Lasers Not Working for Broken Nostril and Chin Capillaries - What Next?

Question

I have broken capillaries around my nostrils and under my chin. I have had several different types of laser treatments, including the JAG, but nothing really works. Typically, the vessels disappear for a week or two and then come back. Recently, I have tried again with laser treatments for this condition (same doc as before), but I think they may actually be getting worse. I am frustrated to see laser treatments for facial telangiectasias universally touted as a fail-safe treatment. What do you suggest for someone who has tried this without success?

Raffy Karamanoukian, MD, FACS · Answer

I would attempt the pulse dye laser for these fine capillaries. Multi modality laser therapy sometimes works as well.  I have used the pulse dye laser with enormous success.

Hratch Karamanoukian, MD, FACS · Answer

It is commonly observed that repeat laser therapy is needed for telangiectasias on the chin and nares. The face is a very vascular area and laser therapy must be repeated regularly until they are eliminated.

Martie Gidon, MD, FRCPC, FAAD · Answer

I agree with the comments below. Various lasers may be required to give you a good result; however, some veins tend to be very stubborn and can recur after treatment or never totally disappear. Maintenance treatments may be required.

Grant Stevens, MD · Answer

Greetings in Colorado~

	There are a number of effective treatments for the small vessels around the nose but two very important things to keep in mind- 1) a treatment and the laser or device being used is only as good as the person performing the procedure.  Experience counts. 2) these are treatments and unfortunately not cures....there will always be maintenance involved.  Telangiectasias on the nose and cheeks can be resilient.  In addition to Nd:YAG laser, there are PDL (Pulsed Dye Lasers), IPL (Intense Pulsed Light), Radiofrequency, KTP, Electrocautery, Veinwave.... many options.  Don't be discouraged but do look for someone with good experience in treating facial vessels.

	Good luck~

	Dr. Grant Stevens

Darryl J. Blinski, MD · Answer

I agree with Dr. Mandy, find a laser treatment specialist using ALL the available lasers. This give you and the doctor options. for a great result.
From MIAMI Dr. B

Lasers Not Working for Broken Nostril and Chin Capillaries - What Next?

Answers (8)