Birthmark Removal
Birthmarks and port wine stains don’t have to be permanent. Cosmetic Laser Dermatology in San Diego is one of the only practices in the country to offer advanced laser treatments to fade or remove unwanted birthmarks, helping you achieve clearer, more even-toned skin with confidence.
Laser Birthmark Removal
At Cosmetic Laser Dermatology, we treat infants, children, teens, and adults with an expert approach, carefully adjusting laser treatments for each age and skin type. Our board-certified dermatologists focus on comfort and safety to ensure every treatment is effective, gentle, and handled with the highest level of expertise.
Pigmentary Birthmarks
Pigmentary birthmarks are caused by excess melanin in the skin and typically appear brown, tan, or blue gray in color.
- Café au lait birthmarks – Flat, evenly pigmented light brown patches caused by increased melanin concentration in the skin.
- Congenital melanocytic nevi – Pigmented birthmarks present at birth that vary in size and color and may darken over time.
- Blue gray birthmarks – Deeper pigment deposits that appear bluish due to pigment located beneath the surface of the skin.
Vascular Birthmarks
Vascular birthmarks are formed by abnormal or enlarged blood vessels and often appear red, pink, or purple.
- Port wine stain birthmarks – Capillary malformations that cause persistent red or purple discoloration and may involve superficial and deeper vessels.
- Hemangiomas – Benign vascular growths caused by clusters of blood vessels that may appear raised or flat.
- Venous malformations – Abnormally formed veins that create bluish or purplish discoloration and may deepen with age.
- Salmon patches – Light pink vascular markings commonly found on the face or neck.
Mixed Pigment and Vascular Birthmarks
Some birthmarks involve both pigment and blood vessels and require a combination laser approach.
- Poikiloderma of Civatte – A condition characterized by mottled pigmentation and redness, commonly affecting the neck and lower face.
- Sturge Weber syndrome associated birthmarks – Vascular birthmarks involving deeper capillary networks that may require careful, staged laser treatment.
Birthmark Removal Treatment Features
Targeted Energy Delivery
Lasers are selected to specifically address pigment or vascular structures without unnecessary impact to surrounding tissue.
Device Versatility
Multiple laser wavelengths allow treatment of both red and brown discolorations in a controlled manner.
Treatment Customization
Settings are adjusted based on the specific birthmark identified during consultation.
Progressive Improvement
Most conditions require a series of sessions to gradually reduce visibility while prioritizing skin safety.
PicoSure & PicoWay
PicoSure and Picoway are commonly used to treat pigmented birthmarks by targeting concentrated melanin with short energy pulses that break the pigment into smaller particles for gradual clearance.
Q Switched Alexandrite Laser and Q Switched Ruby Laser
The Alexandrive laser and Ruby laser are effective for brown pigmented lesions, including café au lait birthmark concerns, by selectively targeting melanin while preserving surrounding tissue.
Vbeam Perfecta & Prima & Intense Pulsed Light
Vbeam Perfecta and Vbeam Prima pulsed dye lasers (PDL) and Intense Pulsed Light (IPL) treat superficial vascular birthmarks and port wine stains by targeting abnormal blood vessels responsible for red and purple discoloration and delivering energy absorbed by hemoglobin to reduce visible redness over a series of sessions.
Why You Will Love Us
Cosmetic Laser Dermatology has been a leader in laser skin procedures in San Diego for almost 40 years. We were the first laser clinic in San Diego specializing in treating birthmarks since 1986. Every patient begins with a thorough evaluation to confirm the diagnosis, rule out skin cancer concerns, and determine whether the condition is truly treatable or related to melasma or other pigment disorders. This careful approach ensures the safest path forward and the most appropriate treatment selection.
Birthmark Removal and Port Wine Stains FAQ
Laser treatment can significantly reduce the appearance of many birthmarks, depending on whether they are pigmented or vascular. Some birthmarks respond more readily than others, and multiple sessions are often required. A consultation helps determine realistic outcomes and appropriate expectations.
Safe birthmark removal begins with accurate diagnosis of the mark type and depth. Laser energy is then selected to target pigment or blood vessels while preserving surrounding skin. Treatments are spaced to allow proper skin recovery between sessions.
A good candidate for laser birthmark removal includes both young children and adults with pigmented or vascular birthmarks such as a port wine stain birthmark or café au lait birthmark. Candidacy depends on the type of birthmark, its depth, color, location, and individual skin characteristics. During a comprehensive examination, a board-certified dermatologist evaluates whether laser treatment is appropriate and determines how to remove a birthmark using the safest and most effective approach for long-term management.
A port wine stain birthmark is a vascular condition caused by dilated blood vessels near the skin surface. Pulsed dye lasers and Intense Pulsed Light are commonly used to target hemoglobin within these vessels. Treatment is typically performed over a series of sessions for gradual improvement.
A café au lait birthmark is a light brown pigmented lesion caused by increased melanin in a localized area. These marks may respond to pigment targeting lasers, although response varies based on depth and skin type.
The number of sessions depends on the type of birthmark or port wine stain birthmark, as well as depth and response to treatment. Many patients require multiple sessions spaced several weeks apart for optimal results.
Laser birthmark removal can provide long term improvement, but results vary depending on the type of birthmark and how deeply it is embedded in the skin. Some pigmented birthmarks and port wine stain birthmarks may fade significantly, while others require maintenance treatments over time. A consultation helps set realistic expectations based on individual response.
Yes, laser treatment can be effective for port wine stain birthmarks in both children and adults. While earlier treatment often leads to better outcomes, adults can still experience noticeable improvement with consistent sessions. Treatment plans are customized based on skin thickness, vessel depth, and prior changes in the birthmark.
Different lasers are used depending on whether the birthmark is pigmented or vascular. Port wine stain birthmarks are commonly treated with pulsed dye laser technology that targets blood vessels, while pigmented birthmarks use lasers designed to break down excess melanin. At Cosmetic Laser Dermatology, laser selection is based on precision, safety, and long-term skin health