IPL Vascular Lesions

SkinTuition uses – Lumenis M22 combination platform

As a pioneer in aesthetic medicine, Lumenis developed the first IPL technology and the first Photorejuvenation platform, making it the gold standard of IPL

IPL stands for Intense Pulsed Light. It is also known as an IPL treatment or photo-rejuvenation and is a popular treatment for small vascular lesions.

Vascular lesions are generally classified by their pathology, age and onset.

Congenital lesions – these begin in infancy and include
• Port wine stains
• Haemangiomas
• Venous Malformations

Acquired lesions – develop over time and can be a result of trauma, hormones, sun exposure, age

• Telangiectasia
• Cherry Angiomas
• Venous lakes
• Rosacea
• Pokiloderma of Civatte

Here we look at some of the most common vascular conditions treated
with IPL


Rosacea is a chronic skin condition that typically affects the face. It results in redness, pimples, swelling, and small and superficial dilated blood vessels.

Usually the nose, cheeks, forehead, and chin are most involved.

The cause of rosacea is unknown.

Poikiloderma of Civatte / erythrosis interfollicularis

Chronic skin condition in fair-skinned adults, which is probably caused by longterm sun exposure

This typically occurs on the neck and in a V-shaped distribution, on
the upper chest.

Usually a combination of vascular and Pigmented lesions on extra-sensitive
body areas

Port Wine Stain / naevus flammeus

A port-wine stain is a capillary malformation, seen at birth, a discolouration of the skin caused by a vascular anomaly (a capillary malformation in the skin). A flat birthmark with poorly defined borders, with colour ranges from light pink to dark red, indicating the lesion depth.

Named for their colour which is similar to port wine, a fortified red wine from Portugal.

Commonly found at the nape of the neck, on the forehead between the eyebrows or on the eyelids.

Broken capillaries / Telangiectasia

Telangiectasias are superficial small blood vessels on the skin – Red or pink dilated capillary.

blood vessels, usually less than 0.2mm in diameter in a lacework, cluster or branch-like pattern.

Cherry Haemangioma

A cherry haemangioma is an overgrowth of small veins, A red-purple bump on the skin that is typically seen in older adults.

Veins 0.5mm – 1mm / spider veins

Fine, red, threadlike, shallow to medium depth veins red to light purple
Often caused by hormonal fluctuations, weight gain, heredity and occupations or activities that require prolonged sitting or standing.


IPL Treatment

Treatment Rationale

The rationale for treating vascular lesions with IPL is that of heat – raising the blood vessel temperature to cause coagulation. Using specific filters IPL can target oxyhaemoglobin (predominantly found in clinically red lesions), deoxygenated haemoglobin (predominantly in blue lesions), and methaemoglobin for optimal treatment outcomes.

The treatment area may look darker directly after the treatment for a few hours

Recovery
Sun exposure is discouraged, to minimise sensitivity to the skin.

Results
The results of IPL will appear immediately after the treatment and continue to improve over the next few weeks. It takes time for veins to fully collapse and be reabsorbed by the body, so full results cannot be seen right away.

How many treatment sessions are needed?
Most patients will require from one to five IPL treatment sessions, spaced approximately 6 to 8weeks apart.