D1091 Rev.M August. 2016
• Expectations
o 2-3 treatments are usually required for 70% resolution on patients with no underlying conditions.
o Redness surrounding vessels is expected.
o Urticarial reaction (hive-like/bug-bite look) is common with superficial veins.
o Bruising may occur and usually resolves in a few weeks.
o Small mild blisters are undesirable but may occur.
o Thrombosis (hardening and darkening of vessels) is expected for larger veins and will be absorbed
over time.
o Hemosiderin (hyperpigmentation from iron leaking into skin due to vein breakdown) can occur and will
usually slowly fade over many months.
POST TREATMENT CARE VASCULAR LESIONS
• Cold compresses or chilled gel packs may be applied post treatment.
• If a blister develops, treat as a wound.
• Retreatment of vessels is not recommended prior to 4-6 weeks.
o Larger reticular vessels may take longer to resolve and should not be re-treated prior to 2-3 months.
• Avoid sun exposure and use a broad spectrum (UVA/UVB) sunscreen to minimize the risk of PIH (Post
Inflammatory Hyperpigmentation).
• Bruising, redness, and swelling are common and resolve with time.
• Urticarial reaction (hive-like/bug-bite look) is common and usually resolves in 1-2 days.
• Avoid heat (hot tubs, saunas, etc.) for 1-2 days post-treatment.
• Avoid skin irritants (i.e., products containing tretinoin, retinol, benzoyl peroxide, glycolic/salicylic acids,
astringents, etc.) a few days post-treatment.
• Request that the patient contact your office with any concerns, such as blistering, excessive
redness/swelling, etc.
• For leg vein treatments only:
o Compression stockings (20-30 mm/hg) are optional.
o Avoid high impact activity for 3-5 days.
o Large leg veins may take many months to resolve and should not be re-treated before then.
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