red spider veins are starting to appear around my nose. I want to get rid of them!
Broken Capillaries and Spider Veins Around the Nose
Doctor Answers (16)
Sclerotherapy is the gold standard for vein removal. The...
Sclerotherapy is the gold standard for vein removal. The sclerosant [injectable irritant] causes damage to the cells that line the blood vessel and the subsequent fibrosis seals it shut.
Lasers can work by heating and damaging the vessels, but in several comparison studies, sclerotherapy worked better, faster, with fewer sessions making it less expensive. In my experience, lasers also hurt more.
Telangiectasias on nose best treated with Pulsed Dye Laser
While the other physicians in this forum are correct that spider veins can be treated with lasers and sclerotherapy, your question specifically ask about veins on the nose. We generally refer to these as telangiectasia and they are best treated with a laser. In general, I try to stay away from sclerotherapy on the facial areas due to the risk of complications. Telangiectases on the face are relatively uniform in size and depth and lasers can effectively eliminate these. My favorite is Pulsed Dye Laser, which is a 595nm laser that targets the blood in the blood vessels. You may have some temporary bruising to the area that last 1 week and it may require several treatments.
Laser best treatment for facial veins
The broken capillaries are actually small veins, called telangiectasia. They are quite common, especially around the nose. These veins respond very well to laser, generally clearing with 1-3 treatments. These veins are NOT generally safe to treat with sclerotherapy-- the risk of complications is far too high.
I prefer the Pulsed Dye Laser (Candela's V-Beam, 595nm) and/or the long-pulsed Nd:Yag laser (Candela's GentleYag, 1064nm) for these veins. Treatments are quick, very effective and safe, with only minor discomfort.
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Getting rid of spider veins of the nose
Spider veins, or "broken capillaries", around the nose are best treated with an appropriate laser or intense pulsed light (IPL) device. I have had great results using the Lumenis 1 system. There is minimal recovery, usually just mild irritation of the area with no bruising. Most patients will require two sessions, and the procedure takes about 5 minutes.
Current laser technology is very effective for treating...
Current laser technology is very effective for treating spider veins on the face and legs. The Nd-YAG laser is my preferred laser for this. It is effective, quick and relatively less painful than the injections used in the past. If you also have varicose veins in addition to spider veins, these usually need to be removed by a vascular surgeon prior to treating the spider veins, otherwise the laser won’t be as effective.
Treating Nose Veins
Without examining you in person, I would have you know that it is very common to treat blood vessels around the nose with a variety oflasers or the IPL I would recommend that you visit someone who is a laser specialist and board certified dermatologist to receive the best possible outcome. Doing so ensures safety and effectiveness. I often treat patients experiencing similar facial blood vessel problems as you are describing with a combination of laser and/or IPL treatments.
I recommend using IPL to treat the veins around the nose. With sclerotherapy, there is just too much risk with this.
Spider veins of the nose
Spider veins of the face can be difficult to treat,. Agree with topical laser therapy and Intense Pulsed Light therapy IPL as described. Would not use sclerotherapy for facial veins--the risks are too high. Our practice has experience with combination laser, IPL and micro electtrocautery therapy for facial veins. 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 fine wire cautery tips--the kind used to complete electrolysis for hair reduction. The fine wires are pressed to the surface of the skin. Electric currents are applied. Sometimes the vessel will coagulate as the electric current will travel down the flow of blood by the path of least resistance. Other times, the fine wire tip will actually puncture the skin to allow the tip contact with the vessel and blood flowing in the vessel. Here is where the problems occur with darker skin types. Collateral damage. The electrocautery seals the vessel by coagulation, the surrounding skin also sustains coagulation--tissue damage. Pigmentation changes can occur. Patients with dark skin colorations can have hypopigmentation [white spots] or hyperpigmentation [dark brown/black spots] at each of the skin electrocautery contact points. Multiple treatment sessions maybe needed for best cosmetic effect.. Eye shields are a MUST during treatment..
Most cosmetic surgeons who deal with facial veins would recommend a few test spots with a 2-3 month time interval to see how your skin would react to micro coagulation. Formal consultation is needed to determine your specific skin type and for skin testing prior to therapy for spider veins of the face..
Visible Facial Veins
Visible facial veins can be embarrassing whether they are the result of age or a skin condition like acne or rosacea. With smaller veins like those in the face and spider veins, a laser treatment is often the quickest and most efficient vein treatment. In laser vein removal, light energy is targeted toward the unwanted vein’s pigment of the veins and heats them until they are destroyed. The body then absorbs the veins and eliminates them naturally. Because the veins are not functioning properly, removing them does not harm you. The surrounding tissue is also left unharmed because the laser is targeted toward the vein only. I recommend you schedule a consultation with a dermatologist to discuss your concerns and see if laser vein removal is a treatment option for your individual situation.
Nd:Yag Laser Highly Effective for Treating Facial Capillaries
Thank you for your question.
Facial capillaries and spider veins around the nose and on the cheeks are common complaints that patients seek treatment for. In our San Francisco Bay Area practice we have had tremendous success reducing the appearance of these vessels with our Nd:Yag laser.
As with all capillary/vein treatments several sessions may be required to achieve optimal results and capillaries may return or new capillaries may form in the future that require maintenance treatments.
I hope this helps.