Spider Veins on Face

does sclerotherapy also get used to remove spider veins appearing on the face?

Doctor Answers 13

Sclerotherapy or laser for facia telangiectasias ?

I don't recommend sclerotherapy for facial telangiectasias as it is quite painful. It is more ideal for leg veins.

Lasers such as the 532 nm KTP pulsed dye or 1064 nm Nd YAG long pulse lasers are excellent for facial telangiectasias. 

Buffalo Phlebologist
4.8 out of 5 stars 41 reviews

Laser Vein Treatment Preferred for Face rather than sclerotherapy

For Broken Capillaries (telangiectasias) on the face there is a number of lasers that work well. Though IPL or BBL at the proper settings correct many there are also specialized laser such as the Diolite KTP laser, Sciton laser and Candella tuneable dye laser that work great for these problems. I do NOT recommend doing sclerotherapy around the nose as complications, some serious may occur in this area.

Larry S. Nichter, MD, MS, FACS
Orange County Plastic Surgeon
4.9 out of 5 stars 154 reviews

Spider veins on the face

I do not recommend sclerotherapy treatment for the face.  Instead, a good treatment option for this would be Intense Pulse Light laser.  

Sam Naficy, MD, FACS
Seattle Facial Plastic Surgeon
4.7 out of 5 stars 221 reviews

Spider veins on the face

Pulsed dye laser or intense pulsed light treatments can effectively remove spider veins on the face and is a much safer treatment than sclerotherapy.

Martie Gidon, MD, FRCPC
Toronto Dermatologist
5.0 out of 5 stars 22 reviews

Spider veins on the face

For spider veins on the face, I would recommend laser treatment or IPL rather than sclerotherapy.  For larger vessels as well as small spiders the Nd:YAG, KTP or Pulsed Dye lasers work well and for very diffuse redness or flushing IPL is a great alternative. 


Grant Stevens, MD
Los Angeles Plastic Surgeon
4.7 out of 5 stars 145 reviews

The treatment for facial veins or vasculature can depend on the size of the vessel

Some veins/vasculature are big and require laser. Often it just requires one or two treatments. Some veins/vasculature are very small and can be treated with IPL( intense pulse light).

If you have small veins/vasculature also have multiple brown spots and enlarged pore size then consider IPL as it treats those other concerns as well. Unlike the laser it will usually require a series of treatments to reach your endpoint.

Good Luck!


Robert F. Gray, MD, FACS

Robert F. Gray, MD, FACS
Bay Area Facial Plastic Surgeon
3.3 out of 5 stars 13 reviews

Sclerotherapy for facial veins

The most common way to treat facial veins is with laser, not sclerotherapy.

Facial blood vessels are often mistakenly referred to as "broken" blood vessels. These are actually very functional, just unnecessary and superficial veins that are unwanted. They are most commonly treated by laser treatment with the newer versions of the old Pulsed Dye Laser. These newer 595 nm. lasers are high energy of pure yellow light, one specific monochromatic wavelength that is absorbed by the red color of the blood cells in the blood vessels. The energy absorbed is then converted to heat which damages the internal lining of the blood vessel and the body then starts a process of dissolving the vessel. Usually this takes several monthly treatments. This newer technology does not create the immediate bruising usually that occurred with the older pulsed dye lasers.

Other treatments include the electrical needle coagulator (hyfrecator) , the KTp laser, radiofrequency, and broad-band light energy (IPL).

Sclerotherapy which is commonly done for leg vein injections, has a risk when done on facial veins. These veins, especially near the central face, do not have valves and connect back with important veins of the head including those of the eye's retina. Should the liquid sclerosant travel back to these vital veins, or a clot form and travel, then serious consequences could occur.

Large veins on the face, especially near the eye, can be surgically tied off.

Ronald Shelton, MD
Manhattan Dermatologic Surgeon
4.9 out of 5 stars 37 reviews

Spider veins on the face

Treatment of spider veins on the face is best achieved with lasers such as pulsed dye, KTP, or Nd:YAG lasers, Intense pulsed light (IPL), as well as hyfrecation. More than one treatment is often required and they can come back depending on the underlying condition (eg rosacea) if it is not properly treated. Sclerotherapy is often not used on the face due to risk of occluding vessels near the eyes.

Ritu Saini, MD
New York Dermatologic Surgeon
4.5 out of 5 stars 8 reviews

Treatment of spider veins on the face

Injection sclerotherapy should not be used for facial spider veins due to the risk of blindness. The vascular lasers including the pulsed-dye, Nd:YAG and IPL or hyfrecation for small telangiectasias are reasonable approaches, frequently requiring more than a single treatment session to achieve the desired results.

Good luck.,

Bryan K. Chen, MD
San Diego Dermatologist
5.0 out of 5 stars 5 reviews

Treatment for facial spider veins

Treatment for facial spider veins generally consists of laser treatments such as the KTP, ND:YAG or pulsed dye lasers that target the red in the vessels or purple or blue color in the larger veins of the face. IPL treatments which is intense pulsed light may also be used. Sclerotherapy is rarely used due to the risk of embolization or breakage of small particles into the veins around the eyes that can result in blindness. While this risk is small, I would prefer to treat with the laser or IPL since it is safer and less risky.

Scott Trimas, MD
Jacksonville Facial Plastic Surgeon
5.0 out of 5 stars 20 reviews

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.