What is the best way to get rid of telangiectasia? (Photo)

Your photo suggests that you have Rosacea - Since treatment for Rosacea often includes Vbeam or other vascular laser (pulsed dye laser), it is an appropriate recommendation.If your dermatologist diagnosed Rosacea, then there are additional management tools to help prevent further accumulation of broken and enlarged veins on your nose and other areas. Lifestyle, diet and medications make a big difference.As for VeinWave, it is not a laser but does claim to coagulate spider veins. I can't provide more on this because it's not equipment we have used.

Thank you for your question. Laser treatments work well for vascular lessions in most cases. Consult with a Board Certified Plastic Surgeons office for the treatment that is best for you.

In my opinion, the best method to treat telangiectasia on the nose, cheeks or face is with a pulsed dye laser (PDL).  

In my experience, PDL is a safe, effective way to lessen the appearance of these vessels.  You may experience some bruising after this treatment, but pain is minimal and the treatment only takes a few minutes.  You will need to be sure you apply sun screen diligently for at least two weeks after your laser treatment to avoid hyperpigmentation.  Best of luck!

A vascular laser works best. My choice is the V BEAM pulse dye laser, however for resistant vessels I use a 755 ALEX or for really deep and persistent ones I use the 1064 long pulse. If one has a KTP 532nm that will do the trick as well. The surrounding redness is suggestive of rosacea, so I would opt for the pulse dye laser in a different setting to the vein removal. You will notice an improvement with one session, however 2-3 sessions spaced 3-4 weeks apart is ideal. all the bestDr Davin Lim