How soon after moh surgery can I treat spider veins on nose and what is method? (photo)

Question

After Moh surgery for BCC with flap, I got loads of spider veins on my nose, where I had the surgery. How soon after surgery can I treat the veins. Plus which is better IPL or Veinwave or Iridex 940 etc? Thanks.

J. Timothy Katzen, MD, FACS · Answer

Thank
you moh2014 for your question. Based on your history, photo, and without a
physical examination, I would suggest that you can undergo laser procedure to
the nose 6-8 weeks after your moh  procedure. This will allow the nose time to
heal from the procedure. As far as the laser of choice, this is somewhat
surgeon dependent. I have had very good results on different patients with all
of the lasers that you have mentioned. I would go to a surgeon that is
comfortable treating these veins with the appropriate laser.

If you
have any questions feel free to contact my office. Good luck.

Sincerely,

J.
Timothy Katzen, M.D.

Jason Emer, MD · Answer

For this i would use a combination of pulsed dye laser or Excel V (which also helps scars and vessels) with fraxel (helps scars and increases collagen).  I suggest going to a laser expert for this.  Best, Dr. Emer.

Hratch Karamanoukian, MD, FACS · Answer

Laser would be a great option but you should wait at least six months since you had a local flap reconstruction after resection of the basal cell carcinoma to allow for optimal healing to occur and 'inflammation' from scar revision to be complete. The body reconstructs and rebuild scars internally with collagen 'remodeling' for 6 months after surgery, injury, cuts ...

Richard Ort, MD · Answer

I use the pulsed dye laser routinely to reduce redness and spider veins within scars.  The exact time to treat should be determined by your doctor but I don't believe that it's necessary to wait six months.  I like the Iridex 940 laser but it works better for red purple spider veins than for bright red ones.  My go-to laser for scars after surgery is the pulsed dye laser.

John Landi, MD · Answer

Nasal veins can be treated by many methods very well including laser, IPl, micro needle radio frequency and sometimes even sclerotherapy.  The method used depends on the kinds of nasal veins and the experience of the treating physician.  Since you have had a flap closure, I would prefer to wait to at lease the 6 months post  before treating those veins.

How soon after moh surgery can I treat spider veins on nose and what is method? (photo)

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