Is it better to see a vascular surgeon or a dermatologist for broken capillaries?

The treatment of veins and the field of venous disease is rapidly expanding. A physician who is a diplomate of the American Board of Venous and Lymphatic medicine is fully qualified and dedicated to vein treatments.  I would recommend that you see some one with this certification.

The discipline of phlebology is the specialization for the treatment of venous disorders. Dermatologists, vascular surgeons, cardiovascular surgeons, plastic surgeons, interventional radiologists and other specialists take care of patients with spider veins, reticular veins and varicose veins.For example, I happen to be triple board certified - surgery (American Board of Surgery), cardiovascular surgery (American Board of Thoracic Surgery) and Phlebology (American Board of Venous and Lymphatic Medicine). I also have credentials from ARDMS for Registered Physician in Vascular Interpretations (RPVI) and for imaging with Doppler Ultrasound (Registered Vascular Technologist, RVT). It means I can also perform diagnostic ultrasound imaging during the care of patients with vascular issues and have the ability to interpret such exams. The # and type of specialists who deal with facial spider veins goes even larger and would include ophthalmologists, ENT physicians, oculoplastic surgeons ... and I have even seen 1 psychiatirst (believe it or not). Vascular surgeons are trained in arterial and venous disease but usually, limit their practice to stenting arterial disease and treating aneurysms. A certified phleblogist from the American Board of Venous and Lymphatic Medicine i(ABVLM) s a physician who has added specialization in taking care of spider veins, varicose veins, etc. I recommend that not only you see an ABVLM credentialed physician from the above list, but also one who has experience in doing sclerotherapy (different types of) and has wide expertise in the use of coasmetic lasers to deal with telangiectasias (spider veins) on the face, trunk, and lower extremities. Use the physician locator on the American College of Phlebology to find a physician who is suitable and do your research.