What is the best treatment for stubborn spider veins on nose and redness around them? (photos)

Question

I have had several VeinWave treatments done over the years, as well as multiple Vasculite/Genesis. The Veins on my cheeks and top of the nose were removed/lessened, but those on sides of nose tend to just disappear for a couple of weeks, then reappear, and bring brand new ones with them (not to mention scarring and surrounding redness caused by treatments). They're very very stubborn. What treatment has the highest chance of success with these veins (and lowest chance of making it worse)?

Harold J. Kaplan, MD · Answer

Hi Blank.  The best technologies we have used (and we have used many) for small facial veins are the KTP laser (532 nm) and the long pulsed Yag (1064 nm).  These is not brands of lasers but rather types of lasers.  Both types of laser light (532, 1064) are highly absorbed by small, red facial veins and the technology usually gets rid of them in 1-2 treatment if it's being done by a skilled practitioner.  Currently, we use a long pulsed Yag laser (1064) the Sciton Profile, which is also used for leg veins.  This laser can also usually remove these veins in 1 treatment.  Finally, pulsed dye lasers (585 nm) are good for general redness, but have a more difficult time treating larger visible veins.Regardless of which device is chosen, we feel there are two important issues other than the technology.  The first is that the person doing the treatment is as important or more important.  You can be using the right laser, but if you do not know how to use it, the results will still be poor.  And second, veins are a recurring issue.  There is no permanent solution for the issue you have.  The key question is how long in between treatments it takes for them to recur.  That's different for everyone.The nose vein removal shown in the before and after pictures at the link below was completed using a long pulsed Nd:Yg laser, the Sciton Profile.

Hratch Karamanoukian, MD, FACS · Answer

In our vein centers in Buffalo Niagara, NY, we use two types of lasers for telangiectasias around the nares (nose).The laser technology that is ideal for the nares, which are quite vascular areas of the face are the  KTP laser (532 nm) and the long pulsed YAG (1064 nm) laser. Thermocoagulation also works for these veins. Less commonly used technology is RF and very rarely sclerotherapy as they are very small and the skinis thick here and quite painful and difficult to get into these veins.

John Landi, MD · Answer

There are many ways to treat these kinds of nasal viens including topical laser, sclerotherapy, VeinWave, VeinGogn, IPL and fine needlle radio frequency. My method of choice is called double injury and is a combination of sclerotherapy followed by fine needle radiofrequency. This technique works well but it does require around 3 cycles of treatments 3 weeks apart to be successful.

What is the best treatment for stubborn spider veins on nose and redness around them? (photos)

Answers (3)

Recommended reading

Everything you need to know about Sclerotherapy

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

What is the best treatment for stubborn spider veins on nose and redness around them? (photos)

Answers (3)

Browse related questions

Recommended reading

Everything you need to know about Sclerotherapy

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