Permanently dilated blood vessels (telangiectasia) do not respond to creams or tablets
and can only be treated effectively by destroying them with a laser or intense pulsed
light (IPL) device. Cautery runs are far higher risk of scarring, however, it is
still offered by many clinics, especially those which are not medically supervised.
At Shropshire Skin Clinic the majority of patients with facial telangiectasia are
treated with IPL, a process known as photorejuvenation.
Localised areas of telangiactasia, especially those around the nose may respond better
to treatment with the Diolite laser. Some patients are treated with a combination
of IPL and Diolite laser. Deeper blue coloured veins or longstanding port wine stain
birthmarks may respond best to treatment with the Nd:YAG laser.
Patients with problematic flushing usually also have some telangiectasia. IPL photorejuvenation
will usually lead to an improvement in both problems. Some patients with flushing
may require prescription medicine to improve their symptoms. In extreme cases an
operation called sympathectomy may be considered.
Inflammatory conditions are usually best treated with creams or tablets. Photorejuvenation
is, however, an excellent treatment for many patients with rosacea.
Redness of the face may occur because of permanently dilated blood vessels (telangiectasia),
inflammation of the skin (e.g. acne or dermatitis) or a flushing tendency. Some conditions
such as rosacea may give rise to inflammation, flushing and telangiectasia.
Assessment and diagnosis by a skin specialist will allow the right treatment choice
to be made.