Vascular changes in the Skin
 Facial Veins: Facial veins, referred to medically as telangiectasia, are permanent dilations of the small, superficial blood vessels on the face. Chronic exposure to sun and wind are the most common causes of facial veins, although heredity also plays a role. Excessive, regular consumption of alcohol can cause facial veins, which adds a disturbing stigma to the condition. In some instances, facial veins may be associated with disease entities such as lupus erythematosus, dermatomyositis or rosacea. Hormonal imbalance caused by pregnancy or oral contraceptives may also result in the appearance of facial veins.

Cosmetically, facial veins can be very disturbing. They change the color of the skin giving it a ruddy, weathered appearance. Fortunately, with the advent of target specific vascular lasers, facial veins are easily removed.

Cherry Angiomas: Benign blood vessel tumors known as cherry angiomas, may appear over the torso with age. They vary in size from tiny red dots about the size of a pin prick to larger and thicker ones. They may appear in showers where 20 or 30 spots surface overnight. If cosmetically unacceptable, they can be removed simply and effectively with the VPW or pulse.

Birthmarks: Birthmarks occur when the body mistakenly distributes an excessive number of Primitive vascular (red) or pigmented (brown) elements within the skin. Port wine stains are the most common type of vascular birthmarks, while pigmented birthmarks are less common. The variable pulse width (VPW) green or pulse dye lasers and the Q switched ruby, Alexandrite or Nd:Yag lasers have provided individuals with excellent treatment options which in the past were not available.