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Nd:YAG Vascular Laser · Fotona · Green Point, Cape Town

Vascular laser.
Clear skin. Precise results.

The Fotona Nd:YAG laser targets blood vessels in the skin with selective precision, closing them permanently without damaging surrounding tissue. Rosacea, spider veins, broken capillaries and cherry angiomas all respond well. Dr Barker performs every treatment personally.

Spider Veins from R1,950 Per session · depends on extent
Rosacea from R2,950 Per session · 2 to 4 recommended
Cherry Angiomas from R1,800 Per session
Laser System Fotona Nd:YAG · Fotona preferred provider
Nd:YAG Vascular Laser · What Dr Barker Treats

Choose your concern

All three conditions below are treated with the Fotona Nd:YAG laser in selective vascular mode. The laser energy targets oxyhaemoglobin in the blood vessel, closing it permanently while leaving surrounding skin undamaged. Scroll down for full details on each.

Nd:YAG · Vascular Mode
Rosacea & Facial Redness
R2,950 per session
Reduces chronic diffuse redness, flushing and visible rosacea across the face. 2 to 4 sessions recommended.
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Nd:YAG · Vascular Mode
Spider Veins & Broken Capillaries
R1,950 to R4,950
Permanent laser closure of facial thread veins and broken capillaries on the nose, cheeks and chin.
View details ↓
Nd:YAG · Vascular Mode
Cherry Angiomas
From R1,800 per session
Bright red vascular spots permanently closed with targeted Nd:YAG energy. Often cleared in a single session.
View details ↓
Nd:YAG Vascular Laser · Fotona

Rosacea and facial redness

Rosacea and chronic facial redness are caused by abnormal, dilated blood vessels close to the skin surface. The Fotona Nd:YAG laser targets the oxyhaemoglobin in these vessels with a specific wavelength that is selectively absorbed by the blood, heating and closing the vessel while leaving surrounding skin undamaged. Over the following weeks, the closed vessel is cleared by the body and the redness diminishes.

This is a precise, targeted approach that reduces diffuse background redness, flushing and visible vessels associated with rosacea significantly and progressively. Most patients notice a meaningful improvement after the first session, with optimal results after 2 to 4 sessions spaced 4 to 6 weeks apart. The treatment does not cure rosacea, which is a chronic condition, but it effectively manages and reduces the visible manifestation. Maintenance sessions once or twice a year keep the redness at bay long term.

The procedure involves mild warmth and a light snapping sensation across the treated areas. No anaesthetic is required for most patients. Redness and mild warmth persist for a few hours after treatment and resolve by the following day in most cases. Patients can return to normal activities immediately.

What It Addresses
Diffuse facial redness
Rosacea flushing
Visible facial capillaries
Post-treatment redness
Erythema across cheeks and nose
Generalised facial flushing

Pricing

Per sessionR2,950
Sessions recommended2 to 4
Spaced4 to 6 weeks
Maintenance sessions once or twice a year are recommended to keep redness managed long term, as rosacea is a chronic condition.

Quick Facts

  • Nd:YAG Fotona laser · vascular mode
  • No anaesthetic required for most patients
  • Redness resolves within hours post-treatment
  • Return to normal activities immediately
  • SPF essential post-treatment
  • Suitable for most skin types
  • Not suitable during pregnancy
Nd:YAG Vascular Laser · Fotona

Spider veins & broken capillaries

Facial thread veins, broken capillaries and small vascular lesions on the face are effectively and permanently closed using the Fotona Nd:YAG laser. The laser energy is selectively absorbed by the blood in the vessel, heating it to the point of coagulation and permanent closure. The body then clears the closed vessel over the following weeks, leaving the skin clear.

This treatment addresses the visible fine red or purple vessels that commonly appear on the nose, cheeks and chin, as well as isolated broken capillaries that appear following sun damage, rosacea or trauma. Individual vessels can be targeted with great precision. Larger or more extensive areas of vascular damage require more passes and are priced accordingly. Most patients see significant clearing within 2 to 4 weeks of each session.

For leg veins and larger varicose veins, sclerotherapy is the preferred treatment and is available as a separate procedure. The Nd:YAG facial vascular treatment is specifically for the face and small superficial vessels in the surface skin.

