• Introduction

    Facial Veins & Spider Naevi

Facial veins are a common issue. They look like small spider veins and are most commonly found on the sides of the nose. They can however develop anywhere on the face. Many people will find their appearance a cosmetic nuisance that often needs to be camouflaged.

People with all skin types can be affected by facial telangiectasia but the problem is more common in people with lighter skin type as they are more susceptible to the causes of facial thread veins. The problem is also more noticeable on people with a lighter skin type. Sometimes people can find multiple facial thread veins embarrassing as red faces can trigger unfavourable associations such as excessive alcohol consumption.

Rosacea is a skin disease that affects many individuals. There are varying types of rosacea, but the underlying problem is a low-grade skin inflammation that leads to increase in the production of new blood vessels on the central facial regions (nose, cheeks, chin). As a result, rosacea sufferers can suffer with a high degree of facial redness and thread veins that can be unsightly and embarrassing. The condition can is chronic but can be treated with a variety of topical treatments and medication. Once under control laser treatment can be used to help diminish the redness and reduce symptoms of burning/heat sensation, blushing and flushing.

It is important to understand that rosacea is not a cure for Rosacea. At present Rosacea cannot be cured. It can only be controlled. Laser is a treatment for redness which is one of the symptoms of rosacea. It works by destruction and reduction of the increased number of blood vessels in the superficial skin found in Rosacea sufferers. Laser treatment in Rosacea is ongoing and requires regular maintenance due to the fact that the underlying pathology cannot be completely switched off.

Despite the ongoing need laser treatment has provided patients suffering with Rosacea a much longer lasting suppression of redness without the need for daily topicals or camouflage.

Causes of Facial Thread Veins

Factors contributing to the development of facial spider veins include:

  • Sun damage
  • Ageing
  • Inherited disorders
  • Liver disease
  • Rosacea
  • Injury
  • Reactions to topical irritants
  • Hormonal shifts associated with pregnancy and menopaus

Spider Naevi

These are small dilated blood vessels under the skin surface that look like a little central red dot with radiating little red vessels. Hence the name spider naevus or spider angioma. They can be treated in the same way as any other spider vein.