The purpose of this study is to see how the look of telangiectasias (small dilated blood vessels) on radiated breast skin when altered by the pulsed dye laser affects a patient's overall well being.

Patients will have a set of treatments with a pulsed dye laser. This is a laser that targets red blood vessels and delivers heat causing the telangiectasias to become smaller and less visible. The laser has been used safely to treat telangiectasias on the skin of patients who received radiation for breast cancer.

Patients in the study will be asked to complete a questionnaire asking how they feel about the telangiectasias, their radiated skin and its effect on their daily lives. The questionnaire will be given at every visit. The improvement in the look of patients' radiated skin will also be compared to answers to the questionnaire. We hope the study will improve our understanding of how patients feel about the long term effects of radiation on their skin.

Inclusion Criteria:

• Locally advanced breast cancer patients treated with surgery and adjuvant radiation
• Telangiectasias in the radiation field of the treated breast
• Patients 18 years or older

Exclusion Criteria:

• Non English speaking
• Current oral steroid use or receiving daily therapeutic anticoagulation (e.g. Coumadin, Lovenox)
• Breast/s reconstructed with implant in the area of previous radiation
• Pregnancy or lactation
• Previous laser treatment of telangiectasias
• Presence of a sun tan in the area
• Fitzpatrick skin types V, VI

Patients from the Dermatology Division and/or Radiation Oncology, Plastic and Reconstructive Surgery Department(s) and the Breast Cancer Survivorship Program will be identified by the Nurse Practitioners of the survivorship program or by clinicians in these departments for the study.