Stubborn Thread Veins on Nose

; Have Tried Nd:YAG Fotona XP Laser, and Veinwave (VW)  I had conspicuous spider veins on my ear removed, and at the same time had the specialist remove a thread vein on the side of my nose with the laser. Results on my ear were great, but treatment of nose caused atrophic scarring, as well as more thread veins. Few months later I had VW that worked well (to correct side effects of laser, but didn't last long; no scarring). Went to another VW MD, and it left small scarring on nose. Permanent scarring? I thought VW was permanent? Is PDL better? Thx

Doctor Answers 4

Vein Treatment

The Candela VBeam is very good, as is the 532 KTP, and IPL provided your skin can tolerate it. Thank you for your question and good luck with everything.

Danville Plastic Surgeon
4.9 out of 5 stars 26 reviews

Treatment of stubborn veins on the nose isn't cure

Greetings anonok~

Unfortunately, regardless of the method of treatment (PDL, YAG, VeinWave, IPL, KTP) you choose for the small veins on the nose it is treatment and NOT cure. Any of these treatments also risk side effects like scarring.  The vessels will come back...sometimes quickly, sometimes slowly.  Most patients can expect to have maintenance treatment every 6 months or so.  It's a stubborn area for certain.  


Hope this helps.

Good luck

Dr. Grant Stevens     

Grant Stevens, MD
Los Angeles Plastic Surgeon
4.7 out of 5 stars 145 reviews

Thread veins on the nose

I agree that this is a very vascular area and no matter what technique is used, realistic expectations should be given to the patient at the outset of treament, reminding them they are likely to recur and very likely that they will need multiple treatments, whether it is laser, IPL or very very rarely, sclerotherapy. It is rather painful area to inject on the nares. 

Hratch Karamanoukian, MD, FACS
Buffalo Phlebologist
4.8 out of 5 stars 41 reviews

Nose veins

veinwave usually works. sometimes it does take a few treatments if red veins are really large. sometimes increase in strength is needed but this could scar.


Timothy Mountcastle, MD
Ashburn Plastic Surgeon
4.3 out of 5 stars 29 reviews

These answers are for educational purposes and should not be relied upon as a substitute for medical advice you may receive from your physician. If you have a medical emergency, please call 911. These answers do not constitute or initiate a patient/doctor relationship.