What It Addresses
Facial thread veins
Broken capillaries on cheeks and nose
Spider naevi
Vascular lesions from sun damage
Isolated red vessels on the chin
Superficial vascular marks post-trauma

Pricing

Per sessionR1,950 to R4,950
Price depends onNumber and extent
For leg veins, Dr Barker offers sclerotherapy as a separate treatment. The Nd:YAG laser is for facial and superficial surface vessels only.

Quick Facts

  • Nd:YAG Fotona laser · vascular mode
  • Mild stinging sensation during treatment
  • Redness and mild swelling for 24 to 48 hours
  • Treated vessels clear over 2 to 4 weeks
  • 1 to 2 sessions typically sufficient
  • SPF essential post-treatment
  • Avoid sun exposure before treatment
Nd:YAG Vascular Laser · Fotona

Cherry angiomas

Cherry angiomas are small, bright red vascular growths made up of a collection of dilated capillaries close to the skin surface. They are entirely benign and extremely common, becoming more frequent with age. They do not resolve on their own. The Fotona Nd:YAG laser closes them permanently with targeted vascular laser energy, often in a single session.

The treatment is quick and well tolerated. A brief warming sensation is felt at each spot during treatment. Treated angiomas darken slightly immediately after the procedure, then fade and disappear over the following 1 to 2 weeks as the body absorbs the closed vessel. Multiple cherry angiomas across the face and body can be treated in a single session. Pricing depends on the number of lesions.

What It Addresses
Cherry angiomas on the face
Cherry angiomas on the body
Multiple lesions treated per session
Campbell de Morgan spots
Senile angiomas
Small haemangiomas

Pricing

Starting fromR1,800
Sessions neededUsually 1
Depends onNumber of lesions
Multiple cherry angiomas treated in a single session. Clear quote provided at consultation based on number and distribution.

Quick Facts

  • Nd:YAG Fotona laser · vascular mode
  • No anaesthetic required in most cases
  • Lesions darken then fade over 1 to 2 weeks
  • Often resolved in a single session
  • Multiple lesions treated per visit
  • Suitable for face and body
Common Questions

Frequently asked questions

Is the Nd:YAG laser suitable for darker skin tones?
Yes. The Nd:YAG wavelength is one of the safest available for darker skin tones. It penetrates deeper into the skin and is less absorbed by surface melanin than shorter wavelengths, which significantly reduces the risk of post-inflammatory pigmentation. Dr Barker assesses all patients individually and will advise clearly on suitability.
Is there downtime after vascular laser treatment?
Minimal. Most patients experience mild redness and warmth for a few hours after treatment that resolves by the following day. Treated spider veins may show slight bruising for 24 to 48 hours. Cherry angiomas darken briefly before fading. Most patients return to normal activities immediately.
How many sessions will I need for rosacea?
Most patients see meaningful improvement after the first session, with optimal results after 2 to 4 sessions spaced 4 to 6 weeks apart. Rosacea is a chronic condition and does not have a permanent cure, but regular maintenance sessions once or twice a year keep the redness well managed long term.
Can spider veins on the face come back after laser?
The treated vessels are permanently closed and do not return. However, new vessels can form over time, particularly with ongoing sun exposure, rosacea or genetic predisposition. SPF daily is strongly recommended after treatment to slow the development of new vessels.
Does the treatment hurt?
Most patients describe a mild snapping or stinging sensation during treatment, similar to a rubber band flick. It is well tolerated without anaesthetic for most vascular treatments. For larger or more extensive areas, topical numbing cream can be applied beforehand if needed.
What about leg veins — can those be treated too?
For leg veins and larger varicose veins, Dr Barker recommends sclerotherapy, which is the gold standard injectable treatment for this concern. The Nd:YAG vascular laser is used for facial vessels and small superficial lesions. Both treatments are available at the practice.
SB
Dr Barker's Assistant
Treatments · Pricing · Bookings
Hello. I'm Dr Barker's assistant. Ask me anything about vascular laser treatment — pricing, recovery, what to expect. If you're ready, I can take your booking details right now.
This assistant provides general information about Dr Barker's treatments only. It does not give medical advice, diagnose conditions, or assess individual suitability. A consultation with Dr Barker is required before any treatment. For emergencies call 112.
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vascular laser?

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Most patients see meaningful improvement after the first session. Optimal results typically require 2 to 4 sessions spaced 4 to 6 weeks apart.
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