They may present as redness, broken capillaries, spider veins, cherry angiomas, or deeper vascular malformations. While often harmless, they can be cosmetically distressing and, in some cases, symptomatic.
Common Types of Vascular Lesions
1. Spider Veins (Telangiectasia)
· Fine red or purple thread-like vessels
· Common on the cheeks, nose, and legs
· Often associated with sun damage or rosacea
2. Facial Redness & Rosacea
· Persistent flushing
· Diffuse redness
· Visible capillaries
3. Cherry Angiomas
· Small, bright red raised spots
· Common with ageing
4. Leg Veins
· Blue or purple superficial veins
· May be linked to venous insufficiency
· Can cause aching or heaviness
What Causes Vascular Lesions?
· Genetics
· Sun exposure
· Hormonal changes
· Pregnancy
· Ageing
· Trauma to the skin
· Underlying conditions such as rosacea
· Prolonged standing (leg veins)
Gold Standard Treatment: Laser Therapy
Modern vascular lasers selectively target haemoglobin (the red pigment in blood) without damaging surrounding skin — a principle known as selective photothermolysis.
Cutera Excel V+
A premium dual-wavelength vascular laser designed to treat a wide range of superficial and deeper vascular concerns safely and effectively.
Why it’s effective:
· 532nm wavelength targets superficial red vessels
· 1064nm wavelength penetrates deeper vessels
· Built-in cooling enhances comfort
· Suitable for face and legs
· Safe across multiple skin types when medically assessed
Conditions Treated with Excel V+
· Facial spider veins
· Diffuse redness
· Rosacea
· Cherry angiomas
· Leg veins
· Poikiloderma
· Certain vascular birthmarks
What to Expect
· Treatment time: 10–30 minutes
· Mild warmth or snapping sensation
· Temporary redness or swelling may occur
· Minimal downtime
· Gradual clearance over 2–6 weeks
· Multiple sessions may be required
Alternative or Adjunct Treatments
· Sclerotherapy (commonly for larger leg veins)
· Medical-grade skincare to support capillary strength
· Trigger management for rosacea
When to Seek Medical Assessment
Vascular lesions that:
· Rapidly change in size or colour
· Bleed easily
· Cause pain or ulceration
· Appear suddenly and extensively
should be evaluated by a qualified medical practitioner to exclude underlying pathology.
