Please login or create an account. If you do not have access to this content, you will be shown a 30 second preview and licensing options.

  • Presentation

Update on Cutaneous Vascular Conditions

Description

Dr. Roy Geronimus, a leading dermatologist, discussed advancements in the treatment of cutaneous vascular conditions, focusing primarily on port wine stains. He emphasized the importance of early intervention, which can prevent complications such as hypertrophy, a thickening of the skin over time. He highlighted that newer laser techniques, such as pulsed dye lasers, enable effective treatment even in very young patients, often without the need for anesthesia. Studies show significant improvement in clearance rates for patients treated early, particularly infants. Geronimus shared findings that demonstrate both safety and efficacy in office settings, supporting the idea that early treatments can lead to better long-term outcomes and potentially reduced costs. He introduced dynamic cooling techniques that enhance comfort during procedures, allowing for quicker and safer treatments. The discussion extended to the potential of combination therapies, like pairing laser treatments with radiofrequency and micro-needling, to enhance results further. Geronimus concluded with observations on the longevity of treatment effects and the development of new technology that promises even better outcomes for patients with vascular birthmarks.

View more

Conclusions

  • Early treatment of port wine stains can prevent the progression of hypertrophy.
  • Intervening at an early age results in better treatment outcomes and clearance rates for port wine stains.
  • Pulsed dye laser treatments can be effectively administered without general anesthesia for infants and toddlers.
  • Weekly pulsed dye laser treatments lead to significant skin clearing in infants with port wine stains.
  • The new laser technology allows for greater precision and safety with less risk of skin damage during treatment.
  • Using larger spot sizes with pulsed dye lasers improves treatment efficacy and can achieve better results in fewer sessions.
  • Combination therapies including pulsed dye laser with radiofrequency and microneedling show promise in enhancing treatment outcomes for resistant port wine stains.
  • Geronemus RG, Ashinoff R. The medical necessity of evaluation and treatment of port-wine stains. J Dermatol Surg Oncol. 1991;17(1):76-9.
  • Hao Feng, Grace Materne, Sabrina Ghalili, Margo Lederhandler, Hyemin Pomerantz, Mitalee Christman, Leonard Bernstein, Roy G. Geronemus. Assessment of Treatment Tolerance and Parental Perspective of Outpatient Pulsed Dye Laser Treatment for Port Wine Birthmark Without General Anesthesia in Infants and Toddlers. J Am Acad Dermatol. 2020.
  • Yoon-Soo Cindy Bae, Hamad Alabdulrazzaq, Jeremy A Brauer, Roy G Geronemus. Treatment of Recalcitrant Port-Wine Stains (PWS) Using a Combined Pulsed Dye Laser (PDL) and Radiofrequency (RF) Energy Device. J Am Acad Dermatol. 2017 Feb;76(2):321-326.
  • Sodha PJ, Martin K, Aboul-Fettouh N, Friedman PM. Enhanced clearance of port wine stains with fewer treatments with a novel large spot, higher energy pulsed dye laser versus previous generation pulsed dye laser. Lasers in Surgery and Medicine. 2021.
  • Sodha PJ, Wang J, Aboul-Fettouh N, Martin K, Geronemus R, Friedman PM. Novel Large Spot Size 595 nm, High-Energy, Pulsed Dye Laser Reduces Number of Treatments for Improvement of Adult and Pediatric Port Wine Birthmarks. Lasers in Surgery and Medicine. 53:S23-S24 (2021).