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Treatment / Procedure

Superficial Vascular Lesions with IPL / BBL

Evaluation of superficial vascular lesions with IPL/BBL; hemoglobin targeting, which vessels are suitable, safety, and alternative vascular lasers.

Moderate evidence

Short answerIPL/BBL can be used in selected superficial vascular lesions with filter and pulse combinations targeting hemoglobin. Success depends on vessel diameter, depth, color, anatomical region, and skin type.

In which vascular appearances can it be considered?

  • Superficial telangiectasias
  • Diffuse erythema on the face and neck
  • Vascular appearance associated with rosacea
  • Vascular component within Poikiloderma of Civatte

Is IPL suitable for every vessel?

No. Deeper or thicker vessels, venous malformations, or prominent leg veins may require different vascular lasers, sclerotherapy, or vascular evaluation.

Scientific data

In systematic reviews on IPL, a high level of clinical data has been reported for telangiectasia. Clinical series evaluating facial and neck vascular lesions have also shown positive responses, particularly in rosacea and poikiloderma components.

Safety

Since epidermal melanin can also absorb light while targeting vessels, the risk of burns and pigmentary changes may increase in dark or tanned skin. Proper cooling and parameter selection are important.

Our approach at our Bodrum clinic

We differentiate whether the vessel is superficial or deep, part of diffuse erythema, or an isolated vascular structure. If IPL/BBL is not appropriate, we consider vascular laser or other options.

References

  1. Wat H, et al. Dermatol Surg. 2014. PMID: 24495252.
  2. Intense pulsed light in non-aesthetic facial and neck vascular lesions. PMID: 20477927.

Medical editorial information

This content has been medically reviewed and approved by Dr. Kerem Çağlayan. It is intended for general education and does not replace an individual diagnosis or treatment plan.