Best Treatment for Broken Capillaries on Nose?

Question

What is the best treatment for persistent broken capillaries on nose? I have tried IPL, Diolite, etc.  Help!

Richard H. Tholen, MD, FACS · Answer

If the vessels you are talking about are on the nasal alae (the side of the nose where it meets the cheek and upper lip), these are arterial capillaries, and quite difficult to eradicate. The best way to eliminate them (if they are big enough to stick with a 30-gauge needle), is via sclerotherapy using 1% sotradecol, 3% Polidocanol, or hypertonic saline--this is quite uncomfortable but usually works in one session. The next best way is with a cat's whisker electrocautery--this technique can leave tiny puncture scars are the entry site for the tiny electrical wire, but usually works in one session. The only other technique (and third on the list) that I would recommend for these vessels is KTP laser, but even this technique can take more than one session, can yield slight depressions (scars) where the vessels are sealed shut, and hurts a bit also.

	For these high-flow nasal ala vessels, pulsed dye laser, V-beam laser, IPL, and other laser wavelengths are basically of little value. You can "pound" these vessels with multiple sessions and high powers, but at what cost, downtime, and benefit? Why not just use a hot poker?

	For the tiny capillaries elsewhere on the nasal skin (such as seen with Rosacea), these are not "broken," but they are dilated venous capillaries that respond well to pulsed dye laser, V-beam laser, or IPL if topical dermatologic medications are ineffective. Proper energies must be used, and experienced laser physicians are recommended.

Larry S. Nichter, MD, MS, FACS · Answer

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.

Gregory Turowski, MD, PhD, FACS · Answer

If you want to improve your skin tone, reduce spider veins or rosacea Palomar's IPL provides the most skin-safe, comfortable, and effective photofacials available, with little to no downtime. Depending on the severity of your condition, expect to get 3-5 treatments but it is worth it. You will get big improvement with the first treatment.

Dennis Gross, MD · Answer

The best and quickest way to treat broken capillaries on or around the nose is with the VBeam Laser. VBeam is the most advanced Pulsed Dye Laser Technology, VBeam treats red skin, broken blood vessels, rosacea, and birthmarks. This laser targets the selected area with an intense yet gentle burst of light. This laser is so safe that it’s used for the treatment of port wine stains on infants and young children. It also treats photoaging and sun damage with no downtime.

Hratch Karamanoukian, MD, FACS · Answer

These are common occurrences for men and women.They are treated with different modalities including long pulse KTP lasers. Remember that multiple treatments may be necessary as well as repeat treatments in the future.

Best Treatment for Broken Capillaries on Nose?

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Answer: Best treatment for broken capillaries on nose

Answer: Best treatment for broken capillaries on nose

Answer: Best treatment for broken capillaries on the nose

Answer: Best treatment for broken capillaries on the nose

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Everything you need to know about Sclerotherapy

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Best Treatment for Broken Capillaries on Nose?

Answers (8)

Answer: Best treatment for broken capillaries on nose

Answer: Best treatment for broken capillaries on nose

Answer: Best treatment for broken capillaries on the nose

Answer: Best treatment for broken capillaries on the nose

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Recommended reading

Everything you need to know about Sclerotherapy

Our mission is to create a world where every investment in modern beauty is Worth It.