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What is the connection between spider veins and rosacea?

I have been dealing with rosacea on my face since my early twenties. I am now thirty and am starting to get little spider veins on my face too. I am wondering if there is a connection between the rosacea and the spider veins appearing? Can rosacea cause spider veins? Should I seek treatment for the rosacea or for the spider veins?


Doctors Answers (3)

Rosacea is seen as a reddening of the skin on the face, especially over the cheeks, nose and chin (the most sun-exposed areas). It is mostly seen in fair-skinned individuals and has both a genetic and environmental component. Sun damage in a fair-skinned person who cannot produce much pigment protection will have increased damage from sun exposure and extremes in temperature resulting in sun-related changes in the skin. An increased density in surface blood vessels and dilated capillaries (vascularity) results from frequent injury and repair cycles. These small superficial facial vessels are themselves injured and inflamed with further sun exposure producing a vasculitis with hypersensitive skin that reacts easily and may appear more red at times. Spider veins are also caused by rosacea or other small traumas and can be treated by laser and Intense Pulsed Light treatments. I would recommend wearing a sunscreen daily with an SPF of at least 45 in the summer. Use a sunscreen that contains zinc and/or titanium and try to avoid midday sun exposure.

Rosacea is an inflammatory process. Add heredity (German, Irish, etc.), lifestyle (sun, wind exposure) and you can also develop small spider veins. To treat these we treat the entire problem, but either way not too aggressively. Rosacea can be controlled with a good skin care regime (such as Epionce), topical antibiotics when flaring and topical laser. We generally address the larger spider vein first with one type of laser and can control the diffuse redness with Intense Pulsed Light treatments. Sun protection is a must, daily, summer and winter.

There is no specific connection. You should seek treatment for both.

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