Name of the Procedure:

Destruction of Cutaneous Vascular Proliferative Lesions (e.g., Laser Technique); 10.0 to 50.0 sq cm

Summary

This procedure involves using laser technology to remove abnormal blood vessel growths on the skin. These lesions are targeted and destroyed without the need for traditional surgical methods.

Purpose

The procedure addresses various vascular lesions, such as hemangiomas and port-wine stains. The goal is to reduce or eliminate these lesions, improving aesthetic appearance and preventing potential complications like bleeding or pain.

Indications

• Visible vascular lesions, such as hemangiomas, spider veins, or port-wine stains.
• Lesions between 10.0 and 50.0 square centimeters in size.
• Symptomatic lesions causing discomfort or cosmetic concerns.
• Patients with no contraindications for laser treatment.

Preparation

• Pre-procedure consultation to evaluate the lesion and discuss treatment options.
• Avoidance of sun exposure to the treatment area for at least two weeks prior.
• Discontinuation of blood-thinning medications (with physician approval) to reduce bleeding risks.
• Application of a topical anesthetic if recommended by the provider.

Procedure Description

1. The patient is positioned comfortably in a reclined or lying position.
2. The treatment area is cleaned and prepped.
3. Protective eyewear is provided to the patient and healthcare personnel to shield against laser exposure.
4. A laser device is calibrated based on the lesion's characteristics.
5. The laser is applied to the lesion in short bursts, targeting the abnormal blood vessels.
6. The treatment area may be cooled with air or a cooling device to minimize discomfort and protect the skin.
7. The process continues until the entire lesion is treated.

Duration

Typically, the procedure takes 30 to 60 minutes, depending on the size and number of lesions.

Setting

The procedure is usually performed in an outpatient clinic or dermatology office equipped with laser technology.

Personnel

• Dermatologist or plastic surgeon specialized in laser treatments.
• Licensed practical nurse or medical assistant.
• Anesthesiologist, if sedation is required (rare).

Risks and Complications

• Redness, swelling, and bruising at the treatment site.
• Temporary changes in skin pigmentation.
• Scarring or blistering (rare).
• Infection (rare but possible).
• Pain or discomfort during and after the procedure.

Benefits

• Non-invasive with minimal downtime.
• Effective reduction or complete removal of vascular lesions.
• Improved cosmetic appearance and potential relief from symptoms.
• Results may be seen immediately or progressively improve over several weeks.

Recovery

• Application of a soothing ointment to the treated area.
• Instruction to avoid sun exposure and use sunscreen.
• Mild pain relievers can be taken to manage discomfort.
• Follow-up appointments to monitor healing and determine if additional treatments are needed.
• Full recovery in 1-2 weeks with proper care.

Alternatives

• Surgical excision: More invasive, with longer recovery.
• Sclerotherapy: Injection of a solution to shrink the vessels, effective for smaller lesions.
• Topical treatments: May have limited effectiveness and require long-term use.

Patient Experience

During the procedure, patients may feel brief pinching or snapping sensations from the laser. Post-procedure, the treated area may feel warm or sensitive, similar to a mild sunburn. Pain is generally manageable with over-the-counter medications, and normal activities can often be resumed shortly after.