British Skin Foundation - Rosacea

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Thread veins

Postby gainsboroughgirl on Mon Apr 10, 2017 12:11 pm

Hi. I feel a slight fraud here because I haven't got full blown rosacea. I am hoping you can tell me what to do with thread veins though. I used to use Fade Out green cream but they stopped making it. It didn't just mask them, it reduced them. It had vitamin K in it. I searched around and bought a vit K cream by Swanson online and it helps but is not as good. Is there any product out there that can reduce them? They are on my cheeks mainly. I avoid water temp extremes on my face and direct sun, use high spf in sun and also lower daily. I have normal skin, slightly olive so usually tan easily and am menopausal although this happened before peri- menopause so is not hormone related. I do not eat spicy foods and hate chilli. I do not have more than 1-2 units of alcohol a month and don't smoke. I'm not overweight. I don't use central heating much to any great extent- max is usually 19 degrees on thermostat. So, having avoided all the triggers, is there anything I can do- other than cover up make up? Thanks.
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Re: Thread veins

Postby junelinglegg on Tue Apr 11, 2017 1:13 pm

Hello, you could have electrolysis treatment from a specialist electrolysist who is a member of the BIAE (British Institute and Association of Electrolysis)
Advanced electrolysis is commonly used successfully for telangiectasias (thread veins/spider veins) among other superficial, benign skin lesions.
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Re: Thread veins

Postby Dr Emma Wedgeworth on Thu Apr 13, 2017 12:38 pm

Hi there,

Thanks for your post and please don't feel like a fraud, it's a great question!

There are lots of different types of rosacea. Some people have lots of spots, whereas some will just have some mild redness and broken veins (known as erythematotelangectatic rosacea). Equally the broken veins (telangectasia) may be due to previous sun exposure.

Either way, there are a number of different treatments you can try. Keep your skin care gentle, to avoid irritation and keep going with high SPF on the face. However, once the veins have broken, creams aren't very effective at reversing them.

Electrocautery as mentioned by the previous post can be helpful for small superficial veins. You could also try laser treatment. Seeing a specialist laser dermatologist can be really helpful, because they can talk you through your options with different machines.

Hope that helps,

Best wishes,

Dr Emma
Dr Emma Wedgeworth
Consultant Dermatologist & BSF spokesperson
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Re: Thread veins

Postby Dr Anjali Mahto on Thu Apr 13, 2017 8:23 pm

Many thanks for taking the time to post a question. Nd:YAG laser and in some cases, intense pulsed light (IPL) are effective treatments for thread veins. IPL and pulsed dye laser can also be helpful in treating the redness associated with rosacea. An experienced cosmetic dermatologist can offer these treatments as well as optimise your skincare and medical management.

I hope that helps!

Best wishes,

Dr Anjali Mahto
Consultant Dermatologist and British Skin Foundation spokesperson
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