Red spots and little broken capillaries. How can I treat them? (Photo)

Question

Hi, after a nose filler, I notice that on my nose there are some red spots with broken capillaries. How can I treat them? I tired retinol serum to reduce their appearance but it doesn't work.

Raffy Karamanoukian, MD, FACS · Answer

Our office has many different treatments for scars depending on the depth of atrophy or hypertrophy. Scars require a combination approach using our HI DEF protocol which uses a combination of lasers, topical scar modulation, and RF treatments to pixelate scars, improve contour, reduce hyperpigmentation, and improve the visibility of the scars so that they are no longer visible in ambient light. Everyone has a unique pattern of scarring and we employ our HIDEF technique to improve texture, color, contour, and topography. We often use a combination of treatments that begin with a careful examination to examine the micro texturing of the acne scars. Atrophic scars and indented  scars can benefit from injectable fillers such as Radiesse, Sculptra, and Restylane with or without subcision to remove tethered scars and atrophic depression. Hyper-redness in scars can be improved with V beam laser, Excel V, BBL, IPL, and Venus RF to improve  the redness and reduce the visibility of deep scars. Fractional Thulium laser and clear & brilliant can also reduce the inflammation and redness of the scar when combined with topical therapy. Fractional lasers such as Fraxel, erbium, and CO2 laser can be combined with radio frequency and also fractional RF to improve textual issues and microtopography. Subcision and TCA cross are also used for deep ice pick scars and narrow valley scars in order to improve the micro texture.  Above all, our combination approach with our clinical nurses and board-certified plastic surgeons can improve the quality of your skin by using at home Melarase creams combined with PRP treatments in our office to improve your skin quality and tone. I recommend getting a formal evaluation with an experienced team of experts in order to reduce your scarring.
 
Finally, hyperpigmentation of scars can be improved with at-home Melarase AM, Melarase PM, and Melapads to help reduce active PIH and melanin deposition.

Best, 
Dr. Karamanoukian
Realself100 Surgeon

Paul Flashner, MD · Answer

Hello! Thank you for your question! It's a bit hard to tell your skin type by the photo, however IPL treatments would give best results to eliminate the broken capillaries and redness. If you are a candidate based on your skin type I would recommend doing 3 treatments of IPL 4 weeks apart.

Ioannis P. Glavas, MD, FACS · Answer

Broken capillaries and fine blood vessels sometimes appearing on the skin due to chronic irritation such as sun exposure, mechanical irritation, and many other reasons. Intense pulsed light he is a well-established technology that safely and with no or minimal downtime can treat those capillaries very safely and with great results. Depending on your skin tone and the amount of capillaries, multiple treatments are recommended. The benefit of this treatment is that you have minimal or no downtime and is very safe in the hands of an experienced provider.

Jason Emer, MD · Answer

​The best treatments for capillary issues are vascular lasers such as pulsed dye laser, Excel V, Aerolase, Venus Versa IPL, Laser Genesis or Yellow laser. The settings are determined on a per case basis, so it is best to consult with an expert to determine what will work best for you. We often combine vascular lasers with non-ablative fractional lasers such as Clear + Brilliant or Venus Viva for better results. I would suggest seeing a cosmetic dermatologist for a formal evaluation. Best, Dr. Emer.​

David S. Rosenberg, MD · Answer

i would suggest trying IPL for the redness and the broken capillaries around your nostrils, it should help but they will return.  They are like grey hair, it keeps coming back

Red spots and little broken capillaries. How can I treat them? (Photo)

Answers (6)

Answer: Broken Capillaries/Redness - Vascular Lasers (Yellow, Excel V, VBeam, Aerolase, Venus Versa IPL) + Clear+Brilliant, Venus Viva

Answer: Broken Capillaries/Redness - Vascular Lasers (Yellow, Excel V, VBeam, Aerolase, Venus Versa IPL) + Clear+Brilliant, Venus Viva

Answer: Redness and capillaries

Answer: Redness and capillaries

Recommended reading

Everything you need to know about IPL

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

Red spots and little broken capillaries. How can I treat them? (Photo)

Answers (6)

Answer: Broken Capillaries/Redness - Vascular Lasers (Yellow, Excel V, VBeam, Aerolase, Venus Versa IPL) + Clear+Brilliant, Venus Viva

Answer: Broken Capillaries/Redness - Vascular Lasers (Yellow, Excel V, VBeam, Aerolase, Venus Versa IPL) + Clear+Brilliant, Venus Viva

Answer: Redness and capillaries

Answer: Redness and capillaries

Browse related questions

Recommended reading

Everything you need to know about IPL

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