Cuperosis, Angiomas And Ruby Points

In the face we can find secondary red lesions and vascular dilatations that can be distinguished in the form of spider, multiple (cuperosis) as well as malformed congenics of varying size (angiomas).

The Instituto Médico Láser uses the latest laser equipment for the treatment of these lesions, like the long pulse laser Nd-YAG and intense pulsed light, allowing the treatment of all skin types and the ability to work at different depths with minimal side effects.

They also use a new laser made specifically for small calibre vascular lesions called the V Beam. It is characterized by the emission in the ideal wave lengths for these types of lesions, while also using a pulse short enough to remove them in only one session.

Cuperosis, angiomas and ruby spots treatment by IML

Cuperosis, angiomas and ruby spots treatment by IML

Red Skin Spots. Laser: The only effective treatment

Not all skin spots are brown. There also exist other types of unaesthetic skin lesions that are red in colour. "More and more patients come in for consultations for red spots on the skin", said Instituto Médico Láser. These days laser technology is the best option to effectively remove this type of vascular skin lesion because it coagulates, in a selective manner, the dilated capillaries while respecting the integrity of the skin".


Cuperosis is the dilation of the small capillaries of the skin called telangiectasias. They sometimes have the form of a spider and are sometimes called “spider veins” and can appear in an isolated form or in groups on the face or neckline, forming what is known as “cuperosis”.

Cuperosis appears in people who are genetically predisposed to blushing or turning red with changes in temperature, emotions or alcohol and some food products. This repeated blushing eventually damages the dilated capillaries, making them visible. Pregnancy and feminine hormones encourage the appearance of spiders or cuperosis and in these cases it can be reversible.

When cuperosis is coupled with pimples that look like acne, it is called rosacea and requires additional medical treatment.


Angiomas are the accumulation of immature capillaries that usually appear at birth or shortly thereafter. For example, Port wine stains are flat angiomas that appear in neonatal babies and do not disappear spontaneously. They can reach up to various centimetres in size, including covering an entire extremity.

Hemangiomas are actually benign tumours and they can be red like a strawberry (capillary hemangioma) , or more violet in colour, thus indicating depth (cavernous hemangiomas). The first example usually disappears in the first decade of life, but the second does not, and the patient will need consultation for a violet tumour.

Ruby points or senile angiomas. These are small malformed capillaries that are millimetres in size and affect the torso. More and more these small lesions are the motive of the demand for treatment, because patients associate them with aging.

Laser technology is the best option to effectively remove all of these types of lesions. It is necessary for the laser to heat specifically the haemoglobin, the red pigment in the blood that fills these vessels. When the temperature rises, the walls of the capillaries get inflamed and the blood vessel closes to be reabsorbed later.

A laser for each type of lesion

V-beam laser: for flat angiomas, spiders, and telangiectasias. It is equipped with a cooling system that reduces pain and protects the epidermis.

Vasculight, a Nd-YAG laser with a more penetrating emission, especially indicated for deep lesions like capillary and cavernous hemangiomas, and deep telangiectasias that are more blue in colour...where other systems can come up short.

Finally, we have Intense pulsed light (IPL) technology that allows for the modification of the intensity of the beam of light to a desired depth and the ability to adjust to different skin types. It has the additional advantage that it can remove pigmented lesions (stains) in the same patient in the same session. It has demonstrated macro and microscopically to improve the texture of aging skin. To get this effect the treatment is applied to the entire surface of the face, neckline, and neck, not in just a specific area.

For the correct application of this laser treatment precise diagnostics of the lesion must be done to create a suitable treatment plan for the patient. This type of treatment should always be done by expert dermatologists trained in the use of laser technology.

These new medical techniques are applied without the necessity of anaesthesia, or at most applying cold before the treatment session, which is generally tolerated very well. Subsequently, the patient can become inflamed, have transitory bruises (purple), but the appearance of scabs is very rare. The application of an antibiotic and an anti-inflammatory cream is recommended for a few days after the treatment and it is not prohibited to use makeup. Of course, as with any other kind of laser treatment, the patient cannot sunbathe (natural or artificial) or be exposed to the sun in the weeks following the treatment.

Spider veins, hemangiomas within the lip, and ruby points are removed in only one session. Cuperosis usually takes two or three sessions while angiomas can require four to eight sessions, depending on their thickness and the age of the patient.

Request a free informative consultation. One of our dermatologists will provide you with personalised information of the treatment that best suits your needs.

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