24 Yr Old White Female with Red Telangiectases Veins on Chest- Options? (photo)

Redness on the chest is usually best treated by a good IPL system, although some lasers such as Nd:YAG or Excel V can be helpful.  Other modalities to treat the chest include:Ablative laser resurfacing- Fractionated C02 resurfacing or erbium at a lighter setting can help build up collagen
Fractora- RF needling can help improve the texture and collagen creation in the skin here
IPL- can help improve the brown spots and discoloration of the area
Melanage or Cosmelan- Peels can help improve the appearance of the discoloration
Sculptra- Dilute Sculptra can help improve the texture of the skin and crepy appearance of the skin.

For problems such a broken capillaries, lasers like the Pulsed Dye or Nd: YAG work best by using light energy to home in on ruddy pigment and erasing red areas on the face and body.

When using a laser, a doctor does one pass, or several, over sections with persistent redness. The wavelength recognizes only high concentrations of pigment in the visible capillaries. Once heated, those vessels shrivel and disappear. In most cases, one to two laser sessions spaced over four to six weeks are necessary to reach complete clearance. Postprocedure, skin may be slightly irritated for a few days.

Thank you for the question! In my practice, I offer sclerotherapy, endovenous laser ablation, Clariven treatment, and microphlebectomy to treat varicose and spider veins. It's not a matter of one treatment being better than the other. Rather, the choice of treatment will depend on a size and location of your veins.  
In recent years, endovenous laser ablation (EVLA) has replaced traditional surgical method of treating varicose veins. This procedure uses laser to heat the veins instead of surgically removing them. The heat produces a steam bubble inside the vein, which destroys the vein walls, causing the affected vein to collapse. The body, in turn, naturally absorbs the dead tissue. 
Sclerotherapy tends to be one of the most popular and widely-used treatments these days. It uses a sclerosing solution that causes the vein to shrink. Usually, sclerotherapy takes only 1 to 2 sessions to achieve fading of the undesirable veins.  
Microphlebectomy is ideally suited to treat superficial bulging veins that are too large for sclerotherapy.  In the course of this treatment, I will make tiny incisions as small as 1mm to remove an undesirable vein.  He will then insert a small phlebectomy hook to extract the vein through the puncture.  Only a small section of the vein needs to be eliminated because the remaining portion of the vein will clot off and gradually fade from view. 
Clarivein is a minimally-invasive procedure that utilizes a thin infusion catheter clinically proven to deliver faster results and guarantee up to 74% less pain than most other peripheral vascular treatments. 
An in-person exam with a board-certified plastic surgeon would be the best way to assess your needs and obtain expert medical advice. Best of luck!