Hi-

I have a Sciton Profile with multiple heads, including the 1064 Nd:YAG and BBL heads (6 different cutoff filters, incl 560).

While larger veins and cherry angiomas go well, I have had poor luck with spider angiomas and with little, pencil-eraser-sized collections of tiny telangiectasias. I have tried the Nd:YAG at fairly high energies (200-250) and tight pulse widths (5-15ms) given the small size of these vessels, but am getting nowhere. I suspect I really need to be using yellow light instead.

Anyone else have luck with either the Nd:YAG or the 560 filter for these? Any guidelines?

Thanks!

I am a Dermatologist in Europe owner of a Profile system (Nd YAG + BBL).Try in very small-very thin telangiectasias first the BBL with 560 filter and then the Nd YAG for the larger ones with the 3mm spot.Be careful don'nt use this combination it in pt>Fitz IV but only in ptI-III.

Use 515 nm if 560 doesn't work well. Set the fluence at 20 j, pulse width 15, cooling 15 and use the small round mask, which is, I believe, just 5-6 mm. Get ready for success! IPL ROCKS!!

Joe

I would recommend floating the handpiece in gel to prevent blanching of the color when you press on it. We get great results with 18-20 J, 20ms, and 20 degrees cooling.

You guys are the best. Thanks!

Make sure not to put pressure on the vessels. If you blanch the vessels they will not be affected. I love my BBL for the fine vasulature on the cheeks etc. I have also used it for the fine vascular netting that you can get on the legs.

You can also try the Sciton 1064 ND YAG at the following setting but only do this for vessels smaller than 3mm.
Fluence 280 Joules, Pulse Width 50ms Cooling 12 degree. Use the large round cooling hand peice that comes with the Sciton kit for better cooling. I've been successful using the above parameter for my Fitzpatrick skintype 3-4 patients.

thanks, Kenneth.

I'm surprised by the 50ms pulse width- spider angioma vessels are typically very, very small, so i've been using the 3mm spot, 5-15ms, 200-270J or so, with no luck.

Was it the pulse width that was my problem?

the purpose of the longer PW in treating spider angioma is to prolong the thermal heating in order to "necrotize down" the vessels.

I meant "sclerozing down" the vessles

I have a old vasculight with the Nd:Yag laser that I use for larger spider veins. It doesn't have a cooling device on it. What have any of you heard that could be used for patient comfort in addition to compounded lidocain/pilo, cooled gel and ice?

The Zimmer cool air works well

I'm a new member, a general dentist, with 15 years of laser experience and a diplomat in the ABLS.
I've had a very high sucess rate treating facial telangiectasias and perioral and intraoral hemangiomas with the 980nm wavelength and a straight fiber. A recent article in Lasers in Medicine and Surgery touted the 940nm wavelength as better than 532. I think if you research and try the 980nm wavelength you will find its absorption characteristics superior to the 940 for vascular lesions.

I'm a new member, a general dentist, with 15 years of laser experience and a diplomat in the ABLS.
I've had a very high sucess rate treating facial telangiectasias and perioral and intraoral hemangiomas with the 980nm wavelength and a straight fiber. A recent article in Lasers in Medicine and Surgery touted the 940nm wavelength as better than 532. I think if you research and try the 980nm wavelength you will find its absorption characteristics superior to the 940 for vascular lesions.

I'm a new member, a general dentist, with 15 years of laser experience and a diplomat in the ABLS.
I've had a very high sucess rate treating facial telangiectasias and perioral and intraoral hemangiomas with the 980nm wavelength and a straight fiber. A recent article in Lasers in Medicine and Surgery touted the 940nm wavelength as better than 532. I think if you research and try the 980nm wavelength you will find its absorption characteristics superior to the 940 for vascular lesions.

I'm a new member, a general dentist, with 15 years of laser experience and a diplomat in the ABLS.
I've had a very high sucess rate treating facial telangiectasias and perioral and intraoral hemangiomas with the 980nm wavelength and a straight fiber. A recent article in Lasers in Medicine and Surgery touted the 940nm wavelength as better than 532. I think if you research and try the 980nm wavelength you will find its absorption characteristics superior to the 940 for vascular lesions.