Would you treat this ?
Anonymous
December 12th, 2025 17:59
Patient description
Hello all , I would appreciate your input on this case.
• 30-year-old female
• Fitzpatrick: likely III–IV
• Main concern: diffuse visible superficial veins over the face (temples, periorbital and cheek areas), as shown in the attached image
• No major erythema or rosacea background
• Skin quality otherwise acceptable, mild textural issues
Case description
In such a young patient with diffuse facial large venous visibility rather than isolated telangiectasia, would you:
1️⃣ Treat these veins directly using Nd:YAG 1064 nm
or
2️⃣ Avoid vascular laser and focus instead on skin quality improvement (barrier repair, dermal thickening, biostimulators, energy-based tightening, etc.), accepting the veins as a normal anatomical feature?
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Dr. Steven BENGELSDORF
Cosmetic Surgeon, United States
December 19th, 2025 17:22
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Dr. Dianne QUIBELL
Internal medicine, United States
December 15th, 2025 03:18
Dr. Foued MAKHLOUF
MD, France
December 13th, 2025 21:22
Dr. Juliah TBARANI O SHEA
Cosmetic Surgeon, Ireland
December 12th, 2025 20:54
Dr. Diane Irvine DUNCAN
Plastic Surgeon, United States
December 12th, 2025 18:28