Laser Treatment for Spider Veins on Nose?

Question

I had 4 IPL (with Starlux) treatments on my nose for spider veins, with no results. What laser would you recommend to get rid of these spider veins on the nose? Thank you.

William J. Hedden, MD · Answer

Cutera's Limelight with a combination of XEO Coolglide will absolutely improve and take away these broken capillaries that are so common. The treatment takes only a few minutes. There is no real downtime except for mild redness that lasts only a couple hours. Most patients with broken capillaries around the nose will usually have a few more on the cheeks or chin, and can be treated at the same. Also, most people don't realize that those annoying "red moles" or angiomas can be treated wtih the same laser.

Sonia Badreshia-Bansal, MD · Answer

We have had great results with the Cutera Coolglide, Limelight, the 532 KTP, and the Vbeam. In the right hands, all of the above do a good job.

Dennis Gross, MD · Answer

The GentleMax Pro® system delivers an effective and minimally invasive laser treatment to eradicate unsightly spider veins and varicose veins. The Candela GentleMax Pro® laser offers safer, faster, and more effective treatment than other equipment on the market, and it can provide patients with smoother, more youthful-looking skin in no time.

Margaret Weiss, MD · Answer

In addition to IPL treatment, there are several lasers which may work to address blood vessels on the face. For example, the V-Beam pulsed dye laser and Alexandrite lasers can treat spider veins. Each laser device has a different wavelength, platform and delivery method. The best course of treatment can be determined after an in person consultation. The Cutera XLV Laser also has a 532 nm wavelength that is very helpful with facial spider veins.  Keep in mind that nasal blood vessels are among the most difficult to successfully treat, as the tendency of the nose to flush contributes to re-opening these vessels.  Also, one should avoid overly-vigorous treatment as there is a risk of leaving a linear indentation that is harder to cover than the vein. Treatment methods can vary based on the nature of the spider veins, skin tone, and other factors that can affect the treatment.

Hratch Karamanoukian, MD, FACS · Answer

There is a myriad of laser systems that are effective in treating spider veins on the face. If they are too large for laser therapy, then a phlebologist, vein specialist, can make tiny puncture wounds and remove them. Caution should be exercised in certain parts of the face when sclerosant solutions are injected for risk of embolization injury and damage to neural structures and vision. Consult a dermatologist with experience in this area or a phlebologist for optimal care.

Bryan K. Chen, MD · Answer

There are several lasers that may work for blood vessels on the face that are refractory to the IPL.  These include:
1. Pulsed dye laser (v-beam)
2. Long-pulsed Nd:YAG laser
3. KTP 532 nm laser
4. Alexandrite laser
5. Diode laser (810 nm)
For larger blood vessels, the longer wavelength lasers such as the long-pulsed Nd:YAG may work better; otherwise, the V-beam pulsed-dye laser is excellent in general for vascular lesions.
Furthermore, if these blood vessels continue to be refractory, if they are large enough for injection, they can also be treated with sclerotherapy.
Good luck.

Laser Treatment for Spider Veins on Nose?

Answers (6)

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