Nose skin discoloured and veins broken - how can I treat this? (Photo)

Question

Hi. In April this year I had an unexplained and severe late onset inflammatory response to 6 year old nose filler that id had done to disguise a nose break. The worst of the swelling did subside by the end of may but the old nose filler was rock hard and twice the size. I had the filler dissolved on Friday 13th and my nose is back to normal size and shape which is fabulous as I'd always hated the filler and preferred the broken nose but was too nervous to get it dissolved. BUT I've now got another big problem in that I think the insane swelling from the late onset inflammatory response has broken my nose veins and also made my nose red. I could see broken veins before the dissolve, but the discoloration is since the dissolve. It looks awful and I just want this now nearly 3 month long ordeal to end! Please could someone tell me what I can do about this damaged skin on my nose and how long I should wait after the dissolving on 13th June. I know the veins won't resolve, but could the redness?

Raffy Karamanoukian, MD, FACS · Answer

Vbeam laser is an excellent modality for patients who have rosacea, blushing of the skin, facial and body telangiectasia, spider veins, redness, post surgical redness, and skin flushing. It is a safe procedure that can be used at varying depths to help treat micro blood vessels in the skin. We also use it in our office for facial skin inflammation, keloids, and hypertrophic scarring. It is an important part of scar therapy. Vbeam can be combined with chemical peels and other lasers, but experience with the treatment is essential. The Vbeam laser does not affect deeper tissue. Schedule a consultation with an expert in Vbeam and you will find it to be an excellent modality for many skin types. 
 
Best, 
Dr. Karamanoukian
Realself100 Surgeon

Anna Chacon, MD, FAAD · Answer

To address the issues of skin discoloration and broken veins on your nose following the inflammatory response and filler dissolution, consider the following treatment options:

Topical Treatments: Use topical creams containing ingredients like vitamin C, niacinamide, or azelaic acid, which can help reduce redness and improve skin tone over time.

Laser Therapy: Vascular lasers, such as pulsed dye laser (PDL) or intense pulsed light (IPL), can be effective in treating broken capillaries and reducing redness. These treatments target the blood vessels and can help improve the appearance of your skin.

Microneedling: This procedure can stimulate collagen production and improve skin texture and tone. It may help with the overall appearance of the skin, including redness.

Camouflage Makeup: In the interim, consider using green-tinted primers or concealers to neutralize redness and even out skin tone.

Sun Protection: Ensure you are using a broad-spectrum sunscreen daily to protect your skin and prevent further damage or discoloration.

Time: Some redness may naturally subside over time as your skin heals from the recent procedures.

It's important to monitor your skin's response to any treatments and adjust as necessary.

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