Removal of vascular skin lesions without scarring was unthinkable a few decades ago. In the past thirty years, advances in laser technology have revolutionized the treatment of cutaneous vascular disorders and expanded the dermatologist’s therapeutic armamentarium. Based on many thousands of treatment sessions and follow-up evaluations, these vascular lesions can safely and effectively be treated in infancy, early childhood, or as adults, with minimal pain, textural changes, pigment changes, or scarring and minimal postoperative wound care. Birthmarks such as port-wine stains (PWS), hemangiomas, lymphangioma, venous lake, cherry hemangioma, pyogenic granuloma, and warts are successful treatments. Furthermore, acne rosacea, facial erythema, facial telangiectasia, spider veins, red scars, and red stretch marks are markedly improved. Condition. We use selective lasers, fractional radiofrequency, and elos light technology. We mix and match different technologies to give the best possible results.