Conditions · Redness & Vessels

Facial Thread Veins

Telangiectasias are permanently dilated small blood vessels visible at the skin surface. They are vessels, not pigment — which changes everything about how they are treated.

Mechanism

What is actually happening

Dilated capillaries and venules in the superficial dermis, commonly on the nose, cheeks and around the nostrils. They do not blanch away permanently and do not resolve on their own.

The distinction

How it is told apart

Pigment absorbs different wavelengths from haemoglobin. A device set for brown spots will not close a vessel, and treating vessels as though they were pigment wastes sessions.

Assessment

What is established first

Vessel calibre, distribution, whether there is a background of rosacea or photodamage, and any history of topical steroid use.

Approach

What is typically done

Vascular-selective wavelengths absorbed by haemoglobin. Vessel size influences which settings are appropriate — fine vessels and larger ones do not respond identically.

When treatment waits

When it is deferred

Widespread or sudden telangiectasia, or vessels alongside other systemic signs, is assessed rather than treated cosmetically.

Frequently asked

What is facial thread veins?

Telangiectasias are permanently dilated small blood vessels visible at the skin surface. They are vessels, not pigment — which changes everything about how they are treated.

How is facial thread veins told apart from similar conditions?

Pigment absorbs different wavelengths from haemoglobin. A device set for brown spots will not close a vessel, and treating vessels as though they were pigment wastes sessions.

What is assessed before treating facial thread veins?

Vessel calibre, distribution, whether there is a background of rosacea or photodamage, and any history of topical steroid use.

When is treatment deferred?

Widespread or sudden telangiectasia, or vessels alongside other systemic signs, is assessed rather than treated cosmetically.

Have this assessed

Every assessment is carried out personally by Dr Sin Yong, Medical Director. 9 Scotts Road, #12-01 Pacific Plaza.

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