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VASCULAR BIRTHMARKS

Vascular birthmarks are marks on the skin caused by abnormal clusters or dilated blood vessels. They are usually present at birth or develop shortly thereafter, though some may become more noticeable over time. Vascular birthmarks vary widely in size, color, depth, and behavior, and while many are harmless, some may change or persist into adulthood.

COMMON CHARACTERISTICS / SYMPTOMS

  • Red, pink, purple, or blue discoloration of the skin
  • Flat or raised appearance, depending on the type
  • May darken, thicken, or become more prominent with age
  • Common types include port-wine stains, hemangiomas, and capillary malformations
  • Usually painless, though some lesions may bleed if irritated

CAUSES & PREVENTION

Causes:

  • Congenital vascular development differences
  • Abnormal formation or dilation of blood vessels during fetal development
  • Genetics may play a role in some cases

Prevention:
Vascular birthmarks cannot be prevented. However, early assessment helps guide monitoring and treatment decisions, particularly if a lesion is changing or causing symptoms.

TREATMENT PROCEDURE

Do vascular birthmarks need to be treated?

Treatment is not always medically necessary. Many vascular birthmarks are benign and stable. Patients often seek treatment for cosmetic reasons, changes in appearance, irritation, or psychosocial impact. Medical evaluation is important to determine the type of birthmark and whether treatment or monitoring is recommended.

What does the procedure involve, and is it painful?

Laser and light-based treatments target abnormal blood vessels beneath the skin without incisions. Most patients describe mild warmth or snapping sensations during treatment. Discomfort is typically brief and well tolerated, and anesthesia is rarely required.

What treatment options are available?

Treatment depends on the type, de.pth, and location of the vascular lesion. At Copeland MD, options may include:

  • ClearV (1064 nm Nd:YAG laser):
    Effective for deeper or thicker vascular lesions, offering precise targeting while protecting surrounding skin.
  • BBL HEROic™ (BroadBand Light):
    Used for more superficial vascular changes and diffuse redness, improving tone and overall skin clarity.

Some lesions require multiple sessions, staged treatments, or combination approaches

RISKS, RECOVERY, AFTERCARE

What are the risks?

Potential risks include:

  • Temporary redness or swelling
  • Mild bruising
  • Rare pigment changes
  • Very rare blistering or scarring

Risks are minimized with conservative settings and physician oversight.

What is recommended for aftercare?

  • Sun avoidance and daily SPF use
  • Gentle skincare during healing
  • Avoiding heat and vigorous exercise for 24–48 hours
  • Monitoring treated areas for expected healing changes

COSTS

The cost of removing a hemangioma (vascular birthmark) using an Nd:YAG laser ranges from$350 to over $500 per session, depending on the size and location. Treatment typically requires 4 and 6 sessions every 6 - 8 weeks.

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