What is the best treatment for persistent broken capillaries on nose? I have tried IPL, Diolite, etc. Help!
Best Treatment for Broken Capillaries on Nose?
Doctor Answers (5)
Light energy best for red areas on the face and body
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 secions with persisten redness, The wavelength recognizes only high concentrations of pigment in the visible capilaries. 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.
Treatment for broken capillaries on nose
I agree with Dr. Oppenheim that you other options are the pulsed-dye laser (v-beam), KTP (q-switched 532/1064). The YAG 1064 laser is also very good for larger vascular lesions. Incidentally certain IPL devices are equipped with various filters and are more effective for vascular lesions. Another factor is whomever is treating you should be versed in troubleshooting and tinkering with settings to give you the best results. Choose your practitioner carefully.
Versa Pulse and Electro-cautery
The Pulsed dye laser, V Star is the one with which I am most familiar, is an excellent laser for those troublesome capillaries. The Versapulse KTP vascular laser is also a good choice.
For those on a tighter budget, electro-cautery ( the "poor man's laser" ) does just about the same thing, for a much lower cost.
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"Broken" nasal capillaries aren't broken at all, but they can be difficult to eliminate!
If the vessels you are talking about are on the nasal alae (the side of the nose where it meets the cheek and upper lip), these are arterial capillaries, and quite difficult to eradicate. The best way to eliminate them (if they are big enough to stick with a 30-gauge needle), is via sclerotherapy using 1% sotradecol, 3% Polidocanol, or hypertonic saline--this is quite uncomfortable but usually works in one session. The next best way is with a cat's whisker electrocautery--this technique can leave tiny puncture scars are the entry site for the tiny electrical wire, but usually works in one session. The only other technique (and third on the list) that I would recommend for these vessels is KTP laser, but even this technique can take more than one session, can yield slight depressions (scars) where the vessels are sealed shut, and hurts a bit also.
For these high-flow nasal ala vessels, pulsed dye laser, V-beam laser, IPL, and other laser wavelengths are basically of little value. You can "pound" these vessels with multiple sessions and high powers, but at what cost, downtime, and benefit? Why not just use a hot poker?
For the tiny capillaries elsewhere on the nasal skin (such as seen with Rosacea), these are not "broken," but they are dilated venous capillaries that respond well to pulsed dye laser, V-beam laser, or IPL if topical dermatologic medications are ineffective. Proper energies must be used, and experienced laser physicians are recommended.
IPL photofacial Palomar has the best head
If you want to improve your skin tone, reduce spider veins or rosacea Palomar's IPL provides the most skin-safe, comfortable, and effective photofacials available, with little to no downtime. Depending on the severity of your condition, expect to get 3-5 treatments but it is worth it. You will get big improvement with the first treatment.
These answers are for educational purposes and should not be relied upon as a substitute for medical advice you may receive from your physician. If you have a medical emergency, please call 911. These answers do not constitute or initiate a patient/doctor relationship.
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