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Thank you for your question. There can be the appearance of more veins on the nose due to the exfoliating effect of tretinoin, but vessel appearance should be minimal. Treat them with a V-Beam if they bother you. Be sure to be under the supervision of a board certified dermatologist or plastic surgeon with expertise in laser surgery for the best and safest results. I hope this helps.
Chronic inflammation can induce transient telangiectasia around the nose. These small spider veins are best treated with laser vein therapy. I have four lasers in my office that treat spider veins on the nose. They are frequently resilient and may return after treatment. Raffy Karamanoukian
Although in theory tretinoin could make such veins more visible, it is not likely that it would induce their formation. The appearance of the telangiectasias is inflammation in the skin. We have 3 lasers and two types of IPL devices to treat telangiectasias of the face.
I use a foam sclerotherapy technique and it is quite effective. Since this is a 'high washout' area, repeat sessions may be necessary. Expect to pay $800 - 1000 per session.
These are called temporal veins, forehead veins or periorbital veins and can be treated by lasers if small, sclerotherapy effectively or sometimes RF technology. We routinely treat such veins in our medical office. The largest of these veins may occasionally need microphlebectomy or...
There is no need for doxycycline or any antibiotic when undergoing sclerotherapy since sclerotherapy is considered a clean procedure. In fact, cyclines may increase the risk of staining following sclerotherapy.