Phenotype 3 - Telangiectasias Explained

[Guide]

Phenotype 3
Telangiectasias /tɛlˌæn.dʒiː.ɛkˈteɪ.zi.ə/ (sometimes called t. langiatasis) also known as spider veins or angioectasias, are small dilated blood vessels near the surface of the skin or mucous membranes, measuring between 0.5 and 1 millimeter in diameter.

Telangiectasias was lumped together into one previous subtype along with erythema - Erythematotelangiectatic Rosacea - Subtype 1 (now separated into Phenotype 2 [Erythema] or Phenotype 3 [Telangiectasias]). Read this notice about the subtype classification. 

Rosacea Telangiectasis courtesy of BPAC

These dilated blood vessels can develop anywhere on the body but are commonly seen on the face around the nose, cheeks, and chin. Wikipedia

By Permission of Wikipedia Commons

Niamatu Cosmetic Facial Surgery has a photo gallery of nose and cheek spider veins (scroll down to see the photo gallery).

Treatment for Phenotype 3

Laser and Radio frequency (keep scrolling below)

Tranexamic acid (TXA) Intradermal Microinjections

More Treatments

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[Guide]

Tom Busby, expert extraordinaire at RF, wrote "VeinWave, or the newer version, VeinGogh, will remove facial spider veins. A needle about the size of a human hair, with a small electric current, heats up the vein and coagulates the blood. Then the blood is reabsorbed and the skin is clear." 4th June 2013 03:32 AM Post #7

"Vein wave is a through the skin radiofrequency treatment for small visible veins.  This has very little recovery and little bruising and works fairly well, the main issue is to find an office that has a machine made within the last year (only 5 in US) as previous models were underpowered and may not have resulted in complete treatment." Jordan Knepper, MD 
Ann Arbor Vascular Surgeon, realself, July 26th, 2016

"There are many ways to remove surface veins. I would suggest laser therapy instead of vein wave to eliminate facial spider veins. Laser can be more powerful than RF." Dr. Karamanoukian, Los Angeles, realself, January 4, 2017

Albert Malvehy, MD, treats this unwanted occurrence using foam sclerotherapy.

[Guide]

Laser is usually the preferred way to remove spider veins. Joe Niamtu, III, MD, show how he does it with the handy dandy Iridex 940 laser: 

[Guide]

  tranexamic acid solution in treatment of erythematotelangiectatic rosacea.