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What is the best way to remove tiny veins and capillaries around the nose?
Spider veins and capillaries around the nose are usually well treated by use of a LASER in one or two sessions.
I find the best way to treat spider veins along the ala or "sides" of the nose is using light cautery or hyfercation. Basically this is done as a local procedure where a small amount of heat is conducted onto a very small needle (usually a 30 gauge needle) and this will obliterate these veins without leaving a scar.
Laser seems to be the best way to go.
The ideal treatment for 'spider veins' and rosacea should be easily administered, safe for the patient, reliably effective, should not require an excessive number of treatments, should be non-invasive, and should not have a prolonged recovery period.
Here's the good news: such a vein treatment does exist. The V-Beam Laser, a pulsed-dye laser developed specifically for the treatment of cutaneous vascular disorders, can completely eliminate most facial 'spider veins', usually in two to three treatments (large areas of long-standing spider veins may require more treatments), and can reverse the cutaneous manifestations of rosacea as well. In addition, the laser energy pulse delivered by the V-beam has been modified to limit the development of post-treatment bruising (purpura), a problem associated with older pulsed-dye lasers.
The V-Beam laser uses light energy of a wavelength that is specifically absorbed by structures which are reddish or purple in color, i.e. capillaries and small arteries and veins. The V-beam incorporates a Dynamic Cooling Device which sprays the skin with a cooling agent immediately before every laser pulse. This advanced technology both protects the skin from thermal energy and reduces the discomfort previously associated with pulsed-dye laser treatment. The laser pulses are generally described by patients as feeling like 'a rubber band snapping against the skin'. No anesthesia (topical or otherwise) is required.