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Old 06-16-2003, 10:04 PM
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Default some questions, need help please.


i'm a 20 year old guy from portugal and i've had this birthmark on the right side of my face since i was born. i've already had 5 laser treatments and now it is much lighter than it was in my early years.

i never cared too much about it until lately because i was always self-confident but now i'm loosing that confidence. i think i have been more and more self-conscious about it because i notice that people look at me when i pass. my friends are always telling not to laser it because it's my trademark and they like me the way i am, but you guys should know the kind of stress one goes through when you have a mark like this, specially on your face and specially at an age when you want to find a partner and you are afraid of rejection because of it.

can you guys please check my photos and tell me what type of birthmark this is? i suspect it is a port wine stain.


i did my last laser treatment last summer. meanwhile i had to do a roaccutane course for persistent acne (i must be cursed!!!), which i finished on april 8th. i have read somewhere that you shouldn't laser your face until 6 months after you finish roaccutane but can anyone confirm this?

and my last question is: should i continue with laser or should i go for plastic surgery? will this birthmark completely disappear eather way (laser or surgery) ?

thanks for reading this

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Old 06-17-2003, 05:50 AM
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Default Re:some questions, need help please.

Of course I am not a doctor, but it does appear to be a pws. Treating it is wise as it can cause complications later in life in about 70% of those with a pws. Deciding whether or not to continue treamtents is a personal one. Laser technology is good, but it is rare to eradicate the entire lesion. The laser treatments can fade or eradicate some of the lesion and keep the possiblity of complications at bay. Complications generally appear in the 3rd to 5th decade of life, but can affect a pwser at any age. A plastic surgeon will not be able to do anything to remove it. PWS is extra abnormal blood vessels within the skin that lack nerve supply. The blood pools in the weak vessel walls. Teh most important thing when approaching treatments is entering it with realistic expectations and finding a laser surgeon who is truly an expert lasering pws. The laser device is another factor, as well as the location of the pws.

You should consider joining the pws email group as there are others your age and adults who are dealing with the same issues. Of course there are parents of pwsers a part of the group, such as myself, but I have learned much from these wonderful folks. go to: to join the pws community.

It is very true you should not use accutane when doing laser treatments!!!!!!

BTW, you are very good looking and should continue your confidence!!! I'm certain you are nice on the inside as well. Too bad you are so far away and 20 as I would love you to meet my oldest daughter one day! She is only 16, but gorgeous.

you can see my youngest daughter's results after just 3 treatments on the front page.

keep us posted
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