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Port-wine stains are birthmarks which occur on the face and/or neck and derive their colour from dilated blood vessels either just below the skin or in the deeper layers.

Removal of port-wine stains

The elimination, as far as possible, of the disfiguring marks. However, there is no really successful surgical treatment and some residual disfigurement is likely o remain.

Removal of port-wine stains, for whom is it appropriate?

This procedure can be carried out at any age from childhood.

Removal of port-wine stains, what needs to be done?

If only the superficial layers of the skin are affected, laser treatment or diathermy (lasers emit intense burning beams of light, diathermy burning electric currents) may be tried. Both can be given on an out-patient basis with local anaesthetic, but several treatments may be necessary and results are still not at all good yet.

If the dilated blood vessels are deep within the skin, the surgeon must cut out the whole red pigmented area and use a skin graft to cover it.

An alternative that is not always possible or effective is the injection of a light-coloured pigment into the blood vessels that are causing the redness of the skin. If this light pigment is accepted, the surface skin may lighten. However, tattooing over port-wine stains in this way is usually less successful in outcome than simple cosmetic camouflage.

Removal of port-wine stains, pain and recovery

The skin will be sore for a day or two after laser treatment and will need protecting with dressings for about a fortnight.

Removal of port-wine stains Scars

Laser treatment should leave slight scars but, in unpredictable cases, unsightly scarring may indeed occur. Pigment injections should leave only tiny puncture marks. Skin grafts inevitably leave scars, in both the area that is covered and the area from which skin is removed.

Removal of port-wine stains Problems

There are risks of infection and bleeding. Laser treatment is still new and there is no firm agreement yet amongst experts as to the most effective type of laser to use, or way to use it. In some cases, the skin may react by becoming more strongly pigmented instead of less so. Children are more likely to scar badly than adults when given laser treatment.

Removal of port-wine stains Advantages

Any reduction in extent and colour of a darkly pigmented disfigurement on the face may be considered beneficial. However, cosmetic camouflage may often achieve as much, without the physical trauma and unpredictable outcome of surgery.

Costs of Private port-wine stains Treatment

Depends upon extent of port-wine stain and method of treatment.

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