Red, purple, or blue marks on the skin can come from several types of blood vessels, and identifying the source is an important first step. Our team at DermSurgery Associates provides vascular lesion treatment for patients in Houston and Greater Houston, Texas. Mario Kapusta, MD, FACS brings more than 40 years of medical experience and focuses clinically on spider and reticular veins of the face and lower extremities.
What Are Vascular Lesions?
Vascular lesions involve blood vessels within or beneath the skin. Some are present from birth, while others appear later in life. Common examples include:
- Broken capillaries
- Cherry angiomas
- Port-wine stains
- Hemangiomas
- Spider and reticular veins
Other growths, including lipomas, keloids, and atypical moles, are not vascular lesions and require a different type of evaluation.
These conditions can also behave differently over time. Some hemangiomas may gradually fade, while port-wine stains tend to persist. Facial redness and visible vessels may also be associated with rosacea instead of a single isolated lesion.
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Who May Be a Candidate for Vascular Lesion Treatment?
Many vascular marks are harmless and do not require removal. You may want to discuss treatment when visible vessels bother you cosmetically, cause symptoms, or continue to become more noticeable.
Before recommending care, we consider the size, color, depth, location, and pattern of the vessels along with your medical history and skin characteristics. A new, painful, bleeding, or changing spot should be medically evaluated before cosmetic treatment begins.
How Can Vascular Lesions Be Treated?
The method we use is based on the type and location of the vessel.
VBeam Perfecta® and Cynergy may be used for concerns such as broken capillaries, cherry angiomas, port-wine stains, and vascular redness.
Alma Veil uses 532 nm and 1064 nm wavelengths, allowing our providers to work with superficial and deeper vascular concerns.
For selected spider and reticular veins, particularly on the legs, sclerotherapy and laser vein treatment may be considered. Sclerotherapy involves injecting a solution into the unwanted vein so it closes and is gradually absorbed by the body.
Some concerns improve after a single visit, while others require a series. We plan follow-up according to the type of lesion and how it responds.
What Is Recovery Like?
Recovery varies by procedure. Laser care may leave temporary redness, swelling, sensitivity, bruising, or darkening in the treated area. Many patients resume their normal activities soon after VBeam or Alma Veil.
Following sclerotherapy, bandages or compression stockings may be recommended. Your provider will explain what to expect based on the area being treated and the technique used.
Visible vessels often fade gradually rather than disappearing immediately.
Why Choose DermSurgery Associates for Vascular Lesion Treatment in Houston?
Vascular concerns do not all belong in the same treatment category. Dr. Kapusta’s background in vein care is especially relevant for facial and lower-extremity spider and reticular veins. Our team also includes Ming H. Jih, MD, PhD, FAAD, a board-certified dermatologist with fellowship training in laser and dermatologic surgery.
This range of experience lets us evaluate whether a facial vessel may respond well to vascular laser treatment or whether a leg vein may be better managed with sclerotherapy or another vein-focused approach.
Frequently Asked Questions About Vascular Lesions
No. Redness can also come from inflammation, irritation, rosacea, and other skin conditions. We first identify what is creating the color before discussing removal.
No. Many are harmless and can simply be monitored. Care may be considered for symptoms, medical concerns, or cosmetic reasons.
There is no universal number. The type, size, depth, and location of the vessels all influence how many visits may be useful.
They are suited to different situations. Sclerotherapy is commonly used for veins on the legs, while lasers can be useful for smaller or more delicate vessels, including many facial veins.
Yes. Treated vessels may fade successfully, but new ones can form over time because of genetics, circulation, aging, or other factors.
Have a Vascular Concern Evaluated in Houston
A visible vein or vascular mark can be examined before you decide whether anything needs to be done. Call DermSurgery Associates at 713-791-9966 or contact us for an evaluation in Houston or Greater Houston, Texas.
