Will Tretinoin Cause Permanent Spider Veins when Used on the Nose?

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.