Best treatment for Telangiectasis after rhinoplasty/septoplasty? Looking into VeinGogh, Vbeam, IPL, etc.

It is quite possible to reduce and even eliminate some facial blood vessels with the use of non-bruising settings on the V-beam laser. Some vessels though are wider in diameter than others and may require some bruising for the Vbeam laser to be effective. The bruise lasts ten or more days but as there is no open wound, concealer, tinted sunblock and/or makeup can be used to hide the bruise. In most cases I perform a series of few monthly treatments, gently lasering vessels gradually increasing the settings to avoid starting off  too strongly. This is the same safe laser we use on babies' faces who have been born with port wine stain birthmarks. So if it is safe on a baby's face, we know it can be used on the skin of an adult nose even after rhinoplasty (nose job). I have treated many patients referred to me by plastic surgeons for this situation with good results over the 27 years of having the Vbeam laser and its pulsed dye laser predecessors.  The information provided in Dr. Shelton's answer is for educational purposes only and is not intended to constitute medical advice.  The information provided should not be relied upon as a substitute for consultations with a qualified health professional who may be familiar with your individual medical needs. If 

In my experience VBeam is the better option. It is gold standard for vascular lesion destruction. It usually causes some swelling and depending on the settings can cause bruising. IPL is also a great treatment option though, and would probably be less expensive,but would take more treatments. Avoid VeinGogh it tends to cause scarring with what I have seen.

The V-Beam is the gold standard for treating telangiectasis.  I have used IPL but do not find the results as good as with the V-Beam.  It takes multiple treatments to help reduce these broken blood vessels.  Please consult an expert in V-Beam to have the best results.  Best, Dr. Green

Thank you for your questions and pictures! The Vbeam vascular laser targets red pigment, it can be used both for red scars and for telangiectasia. I recommend seeing a board certified plastic surgeon in person to go over your options and see what treatment would be right for you.

I would recommend VBeam OR sclerotherapy. The others do not have the right wavelength or target to hit these tiny veins and capillaries correctly - they merely send the vein into spasm so it disappears only to reappear later. I have all the devices you're talking about, and if you came to my office I'd suggest either of these without question. "This answer has been solicited without seeing this patient and cannot be held as true medical advice, but only opinion. Seek in-person treatment with a trained medical professional for appropriate care."