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• Broken Blood Vessels (Telangiectasias)

(Visible enlarged facial capillaries and small surface blood vessels)

What Are Broken Blood Vessels (Telangiectasias)?

Telangiectasias are tiny enlarged blood vessels located near the surface of the skin. They are commonly called:

  • Broken blood vessels
  • Broken capillaries
  • Facial veins
  • Spider veins on the face

They often appear as:

  • Thin red lines
  • Web-like vessels
  • Persistent redness

Common areas include:

  • Nose
  • Cheeks
  • Chin
  • Around the nostrils

What Causes Broken Blood Vessels?

Several factors may contribute, including:

  • Sun damage
  • Rosacea
  • Aging
  • Fair skin
  • Genetics
  • Repeated facial flushing
  • Steroid overuse on the face
  • Chronic irritation or inflammation

Some people develop them gradually over time without a clear trigger.

Are Telangiectasias Dangerous?

Usually no.
They are generally harmless but may become cosmetically bothersome or associated with rosacea and facial redness.


How Are Broken Blood Vessels Treated?

Common treatment options:
  • Pulsed Dye Laser (PDL)
  • Vascular laser treatments
  • IPL (Intense Pulsed Light) for selected patients
  • Treatment of underlying rosacea if present

Laser and light devices target blood vessels while minimizing injury to surrounding skin.

What to Expect During Treatment

  1. The skin is cleansed
  2. Protective eyewear is provided
  3. Laser or light pulses are applied
  4. Cooling may be used for comfort
  5. Treatment usually takes about 15–30 minutes

Most patients describe treatment as:

  • Mild snapping sensation
  • Warmth
  • Temporary stinging

When Will I See Results?

  • Some vessels fade quickly
  • Others improve gradually over several weeks
  • Multiple sessions are often recommended for best cosmetic results

Smaller vessels usually respond faster than larger or deeper vessels.

Pre-Op Instructions

(Before laser or light treatment)

2–4 weeks before
  • Avoid tanning and excessive sun exposure
  • Use broad-spectrum sunscreen daily
  • Avoid self-tanners
1 week before
  • Avoid irritating skincare products
  • Tell us if you:
    • Bruise easily
    • Take blood thinners
    • Have active infection or rash
    • Have a history of pigment changes
Day of treatment
  • Arrive with clean skin
  • Avoid makeup, lotions, or sunscreen on treatment areas

Post-Op Instructions

(After treatment)

What’s normal
  • Mild redness
  • Temporary swelling
  • Slight darkening of vessels
  • Mild warmth or sensitivity

Some patients may develop temporary bruising.

Aftercare
  • Use gentle skincare products
  • Apply sunscreen daily
  • Avoid excessive heat, saunas, hot tubs, and strenuous exercise for 24–48 hours
  • Avoid scrubbing or picking treated skin
Call the office if
  • Blistering develops
  • Significant swelling occurs
  • You notice signs of infection
  • Pigment changes worsen significantly

Frequently Asked Questions

Can Broken Blood Vessels Return?

Treated vessels usually do not return, but new vessels can form over time, especially with:

  • Continued sun exposure
  • Rosacea
  • Chronic flushing

Maintenance treatments may occasionally be helpful.

Not exactly. Rosacea can cause telangiectasias, but not all telangiectasias are due to rosacea.

Topical products may reduce redness, but visible vessels often require laser or light treatments for significant improvement.

Most patients tolerate treatment well. Discomfort is usually brief and mild.

Many patients benefit from 1–3 sessions, though some require additional treatments.

Treatment is often considered cosmetic, though coverage may vary depending on symptoms and diagnosis.

Yes. Sun damage is a major contributor to broken facial blood vessels.

Sun protection, rosacea management, and avoiding excessive facial irritation may help reduce new vessel formation.