Rung 5 of 5 · prescription

Laser & light / procedures

In-clinic procedures for vessels and thickened skin.

A Evidence grade A$$$· Last reviewed 21 May 2026 · edited by Maksym Burkhan

What's on this rung

  • IPL (intense pulsed light) - for diffuse redness and vessels
  • PDL / KTP laser - targets visible telangiectasia
  • CO2 laser / electrosurgery - reshapes established phyma (Type 3)
  • Requires in-person specialist care - not telehealth

What to expect

Lasers are the only treatments that reduce established visible vessels; usually several sessions (commonly 3–4). Procedures reshape phymatous tissue.

When to climb

This is the top of the ladder. Maintenance returns to Rungs 1–2 to protect results.

Get treated with Musely →Back to the ladder

Sources

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