17106 Destruction of cutaneous vascular proliferative lesions (eg, laser technique); less than 10 sq cm

Name of the Procedure:

Destruction of Cutaneous Vascular Proliferative Lesions (e.g., Laser Technique); Less Than 10 sq cm

Summary

In this procedure, abnormal blood vessel growths in the skin are treated using laser technology to precisely destroy the affected area. The treatment is typically used for small lesions less than 10 square centimeters in size.

Purpose

This procedure addresses cutaneous vascular proliferative lesions, such as angiomas or port-wine stains. The goal is to remove or reduce these lesions to improve the skin's appearance and prevent any complications associated with them.

Indications

• Red or purple skin lesions that are cosmetically concerning or symptomatic
• Conditions like hemangiomas, port-wine stains, and spider angiomas
• Lesions that have not responded to other treatments

Preparation

• Patients may need to avoid certain medications, like blood thinners, for a few days before the procedure.
• Sunscreen should be used diligently to protect the area before treatment.
• A full medical history and examination will be conducted to ensure suitability for the procedure.

Procedure Description

1. The affected skin area is cleaned and prepped.
2. Local anesthesia may be applied to numb the area.
3. The laser device is adjusted to the appropriate settings for the specific type and size of the lesion.
4. The laser is then applied to the lesion, delivering precise energy to target and destroy the abnormal blood vessels.
5. Post-procedure care, such as applying a soothing ointment or bandage, is given.

Duration

The procedure typically takes between 15 and 30 minutes, depending on the size and number of lesions.

Setting

This procedure is usually performed in an outpatient clinic or a dermatologist's office.

Personnel

• Dermatologist or a trained laser technician
• Nurses or medical assistants to support the procedure

Risks and Complications

• Temporary redness, swelling, or bruising in the treated area
• Minor risk of infection at the site
• Rarely, changes in skin pigmentation or scarring

Benefits

• Reduction or complete removal of vascular lesions
• Improved skin appearance
• Benefits are often noticeable within a few weeks after the procedure

Recovery

• Patients may experience mild discomfort and swelling, which usually subsides within a few days.
• It is important to keep the treated area clean and protected from the sun.
• Follow-up appointments may be necessary to monitor healing and determine if additional treatments are needed.

Alternatives

• Topical treatments or medications
• Other forms of laser therapy
• Surgical removal of larger lesions
• The pros and cons of these alternatives depend on the lesion size, location, and patient’s overall health.

Patient Experience

During the procedure, patients might feel mild stinging or heat but most report minimal pain due to the use of local anesthesia. After the procedure, there might be some temporary discomfort and swelling, which can be managed with over-the-counter pain relievers and cool compresses.