Facial veins are treated with different modalities depending on their size and location. The most common veins are small red veins on the cheeks and around the nose. Sometimes the veins around the nose are slightly larger and blue in color. These veins are similar to spider veins on the legs. They are usually no more than 1 mm in size and most are red. Larger blue/green veins (reticular veins) occur under the eye, temporal region or side of the face.
Facial spider veins in most cases are the results of sun exposure although environmental, hereditary, and hormonal factors may be present.
The complications after treatment are minimal and usually consist of mild skin redness, bruising, or very tiny areas of skin crusts that disappear quickly. During treatment, you should avoid sun exposure. Sunscreen or sunblock should be used even during the winter. Veins secondary to sun exposure can reoccur.
1064 laser is sometimes used to treat veins under the eye (suborbital) or on the face. This may require multiple treatments to be effective.
Lasers of 940 and 532 wavelengths target the smaller red and blue vessels on the cheeks, nose or chin.
When veins are larger, greater than 2-3 mm or on the forehead, then a microphlebectomy (Very small incisions to remove the vein) may be considered to treat the vein.
The VeinGogh delivers a small microburst of energry into the vein with a tiny needle. This device is excellent for the small red veins on the nose and cheek area. These veins are usually the result of prolonged sun exposure and the most common type of vein that we see.
Foam sclerotherapy properly done is a very safe treatment for all facial veins. A knowledge of the anatomy of the facial veins is essential in performing this procedure. Complications are rarely reported.