Dr. Neil S. Sadick
"If you use a short wavelength laser like a pulsed dye laser for a dark-skinned individual, for sure you’re going to get hypopigmentation and potential scarring," he said. Avoid laser treatment in patients who have larger vessels feeding the spider telangiectasia, because the hydrostatic pressure increases the risk for side effects.
The clinical goals of laser therapy for leg telangiectasia are to treat vasospasm, erythema, and urticaria. "It’s important to understand the end points of therapy. You don’t need to treat these veins until the vessels go away," he said.
Dr. Sadick has consulted for or received research grants from Cutera, Cynosure, Palomar, Solta Medical, and Syneron.