I have spider veins on my nose, is laser treatment the best, are is there cream you can use?

There are creams that keep veins healthy and I recommend Omega Vein Cream. However, the creams DO NOT take away veins, they promote healthy vein valves. I also recommend citrus bioflavonoids and Diosmin and the formula I recommend as an oral supplement is Varicosamin. 

The treatment of nasal veins depends on their size.  Larger veins can be treated by sclerotherapy and smaller veins can be treated by laser, IPL or radio frequency.  I often use a combination of treatments for the veins. Topical creams in general do not work well.