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Lesion & Red Vein Removal Contraindications & After Care

  • Writer: Vicki Hexter
    Vicki Hexter
  • Feb 12
  • 3 min read

This information is for:

Cryopen

Plasma Pen

Advanced Electrolysis

Nd: YAG Laser for pigmentation









CryoPen

(Precision cryotherapy for benign lesions)

Used for: Skin Tags, Pigmentation (e.g. Age Spots, Solar Lentigo, Sun Spots — excluding melasma), Blood Spots (Campbell de Morgan Spots / Cherry Angiomas), Milia, Dermatosis Papulosa Nigra, Seborrhoeic Warts, Facial Warts, Warts and Verrucas (on hands and feet), Xanthelasma, Sebaceous Conditions and Moles (with a doctors letter)

CONTRAINDICATIONS
Absolute Contraindications
  • Suspicious, changing, bleeding or undiagnosed lesions
  • Suspected melanoma or skin cancer
  • Pregnancy (precautionary)
  • Cryoglobulinemia or cold intolerance disorders
  • Raynaud’s disease
  • Cold urticaria
  • Poor circulation in treatment area
  • Open wounds or active infection
  • History of keloid scarring
Relative Contraindications
  • Diabetes (delayed healing)
  • Autoimmune disorders
  • Immunosuppression
  • Fitzpatrick IV–VI (risk of hypopigmentation)
  • Recent sunburn or UV exposure

PRE-TREATMENT ADVICE
  • Avoid sun exposure and fake tan for 2 weeks prior.
  • Do not apply self-tan or heavy products on the day.
  • Ensure lesion has been assessed as benign (GP or clinician if required).
  • Avoid blood thinning medication where medically safe (GP advice required).
  • Stay well hydrated.

AFTERCARE ADVICE
  • Area may appear white immediately post-treatment.
  • Redness, swelling and mild blistering may occur.
  • A scab may form within 24–72 hours.
  • Do NOT pick or remove crusts.
  • Keep area clean and dry.
  • Avoid makeup on the area for 24 hours (or until blister settles).
  • Avoid sun exposure for 4–6 weeks.
  • Apply SPF 50 daily once healed.
Lesion typically darkens before falling away within 7–14 days (longer for thicker lesions).

Plasma Pen (Lesion Removal)

Used for: Skin Tags, Pigmentation (e.g. Age Spots, Solar Lentigo, Sun Spots — excluding melasma), Facial Thread Veins, Blood Spots (Campbell de Morgan Spots / Cherry Angiomas), Milia, Dermatosis Papulosa Nigra, Seborrhoeic Warts, Facial Warts, Sebaceous Conditions and Moles (with a doctors letter)

CONTRAINDICATIONS
Absolute Contraindications
  • Suspicious or unassessed lesions
  • Pregnancy or breastfeeding
  • Fitzpatrick V–VI (risk of PIH)
  • History of keloid scarring
  • Isotretinoin within 12 months
  • Active skin infection
  • Autoimmune healing disorders
  • Pacemaker
Relative Contraindications
  • Diabetes
  • Smokers
  • Anticoagulant use
  • Recent sun exposure
  • Inflammatory skin conditions

PRE-TREATMENT ADVICE
  • Avoid sun exposure for 4 weeks prior.
  • Stop retinoids/acids 7 days before.
  • No recent laser or peel in area (4 weeks).
  • Avoid alcohol 24 hours before.
  • Lesion must be confirmed benign.

AFTERCARE ADVICE
  • Carbon crust will form immediately.
  • DO NOT pick or remove crust.
  • Keep dry for 24 hours.
  • Apply recommended healing balm only.
  • Avoid makeup until crust detaches naturally (5–10 days).
  • Avoid sun for 8–12 weeks.
  • SPF 50 mandatory once healed.
  • Redness may persist for several weeks.

Advanced Electrolysis (Thermolysis/Diathermy)

Used for: Skin Tags, Pigmentation (e.g. Age Spots, Solar Lentigo, Sun Spots — excluding melasma), Facial Thread Veins, Blood Spots (Campbell de Morgan Spots / Cherry Angiomas), Milia, Dermatosis Papulosa Nigra

CONTRAINDICATIONS
Absolute Contraindications
  • Pacemaker
  • Pregnancy (precautionary)
  • Epilepsy (uncontrolled)
  • Undiagnosed lesions
  • Skin cancer in treatment area
  • Active infection
  • History of keloid scarring
Relative Contraindications
  • Diabetes
  • Rosacea flare
  • Anticoagulant use
  • Autoimmune disorders
  • Fitzpatrick IV–VI (risk of pigmentation changes)

PRE-TREATMENT ADVICE
  • Avoid sun exposure for 2 weeks prior.
  • Avoid alcohol 24 hours before.
  • Discontinue retinol/acids 5–7 days prior.
  • Do not wax or irritate the area beforehand.
  • Ensure veins are suitable (not large varicosities).

AFTERCARE ADVICE
  • Redness and mild swelling expected.
  • Small scabs may form (especially for blood spots).
  • Do NOT pick.
  • Avoid heat (sauna, gym, hot baths) for 48 hours.
  • Avoid makeup for 24 hours.
  • Avoid sun exposure for 4 weeks.
  • Use SPF daily.
Treated veins may darken temporarily before fading over 2–6 weeks.

Nd:YAG Laser – Pigmentation Removal
(For sun damage, age spots, lentigines, superficial pigmentation)

CONTRAINDICATIONS
Absolute Contraindications
  • Pregnancy
  • Suspicious or undiagnosed pigmented lesions
  • Melanoma history in treatment area
  • Isotretinoin within 6–12 months
  • Active infection
  • Recent tanning or fake tan
  • Photosensitive medication
  • History of keloid scarring
Relative Contraindications
  • Fitzpatrick IV–VI (requires careful settings)
  • Melasma (may worsen)
  • Autoimmune disorders
  • Recent peel or resurfacing

PRE-TREATMENT ADVICE
  • Avoid sun exposure and fake tan for minimum 4 weeks.
  • Stop retinol and active exfoliants 7 days prior.
  • No waxing or chemical peels 2–4 weeks before.
  • Inform clinic of any new medication.
  • Pigmented lesions must be assessed as benign prior to treatment.

AFTERCARE ADVICE
  • Pigmentation will darken immediately (coffee-ground appearance).
  • Mild redness and swelling may occur.
  • Area may crust lightly and flake off within 5–10 days.
  • Do NOT pick.
  • Avoid heat and sweating for 48 hours.
  • No exfoliation for 7–10 days.
  • Strict SPF 50 for minimum 6–8 weeks.
  • Avoid sun exposure during healing phase.
Full clearance may require multiple sessions.

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