Does sclerotherapy work on tiny facial capillaries?

Hello, I have very fair skin and lately have noticed that my capillaries are becoming increasingly noticeable. I have tried several types lasers to treat my facial veins (underlying my acne scars, surrounding the nose) to no avail.

In fact, lasers often leave additional scars and capillary matting. The bottom line is that lasers do not work as my capillaries seem to require an intensity that my skin cannot tolerate. Are there other options? Can sclerotherapy target tiny facial capillaries?

5 answers to “Does sclerotherapy work on tiny...”

A: lasers or sclero for facial vessles

Stephen Mandy, MD

First ,a vessel must be large enough in which to insert a needle.  The largest practical needle is  32 guage which is too large to fit in most facial vessles.  There are many different lasers for facial vessles and most physicians use the one they own.  In my experience the most useful... more

A: Love my 532nm KTP laser for face veins!

Ann Lott, MD

While very careful sclerotherapy can work, I feel I have more control with the laser. I can watch the vessel "disappear" (go into spasm) as I am treating it. A few treatments are generally  necessary for complete clearance and the vessels along the side of the nose often recur in time.

A: Using a cautery for facial capillaries

Richard P. Rand, MD

 As Dr. Oppenheim has siad, I have also had success with stubborn facial capillaries using a Colorado needle point on a cautery set extremely low and just zapping them under 3.5X magnification.

A: Yes

Mary Lupo, MD

Sclerotherapy can help stubborn facial capillaries, especially the blue ones that require higher energies with laser and the risk of indented scars. The doctor must be a good aim, as you do not want the sclerosant in your skin. Good luck.

A: Electrocautery

Arnold R. Oppenheim, MD

  I realize this is a very old time, old tech solution to this problem but I have seen very good results with electrocautery. It is far less expensive besides. One advantage of electrocautery is  that it does not cause the matting of laser of sclerotherapy. That is the production of smaller... more

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