What’s the best treatment for nose broken capillaries? (Photo)

Question

I have so much broken capillaries around my nose that it makes my nose looks more dull than already is . What’s the best laser to get rid of it? Thank you

Nelson Lee Novick, MD · Answer

The very fact that the question is phrased as "Which laser?" vs. Which Technique is best for "broken" capillaries around the nose shows the power of advertising, device manufacturer marketing and social influencers on public perception. Many decades before the expensive, supposedly "next big thing" lasers and other gizmos came on the scene, these kinds of capillaries ("broken blood vessels") were successfully treated quickly, easily and inexpensively using light electrodessication.  I have before and after photos to prove it. Without smoke and mirrors, the entire collection of cappilaries can typically be treated in a five to ten minute treatment session. You would be wise to consult with an experienced board certified cosmetic dermatologist and exercise a healthy dose of buyer beware when considering venues hawking the latest expensive device they have just purchased. Best of luck.

Raffy Karamanoukian, MD, FACS · Answer

Fractional laser is an amazing and highly effective treatment in our office. We use the laser treatment to help with acne scars, large pores, fine wrinkles, tissue collagen loss, scars, sebaceous hyperplasia, active acne, and for brightening dark pigmentation. Although there are very strong fractional lasers such as CO2 laser, we use lighter treatments for corrective skincare and maintenance of results. Our Thulium fractional laser, clear and brilliant laser, and Ultra Thulium laser are excellent options in our clinic. We also perform CO2 fractional and erbium depending on skin tone and tolerance for downtime. Patients do have to use a Melarase cream before and after treatment to help further reduce pigmentation after laser.  Melarase AM, Melarase PM, and Melapads can seriously improve surface sun damage and UV related pigmentation. Dark spots can improve with these treatments. I recommend fractional laser for incisional scars as well, especially after plastic surgery.  
Best,
Dr. Karamanoukian 
Realself100 Surgeon

What’s the best treatment for nose broken capillaries? (Photo)

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