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Cosmetic Treatments for Telangiectasias

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Telangiectasias are tiny broken blood vessels and capillaries that are visible on the surface of the skin. This skin condition frequently occurs on the face, thighs, and legs. The affected vessels may appear red or purplish and be matted or star-shaped. Although telangiectasias is not life-threatening, the vessels may become more noticeable and spread to include larger patches of skin if left untreated.

Who Is at Risk for Telangiectasias?

Telangiectasias is most often seen in individuals prone to frequent blushing or flushing. The condition can also occur in those with rosacea, fair or sun-damaged skin, or who overuse topical steroid creams. Individuals who develop telangiectasias after using a topical corticosteroid should discontinue using the cream on the affected area. Telangiectasias can be exacerbated by excessive sun exposure. Using a high SPF sunscreen and wearing protective clothing while outdoors may help prevent this condition from worsening.

What Cosmetic Treatments Exist?

Telangiectasias will not resolve without some form of cosmetic treatment. In most cases, the appearance of the blood vessels and capillaries can be diminished with laser therapy. Broadband and intense pulsed light lasers are typically used to treat affected vessels on the cheeks, nose, forehead, neck, and chin along with widespread redness affecting other parts of the body. The larger blood vessels located deeper in the skin can “feed” the more superficial vessels and make treatment more difficult; however, pulsed-dye lasers are often effective at treating these more problematic vessels. Telangiectasias located on the legs and thighs may require additional treatment with sclerotherapy injections. These injections, which are relatively painless, seal off the affected blood vessels so that they gradually disappear in six to eight weeks.

Does the Treatment Have Any Side Effects?

The laser therapies used to treat telangiectasias are non-invasive and painless. The most common side effect is minor temporary bruising at the treatment site. Multiple treatments may be required to achieve maximum results.


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