Lasers Not Working for Broken Nostril and Chin Capillaries - What Next?

asked 2 years ago by 6576anon in Colorado
Latest answer by Grant Stevens, MD
Question viewed 1,296 times
Tags: chin, nostrils, broken capillaries, telangiectasia

I have broken capillaries around my nostrils and under my chin. I have had several different types of laser treatments, including the JAG, but nothing really works. Typically, the vessels disappear for a week or two and then come back. Recently, I have tried again with laser treatments for this condition (same doc as before), but I think they may actually be getting worse. I am frustrated to see laser treatments for facial telangiectasias universally touted as a fail-safe treatment. What do you suggest for someone who has tried this without success?

6 answers to Lasers Not Working for Broken Nostril and Chin Capillaries - What Next?

Treatment including laser for facial telangiectasias and face and nose veins and the feeder vein

It is important to be appropriately classified so both the patient and the physician know what to expect. I would suggest that you go back to your physician or vascular surgeon and review what is causing these small veins to appear. The most common problem is the presence of "the feeder vein." Small nose and face veins are what doctors call telangiectasias (the doctor word for small veins). They are often "fed" by other veins that might not be... more

John W. Hovorka, MD
Austin General Surgeon

What to do next about vessels around nose

Greetings in Colorado~ There are a number of effective treatments for the small vessels around the nose but two very important things to keep in mind- 1) a treatment and the laser or device being used is only as good as the person performing the procedure. Experience counts. 2) these are treatments and unfortunately not cures....there will always be maintenance involved. Telangiectasias on the nose and cheeks can be resilient. In addition to Nd:YAG laser, there are PDL... more

Grant Stevens, MD
Los Angeles Plastic Surgeon

Pulse dye laser and rosacea treatment

I would attempt the pulse dye laser for these fine capillaries. Multi modality laser therapy sometimes works as well. I have used the pulse dye laser with enormous success.

Raffy Karamanoukian, MD
Los Angeles Plastic Surgeon

Lasers not working for broken capillaries

I agree with Dr. Mandy, find a laser treatment specialist using ALL the available lasers. This give you and the doctor options. for a great result. From MIAMI Dr. B

Darryl J. Blinski, MD
Miami Plastic Surgeon

Laser, electro-dessication

If the nd:YAG laser does not seem to be working you might ask the dermatologist to use a pulsed dye laser. If he does not own one, then a referral to a colleague to use another laser would be in order. The KTP and 910 diode laser are also good choices. Finally, electro-dessication, in the right hands, can be quite effective and is much less expensive.

Arnold R. Oppenheim, MD
Virginia Beach Dermatologist

Lasers not working for vessels on the nose

There are many different lasers for this problem - V beam, Pulse Dye, KTP diode and others. Most doctors do not have them all so the one that was used on you may not have been the ideal one for your problem.. I would seak a laser specialist in your area or elsewhere who has all of the options you may need.

Stephen Mandy, MD
Miami Dermatologist

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