Broken Capillaries and Spider Veins Around the Nose
Doctor Answers 22
Sclerotherapy is the gold standard for vein removal. The...
Sclerotherapy is the gold standard for vein removal. The sclerosant [injectable irritant] causes damage to the cells that line the blood vessel and the subsequent fibrosis seals it shut.
Lasers can work by heating and damaging the vessels, but in several comparison studies, sclerotherapy worked better, faster, with fewer sessions making it less expensive. In my experience, lasers also hurt more.
Broken Capillaries & Spider Veins around the nose
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Nose Broken Capillaries and Spider Veins
Spider veins of the nose
Spider veins of the face can be difficult to treat,. Agree with topical laser therapy and Intense Pulsed Light therapy IPL as described. Would not use sclerotherapy for facial veins--the risks are too high. Our practice has experience with combination laser, IPL and micro electtrocautery therapy for facial veins. Electrocautery or micro cautery is very helpful to coagulate very small facial veins. [See Veinwave as a brand of micro electrocautery]. The technique involves very small electric currents transmitted to the vessel by fine wire cautery tips--the kind used to complete electrolysis for hair reduction. The fine wires are pressed to the surface of the skin. Electric currents are applied. Sometimes the vessel will coagulate as the electric current will travel down the flow of blood by the path of least resistance. Other times, the fine wire tip will actually puncture the skin to allow the tip contact with the vessel and blood flowing in the vessel. Here is where the problems occur with darker skin types. Collateral damage. The electrocautery seals the vessel by coagulation, the surrounding skin also sustains coagulation--tissue damage. Pigmentation changes can occur. Patients with dark skin colorations can have hypopigmentation [white spots] or hyperpigmentation [dark brown/black spots] at each of the skin electrocautery contact points. Multiple treatment sessions maybe needed for best cosmetic effect.. Eye shields are a MUST during treatment..
Most cosmetic surgeons who deal with facial veins would recommend a few test spots with a 2-3 month time interval to see how your skin would react to micro coagulation. Formal consultation is needed to determine your specific skin type and for skin testing prior to therapy for spider veins of the face..
Telangiectasias on nose best treated with Pulsed Dye Laser
While the other physicians in this forum are correct that spider veins can be treated with lasers and sclerotherapy, your question specifically ask about veins on the nose. We generally refer to these as telangiectasia and they are best treated with a laser. In general, I try to stay away from sclerotherapy on the facial areas due to the risk of complications. Telangiectases on the face are relatively uniform in size and depth and lasers can effectively eliminate these. My favorite is Pulsed Dye Laser, which is a 595nm laser that targets the blood in the blood vessels. You may have some temporary bruising to the area that last 1 week and it may require several treatments.
Current laser technology is very effective for treating...
Current laser technology is very effective for treating spider veins on the face and legs. The Nd-YAG laser is my preferred laser for this. It is effective, quick and relatively less painful than the injections used in the past. If you also have varicose veins in addition to spider veins, these usually need to be removed by a vascular surgeon prior to treating the spider veins, otherwise the laser won’t be as effective.
Red facial veins can often be treated effectively with IPL or PDL.
Veins Around the Nose
Hope this helps and take care,