For very small and fine veins the Vbeam pulsed dye laser is an excellent choice. For the large, ropy or more visible veins a laser that penetrates deeper in the skin is indicated such as a long pulsed 1064 nm laser, an example is GentleYAG. IPL is less effective for these veins around the nose. There are also lasers with a 532 nm wavelength that can reduce small veins but may not be as effective on the larger veins.





