Laser Vein Removal
This article is about laser blue vein removal. Please go to this page for information about removal of red veins with laser.
Blue vein removal on the face is performed with our Excel V laser with the wavelength 1064
Procedure for Laser Blue Vein Removal
Patient is to arrive with no makeup and no history of use of self tan/ spray tan for at least 2 weeks
Your medical and cosmetic history will be taken
A. skin type and tanning
B. previous treatments and their success, complications etc
C. discussion of desired outcome
D. Assess risk of PIH
Your face will be examined.
Typically if the patient is Fitzpatrick 1-2 (fair skinned) then they can go ahead with the treatment on the day. Patients who are Fitzpatrick 3 may also be able to go ahead with the treatment on the day. If the patient is darker skin toned or at risk for PIH (Post inflammatory Pigmentation) then they may be advised to use topical lightening agents for several weeks prior to treatment. These topical agents are sold at our clinic.
Photographs will be taken.
There is opportunity to ask questions about the procedure
Consent form will be given to the patient with a discussion of risks, benefits, pros and cons of the treatment. If the patient signs the consent form, the procedure will go ahead.
With laser for blue veins, 1- 3 treatments are required, minimum of 3 weeks apart.
The laser for blue veins treatment.
The appointment is 30 minutes, but actual time of laser on the face will take about 15 minutes in total.
The patient will lay on the treatment bed
All makeup will be cleansed off the face.
Goggles will be worn by the patient to protect the eyes
The procedure is minimally painful, and tolerated well by most patients.
Immediately after the treatment
The patient may feel a small sunburn-like feeling over the face.
The face may be red and may have raised areas where the laser was used
It is fine to apply sunscreen or makeup immediately after the treatment.
At home care after laser treatment
The sunburn-like feeling may last several hours and then nearly disappear. It will commonly be brought on again by showering.
On the drive home, it is great to have your car air-con nice and high.
Sun should be avoided. Be aware that while driving one is exposed to the sun
Sunscreen should be applied every morning and reapplied as often as recommended
A hat should be worn.
Soothing gel may be purchased from the clinic and used twice daily.
Do not use acid or antiaging face products for 2 weeks after treatment.
Rarely on the morning after laser blue vein removal, especially if the under eye area has been treated, the patient may wake up to a swollen face, particularly in the eye area. This usually resolves in the first 48 hours
If you are at risk of PIH, the doctor will have given you instructions to buy products to reduce the inflammation and lower your risk of PIH. This should be used for 7 days, twice daily. You should start your lightening agent again at day 7 unless advised otherwise by your doctor.
What should you expect to see on your skin after blue vein treatment?
The redness will improve in the next few hours-days after the treatment.
The blue veins may disappear immediately after treatment or fine, vein-like “scabs” may appear and then lift off or crumble away. Do not pick the skin
The results will be complete by 3 weeks, when a second treatment may be necessary. Typically 1-3 treatments are advised.
Facial Redness: nearly always occurs, should resolve within a few days
Facial Swelling:. This should resolve within the week.
PIH (post inflammatory hyperpigmentation) ie the laser can cause areas of brown pigmentation due to inflammation and the patient’s susceptibility to this. It is less common in the lighter skin tones.
Patients who are at risk for this are treated very differently to those who aren’t. Prevention is important, ie prelightening is important, and other topcial skin care products may be necessary after the treatment.
Blistering: This is very uncommon. If this occurs, the patient needs to call the clinic urgently
Infection: The patient may notice a combination of the following: redness, tenderness, swelling, pain and pus. This needs to be treated urgently. The doctor must be contacted immediately
Hypopigmentation/scarring: This is very uncommon, but possible
Recurrence of blue veins after removal: This will always occur with patients who are prone to capillaries. We recommend a top up treatment at least every 1-2 years.
Cost of Facial Capillary Removal
Following costs are per treatment
Full face $680
Medium area $490
Small area $360