Facial veins and fine capillaries can affect both sexes and can give the face a florid complexion which can be cosmetically unacceptable.
Facial veins, regardless of their cause, often respond dramatically to treatment with Intense Pulsed Light, even after a single treatment.
There is an overlap in this condition with Rosacea, a condition characterised by:
Most facial veins are thought to be caused by exposure to the sun and wind in genetically predisposed individuals. There are other triggers for facial flushing including, alcohol, stress, caffeine, and exercise. Facial veins and capillaries are more common in people with fair skin of Celtic origin , which applies to many New Zealanders who at some time, emigrated from Northern Europe.
In most people, the first sign of Rosacea, is a persistent redness of the face, especially the cheeks and nose. In time, the redness can become more permanent and noticeable. As the redness progresses , pimples may appear on the face. These pimples can be small, red, solid papules, or pustules containing pus. Blood vessels may proliferate on the face and nose imparting a general redness to the face. In men, knobbly lumps may develop on the nose resulting in enlargement of the nose over time; a condition called rhinophyma.
The cause of rosacea is unknown, despite a number of theories of causation. There are specific treatments for rosecea including the use of rosex gel and antibiotics by mouth. Treatment of the facial vessels with Intense Pulsed Light is an option for rosecea but should be seen as an adjunctive treatment, along with other medical treatments, which, given the chronic nature of this condition, should be seen as a treatment and not as a cure, and may well require repeating from time to time in order to maintain control of the condition.
Enlarged vessels, associated with pigmentation and photodamage on the neck and decolletage is called Poikiloderma of Civatte. This condition is very treatable with IPL, but the settings used in treating the neck and chest are usually much more conservative than for the face and will require more treatments to effect an acceptable result.