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Eastern Shore Cosmetic Surgery

Recognized Leader in Cosmetic Surgery

EASTERN SHORE COSMETIC SURGERY EASTERN SHORE COSMETIC SURGERY
EASTERN SHORE COSMETIC SURGERY EASTERN SHORE COSMETIC SURGERY
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Spider
Vein & Vascular
Lesion Treatment

Spider Vein & Vascular Lesion Treatment

Spider veins and vascular lesions (like red birthmarks) can be an embarrassing skin condition for many. Genetics can be a factor for both spider veins and vascular lesions, and some lifestyle factors may contribute as well. EVO Light laser treatments can effectively fade the redness associated with these common complexion concerns.

Are You a Candidate?

The best candidates for laser vein and vascular lesion treatments are women or men with visible bluish-red veins on the face or legs or visible reddish vascular lesions. During your consultation, we will be able to advise you on if you are an acceptable candidate and the most appropriate treatment for your condition.

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Dr James Koehler

Dr. Koehler

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Educated at the University of Alabama and in practice for over 20 years, Dr. Koehler is a board-certified cosmetic surgeon who is devoted to providing exceptional results.

Meet Dr. Koehler
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Dr. Gardner

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 A triple-board-certified surgeon specializing in both cosmetic and venous procedures, Dr. Gardner brings a depth of expertise, compassion, and innovation to our practice.

Meet Dr. Gardner
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Dr. Vincent Gardner
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About Laser Vein & Vascular Lesion Treatment

At Eastern Shore Cosmetic Surgery, we use the EVO Light laser to remove unwanted spider veins and vascular lesions. Even after one treatment you should see improvement, but it usually takes a series of treatments to achieve the best results if you require a more significant level of correction. The number of treatments depends on the extent of your concerns.

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We are excited to offer Pro-Nox pain relief that can be added to any of the in-office procedures we perform. Pro-Nox is an inhaled analgesic that gives our patients 100% control through self-administration. Get short-term pain, anxiety, and stress relief without having to “go under.”

Before and After Photos

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What to Expect

The treatments can take up to an hour depending on the size of the area being treated. Patients may experience a slight stinging or discomfort that is quickly relieved by the cryogenic spray used by the machine to cool the skin.

You can experience some redness of the skin after treatment, which usually subsides after a few hours. You can resume your regular activities immediately after your treatment.

Risks and Complications

Generally there are few risks associated with laser treatments for spider veins or vascular lesions. Spider veins treated with the laser may remain dark in color for several weeks until the vessel shrinks completely.

Your New Look

You should see results after just one treatment, but in most cases patients will require several treatments for maximum improvement. New spider veins may appear over time and additional treatments may be needed.

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Dr. James Koehler

Written By: Dr. James Koehler

A board-certified cosmetic surgeon in Fairhope, AL, Dr. James Koehler earned his MD from the University of Alabama and completed several post-doctoral residencies, internships and fellowships. He returned to Alabama to be closer to family and serve patients in the local community with a full range of cosmetic surgery procedures for the face, breast and body.

More about Dr. James Koehler | Last Reviewed: October 14th, 2025

  

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Eastern Shore Cosmetic Surgery
7541 Cipriano Ct Fairhope, AL 36532
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Phone: 251-929-7850
Hours: Monday-Friday 8:00AM–4:30PM

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