EXPERT Q&A

Q: Which laser treatment can get rid of broken blood vessels on my face? There are some tiny vessels near my eyes and some bigger ones on my cheeks. Are these removable with the same laser or do I need multiple appointments?

What our experts say:

You can typically treat those in the same appointment and the best lasers for those are called pulse dye lasers. I think the Synergy is a good one because it has the ability to treat multiple size vessels all on the same visit with the same laser. Typically the treatment takes a few minutes to do and afterward people look a little bit pink for maybe an hour or so but after that there’s really no downtime. You can go right back to your regular activities. To get the right response we usually will do anywhere between three and five in a row, roughly at six week intervals. It doesn’t really hurt either, it’s just a little snappy, like the snapping of a rubber band but it’s quick and doesn’t require pain control.

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Drs. Tina Alster, Rebecca Kazin & Brenda L. Pellicane

Dermatologist

Washington, District of Columbia

Treating the capillaries can be done with a laser or with intense pulse light, IPL, but the advantage of a laser is that it specifically targets the red pigmented blood, so it seeks out the blood vessels specifically. There are several lasers that are out there. I use the one by Iridex, called the Gemini laser, it's actually a long pulsed ND:Yag. I think it works beautifully, and depending on the amount of capillaries, or blood vessels that somebody has, it can be treated in one treatment. It's important to realize that although the vessels will appear to disappear, the body has to break them down and absorb the pigments and that's why you need at least four to six weeks to see whether or not a laser has been effective in removing those.

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Dr. Vivian Bucay

Dermatologist

San Antonio, Texas

The Vbeam® pulsed dye laser is excellent for treating broken capillaries and any other vascular lesions, whether they are tiny capillaries or larger ones. Usually several treatments are required, and I normally space them four to six weeks apart for my patients. 
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Dr. Marina Peredo

Dermatologist

New York City, New York

 

The Vbeam Perfecta, is the most accurate and most reliable laser for blood vessels with best chance of treating completely at one visit. It is also the LEAST likley to leave any residual mark or scar, compared to other lasers.  The Vbeam is also safer for use around the eye compared to other lasers but caution is still advised in that area.  The Vbeam is the most painless laser as no anesthesia is needed.  The wide range of energy settings on this laser allow it to treat everything from very tiny to quite large vessels. 

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Dr. Bernard Raskin

Dermatologist

Valencia, California

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