Best laser for broken capillaries on cheeks for Asian? (Photos)

Question

Hi! I'm Chinese with a fair skin tone. I have a few broken capillaries on the sides of my mouth, both cheeks. I'm wondering what would be the best laser to minimize the appearance of these, without causing hyperpigmentation? How long would these treatments last for? Thank you!

Harold J. Kaplan, MD · Answer

Hello Intellectual.  You will not need 25  different treatments like another practitioner has suggested - Just one.  We use a long pulsed Nd:Yg (Yag) laser to treat small blood vessels like the ones in your photo.  1-2 visits will take care of the issue but veins are typically chronic and you will likely have to repeat the treatment at some point in the future.  The yag laser is for all skin types, even African American so will avoid the issue of hyperpigmentation you mentioned.

Raffy Karamanoukian, MD, FACS · Answer

Our office has many different treatments for scars depending on the depth of atrophy or hypertrophy. Scars require a combination approach using our HI DEF protocol which uses a combination of lasers, topical scar modulation, and RF treatments to pixelate scars, improve contour, reduce hyperpigmentation, and improve the visibility of the scars so that they are no longer visible in ambient light. Everyone has a unique pattern of scarring and we employ our HIDEF technique to improve texture, color, contour, and topography. We often use a combination of treatments that begin with a careful examination to examine the micro texturing of the acne scars. Atrophic scars and indented  scars can benefit from injectable fillers such as Radiesse, Sculptra, and Restylane with or without subcision to remove tethered scars and atrophic depression. Hyper-redness in scars can be improved with V beam laser, Excel V, BBL, IPL, and Venus RF to improve  the redness and reduce the visibility of deep scars. Fractional Thulium laser and clear & brilliant can also reduce the inflammation and redness of the scar when combined with topical therapy. Fractional lasers such as Fraxel, erbium, and CO2 laser can be combined with radio frequency and also fractional RF to improve textual issues and microtopography. Subcision and TCA cross are also used for deep ice pick scars and narrow valley scars in order to improve the micro texture.  Above all, our combination approach with our clinical nurses and board-certified plastic surgeons can improve the quality of your skin by using at home Melarase creams combined with PRP treatments in our office to improve your skin quality and tone. I recommend getting a formal evaluation with an experienced team of experts in order to reduce your scarring.
 
Finally, hyperpigmentation of scars can be improved with at-home Melarase AM, Melarase PM, and Melapads to help reduce active PIH and melanin deposition.

Best, 
Dr. Karamanoukian
Realself100 Surgeon

Elisa A. Burgess, MD · Answer

For our practice, we use the YAG laser for facial vessels regardless of skin type. It is a really safe laser to use in all skin types. It is possible that it may take several treatments and it is always possible that they may return. Make sure to go to an experienced practice in plastic surgery or dermatology.

Jason Emer, MD · Answer

these veins can be treated with vbeam, excel v or bbl. I suggest combining with peels at home and in office moxi or clear and brilliant treatments for your skintype that is best! we treat so many asian clients.
start at home dermarolling as well (see link).

at home peels like cosmelan, enlighten and aerify along with dermarolling (MTS roller with anteage MD ampules weekly, see link) should be started now to prevent further aging.

For facial rejuvenation,  I would suggest a combination approach of 
1) skin care with products and PRP/microneedling
2) PDT light therapy few times a month with growth factors
3) laser treatments like clear and brilliant regularly and a few times a year Fraxel/halo Viva, Co2/Erbium
4) Sculptra injections a few times a year for collagen production with fillers like juvederm/restylane/belotero/radiesse/bellafill
5) thermage/ultherapy for yearly skin tightening with or without PDO or cone based instalift threads for lifting
6) botox every 2-3 months to stop movement lines and prevent lines at rest
7) deep microneedling RF like Fractora/morpheus8 for tightening of the skin
8) Vascular laser like vbeam/excel V or BBL forever young treatment every quarter (3-4 months)

Best, Dr. Emer.

Best laser for broken capillaries on cheeks for Asian? (Photos)

Answers (4)

Answer: Facial Rejuv -- PRP/Microneedling, Laser (Fraxel/Halo/Co2), emeragecosmetics COSMELAN/ENLIGHTEN/EMERAGESKIN AERIFY

Answer: Facial Rejuv -- PRP/Microneedling, Laser (Fraxel/Halo/Co2), emeragecosmetics COSMELAN/ENLIGHTEN/EMERAGESKIN AERIFY

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Best laser for broken capillaries on cheeks for Asian? (Photos)

Answers (4)

Answer: Facial Rejuv -- PRP/Microneedling, Laser (Fraxel/Halo/Co2), emeragecosmetics COSMELAN/ENLIGHTEN/EMERAGESKIN AERIFY

Answer: Facial Rejuv -- PRP/Microneedling, Laser (Fraxel/Halo/Co2), emeragecosmetics COSMELAN/ENLIGHTEN/EMERAGESKIN AERIFY

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Recommended reading

Everything you need to know about IPL

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