Laser Treatment

Cascade Eye and Skin Centers offers numerous lasers to treat an extensive number of skin ailments, including birthmarks, redness, scarring, and other lesions. Your provider will work with you to determine which laser treatment is most suitable for your unique skin type, condition and goals.

Candela V-Beam Laser and Excel-V Laser

Using both the Candela V-Beam laser, also called pulsed dye laser (PDL), and the Excel-V laser, the physicians at Cascade Eye and Skin Centers can treat a wide variety of conditions, including:

Vascular Birthmarks

A vascular birthmark is caused by an abnormal grouping of blood vessels and is usually red, but it can range from light pink to dark purple in color. These marks can vary in size and sometimes change in color or thickness with age. The most common types of vascular birthmarks include: 

  • Port-wine stains: flat, reddish-purple discoloration that is most common on the forehead, nose, cheek, or chin. Port wine birthmarks grow proportionately in size with someone. If left untreated on the face, they may cause thickening of the affected tissues over time. They do not fade away on their own.
  • Superficial venous malformations: blue or purple area where a group of extra or enlarged veins have not properly developed. These are technically present at birth but are not usually noticed until later in life. Venous malformations can occur anywhere on the body.
  • Persistent nevus simplex: a type of capillary malformation seen in 30-40% of newborns. Also called “salmon patch” or “angel’s kiss” on the face and “stork bite” on the back of the neck, they tend to be pink-red and most fade on the face by age 2. Laser treatment may be used for those that do not resolve on their own. 

Although a majority of birthmarks are harmless, they may affect you or your child’s self-confidence, depending on the color, size, and location. Fortunately, our Candela V-Beam and Excel-V lasers are able to shrink the blood vessels comprising these markings – greatly improving their appearance over time. If you or your child’s birthmark ever itches, bleeds, hurts, or becomes infected, you should contact your healthcare provider right away. 

Infantile Hemangioma Residua

An infantile hemangioma is the most common type of benign vascular growth affecting the skin of young babies. They are made up of enlarged and disorganized, small blood vessels that multiply rapidly in the first few months after birth.

Infantile hemangioma residua is a condition that may occur when an infantile hemangioma incompletely resolves – leaving behind a scar, discoloration, or superficial blood vessels on the skin. With our PDL treatment, the physicians at Cascade Eye and Skin Centers can eliminate remaining small blood vessels on the skin that may be left behind from an infantile hemangioma.

Acquired Vascular Lesions

Acquired vascular lesions are skin malformations that appear filled with blood. They differ from congenital or hereditary lesions in that they are not present at birth but develop months or years later. Some of the most frequently seen acquired vascular lesions include: 

  • Angiokeratomas: small dark spots that occur due to dilated and widened capillaries 
  • Venous lakes: elevated papules arising from dilated veins, typically from chronic sun exposure 
  • Diffuse telangiectasias: dilated or superficial blood vessels appearing as fine red or purple lines 
  • Spider angiomas: collection of dilated blood vessels radiating from a central dilated blood vessel, which produces a “spider” appearance; usually occur on the face or backs of the hands from sun damage 
  • Cherry angiomas: small bright red or maroon vascular growths made up of small blood vessels; tend to slowly develop with age

Cascade’s vascular-specific lasers are able to emit enough heat to shrink or remove acquired vascular lesions. 

Erythematotelangiectatic Rosacea

Erythematotelangiectatic rosacea is one of the main types of rosacea, which is a chronic inflammatory skin disorder that primarily affects the face. This condition is characterized by flare-ups and remissions of persistent facial redness and flushing, along with visible blood vessels. Utilizing the Candela V-Beam and Excel-V lasers, our physicians can decrease facial redness and diminish the appearance of visible blood vessels.

Erythematous Acne Scars

Erythematous acne scars are pink or red blemishes that are left on your skin following an acne breakout. Acne scars are most likely to develop in patients with light skin tones and may not resolve for several months or years. Although this condition is harmless, erythematous acne scars may be fairly noticeable and affect your confidence, which is why our practice proudly offers PDL treatment to help erase these spots.

Fraxel DUAL and Fraxel CO2 Lasers

Cascade Eye and Skin Centers also utilizes the Fraxel DUAL Laser to revitalize skin tone and radiance. This treatment can improve the appearance of scars and fine lines by promoting new collagen production with minimal downtime. Fraxel DUAL and Fraxel Repair CO2 lasers can help treat: 

  • Pitted scars 
  • Rolled scars
  • Pigmentation changes
  • Skin texture changes
  • Acne scars 
  • Surgical scars
  • Photoaging

Usually, scars will take more than one treatment session. Fraxel lasers can be used in conjunction with other modalities:

  • Platelet rich plasma (PRP): regenerative medicine composed of the patient’s own plasma to amplify natural growth factors 
  • Subcision: releases acne scars from the underlying tissue and triggers the release of collagen
  • Microneedling: involves pricking the skin’s surface with small, sterilized needles to boost collagen and elastin production
  • Chemical peels: promote skin firmness and diminishes pigment discoloration by removing the top layer of dead skin cells 
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