Vascular Lesion Revision

Patients frequently seek treatment of cutaneous vascular lesions for both medical and cosmetic reasons. Advances in the use of lasers and light sources enable physicians to effectively treat vascular lesions that were previously untreatable.

Vascular lesions such as birthmarks, hemangiomas, rosacea and broken capillaries arise from a wide range of natural and environmental sources including photodamage, genetic makeup, and the natural aging process. They can vary in size, shape, and prevalence in a given area.Port wine stains (PWS) are a type of vascular lesion involving the superficial capillaries of the skin. At birth, the lesions typically appear as flat, faint, pink macules. With increasing age, they darken and become raised, red-to-purple nodules and papules in adults. Congenital hemangiomas are benign vascular tumors that appear at or shortly after birth. Lasers are used to treat both PWS and hemangiomas.

The Pulsed Dye Laser (PDL) was developed specifically for the treatment of cutaneous vascular lesions. The goals of PDL therapy are to remove, lighten, reduce in size, or cause regression of the lesions in order to relieve symptoms and alleviate or prevent medical or psychological complications. Depending on the lesion and its location, the treatments may be done with or without anesthesia. Multiple treatments are often required.To successfully treat these one must carefully apply energy to break up coagulated blood but spare surrounding tissue. Laser energy penetrates skin, targets blood and eliminates blood and shrinks vessel. This can be more or less difficult depending on each patient’s individual characteristics such as skin color or the presence of other competing discolorations. Understandably, treatment of darker skin is more challenging due to the higher concentration of melanin in the skin as a competing coloration; in those cases treatment may be too painful or cause burning.

Dr. Hochman has extensive experience in the management of vascular birthmarks and other lesions and has continually led the field of treatment and procedures.

To learn more about vascular malformations, visit our website:

Ezequiel before surgery e1396273032465 Ezekiel and Dr. H 2010 Ezekiel thank you e1396273055993


  • "The things I appreciated most: I considered this for 5 years and discussed with Dr. Hochman on several occasions. I never felt any pressure or was subjected to any 'sales pitch'. It was always emphasized that it should be my decision and one with which I would be comfortable. The friendliness of the staff. Every single person I have met in the office has been exceedingly friendly. The emphasis on the availability of Dr. Hochman after the procedures. The timely and thorough communications." - WT
  • "Dr. Hochman, Kim, and the entire staff have saved my life. I've never had a doctor so genuinely interested in my health and wellbeing. My migraines rule my life, but because of Dr. Hochman's treatments, I am able to have a measure of freedom again. I cannot recommend him enough for migraine treatment. He is compassionate, caring, professional and, frankly, family at this point."
  • "Dr. Hochman and his staff have been caring for our daughter and treating her Port Wine Stains for over 10 years now! He is a world renowned Dr and in high demand, but the brat part is he LOVES our child and that makes him the best! We consider Dr Hochman and his staff one of our greatest blessing and thank God for them!"
  • "To be honest, I couldn’t have had a better experience. From start to finish, Dr Hochman and his wonderful staff took the BEST care of me. I had a VERY large basal cell area removed from the side of my nose and cheek. They referred me to a wonderful dermatologist who got me in right away. After the Mohs procedure, Dr Hochman did my repair three days later, right in his own office with a fabulous anesthesiologist and super nurse. And now, twelve weeks later, you can hardly tell anything was done. Beautiful job!" -
  • "We absolutely LOVE Dr. Hochman! Our 16 month old had a large hemangioma removed from his forehead and you can’t even tell it was ever there! He did such a great job there isn’t even a visible scar. He is honest, to the point and was beyond helpful after hours when we needed him. We are beyond happy we found him!" -Laurie
  • "Wish I had done my homework [searching for doctors]. Thanks to Dr. Hochman for fixing another’s [doctor’s] mistakes." -Terrie
  • "If every doctor and staff strives to be as caring and generous as you, the world would be filled with more smiles and laughter. You and your team took care of us as if we were the most important people on earth. We appreciate and value your outstanding expertise and care. Surgery, even elective, is scary. We would like to thank you for making this such an amazing experience." -MW & WB


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Mount Pleasant, SC 29464


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