Whether it’s something you were born with, something traumatically applied or something self-inflicted, either knowingly or unknowingly, skin marks and vascular conditions can be a constant torment. But thanks to some remarkable technology, you may not have to live with them for the rest of your life.
Adelaide Plastic Surgery has an array of machinery that would not sound out of place in Star Wars. We have lasers such as the Norseld dual-yellow copper bromide laser, a Candela V-beam flash-pumped pulsed-dye laser and the neodynium:yttrium aluminium garnet (Nd:YAG) laser. (And you thought cars had complex names.) If that’s all just double-dutch, don’t worry. After a thorough examination of the problem and discussing what you want to achieve, our doctors and nurses will advise which will work best for you.
Including port-wine stains and facial telangiectasias, vascular lesions are so called because of an increase in the blood vessels under the site.
Although there are many types of vascular birthmarks, most can be treated with our V-Beam or copper bromide laser. Usually, you will require several sessions with approximately six weeks in between. In some cases, you can claim a Medicare rebate.
There may be some bruising and swelling after each session but this usually only lasts a few days. The treatment is quick and easy with minimal discomfort.
This condition causes redness, flushing and often a facial rash. Many of our patients tell us they find it socially disabling.
In most cases, we can treat rosacea with our V-Beam laser, which reduces the redness and flushing significantly. Some of our patients also require topical or oral antibiotics. Several treatments are usually required and, in some cases, a Medicare rebate applies.
This is a discolouration of the neck and chest due to sun damage. There’s usually a clear demarcation from normal skin along the neckline of your clothing. It may present itself as either a redness or brown pigmentation, along with a textural change to the skin.
Any redness is treatable with our V-beam laser. If the brown pigment is also present, our neodynium:yttrium aluminium garnet (Nd:YAG) may also be used. Textural change, however, is difficult to reverse with any treatment.
These can be caused by genetics, sun exposure, or trauma from skin cancer surgery, acne or conditions such as rosacea. These unsightly vessels may become more apparent with triggers such as heat, caffeine, emotion or alcohol.
Visible blood vessels can be easily treated with our copper bromide laser. Usually, it only takes a couple of sessions to clear them. With time, they do recur, however. So, we may need to follow up with maintenance treatment.
These include brown (melanocytic) birthmarks, melasma and chloasma, post-inflammatory hyper-pigmentation, solar and actinic lentigines, naevus of Ota and freckles. What is common in all of these conditions is an excess of the skin pigment melanin.
In many cases, excess pigmentation may be treatable with our neodynium:yttrium aluminium garnet (Nd:YAG) laser. Other treatments for excess pigmentation include bleaching creams and chemical peels.
In truth, these scars are difficult to remove completely. However, we can certainly improve them with a combination of treatments, including vascular lasers to address the colour, along with intra-lesional steroid and 5-fluorouracil (5-FU) injections. We may also use compression therapy with tapes or silicone gel.
Scars from acne can present in many ways: some are raised and red (see above, as for hypertrophic/keloid scars) and others are pitted or indented. They can be broad-based or narrow and deep (ice-pick scars), and cover large areas of the face, chest and back.
Usually, you will require a combination of treatments, including laser skin-resurfacing, a facelift, subcision, excision, as well as chemical peels, injectable fillers, platelet-rich plasma and skin needling. After a thorough examination, our surgeons will work out an individualised program that addresses your particular type of scarring.
Those lines in ink needn’t be a sentence. Traumatic, medical, amateur and body-art tattoos can all be treated by laser to reduce or remove the inks or particles in the skin.
At Adelaide Plastic Surgery, we use the neodynium:yttrium aluminium garnet (Nd:YAG) laser. Some ink colours respond better to this treatment than others, with black being the most successful. You should be aware that green and light blue are difficult to remove completely: there may be some residual pigmentation or colour. Tattoos require even more commitment to their treatment than to their application: it can take several sessions. But let’s examine you first and discuss all the details.
Even though it’s about 150 million kilometres away from us, the sun seems to have that many ways to damage your skin and create cancer. Some require surgical treatment, whilst others can be treated scalpel-free. When we examine you, we’ll be able to determine what we confidently believe will work best for you. Adelaide Plastic Surgery offers a number of non-invasive options, such as topical agents, laser ablation therapy, cryotherapy and photodynamic therapy.
Again, there is a spectacular variety to birthmarks. Some are vascular (red) and others are melanocytic (brown), whilst some sprout hair or develop other features. Once we have examined you, we can then advise you of the most appropriate treatment. As an indication, most birthmarks can be improved with laser therapy, although some still require surgical treatment.