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Treatment for Stubborn Facial Spider Veins?

asked 2 years ago by DancerJess in Utah
Latest answer by James E. White, MD
Question viewed 867 times
Tags: face, spider veins

I have small clusters of spider veins on both sides of my lower nose. When there were only 3 on each side of my nose, the doctor treated them with a BBL laser. They went away. Two years later, I have more: 4 or 5 in roughly the same area on both sides of my nose. Is there a better laser to use on these veins? Should I look for a doctor with a specific model of laser? I've heard sclerotherapy can be done on the face for veins that don't respond to laser treatment. What do you think?

3 answers to Treatment for Stubborn Facial Spider Veins?

+1

Face Spider Vein Treatment

Spider veins of the face can be difficult to treat,. Agree with topical laser therapy and Intense Pulsed Light therapy IPL as described. Our practice has experience with combination laser, IPL and micro electtrocautery therapy. Electrocautery or micro cautery is very helpful to coagulate very small facial veins. [See Veinwave as a brand of micro electrocautery]. The technique involves very small electric currents transmitted to the vessel by... more
James E. White, MD

Chattanooga General Surgeon
+1

Would Not Recommend Sclero on Face

Either laser or electrocautery would be preferred over sclero. Sclero can be tricky and if there is extravasation of the solution you can run into problems. If you do go this route, make sure the physician is very experienced. If you vessels are small the V Star pulsed dye laser would be quite effective. For larger vessels the Cynergy would be my choice. Though not "high-tech" electrocautery is also excellent and gives nice results at far less cost. IPL has been used but... more
Arnold R. Oppenheim, MD

Virginia Beach Dermatologist
+1

Lasers are best

The veins that you describe around the nose are very common, in fact most people have at least one during some point in their life. The other issue is that they may come back over time or you may develop new ones. Lasers are still the best treatment for these veins. I think the best laser system is a combined laser that uses a pulsed-dye laser followed by a YAG laser. This machine is made by Cynosure and is called the Cynergy. Again, it treats the veins with two consecutive laser... more
Edgar Franklin Fincher, MD, PhD

Beverly Hills Dermatologic Surgeon

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