Another common complaint that people have with the color of their skin is red discoloration. This can take on two forms: broken capillaries which appear as small, red “spider veins” most commonly around the nose and cheeks, or diffuse red flushing, which is most commonly rosacea. These are very common complaints, and the good news is they are treatable.

Spider veins

Are you distressed by small, fine, red lines crawling across your nose or cheekbones? These red lines are caused by broken capillaries which occur underneath the skin. A single treatment with and IPL laser specifically tuned to reduce the appearance of broken capillaries, can eliminate these unsightly red tracings. This treatment takes approximately 20 minutes, has no downtime, and is immediately effective. These capillaries will likely return (they are usually caused by larger vessels underneath the skin which cannot be treated) so we usually recommend one treatment every six months to one year to keep them controlled.

This treatment can also be applied to the hands, shoulders, décolleté, and other body parts. The limitations of this treatment however, is that it only applies to spider veins, and not to be larger, blue colored varicose veins. Come to Restōr for your free consult learn if this treatment is right for you.


Rosacea is a common skin condition that affects millions of Americans.  Fair men or women between the ages of 30 and 50 with a high tendency to blush are more likely to have this skin disorder.  It tends to be more common in women but more severe in men.  “Adult acne” is another way people have described rosacea but there are some distinct differences.  Rosacea consists of small red bumps and telangiectasias (dilated blood vessels) usually located on the cheeks, nose, forehead, and chin but, unlike acne, squeezing a rosacea bump only causes a small amount of clear liquid to be expelled and does not help to improve the condition.  People with rosacea generally have a more of a rosy coloration to their skin while people with acne usually don’t.

The exact causes of rosacea are still unknown but it seems to have a hereditary component in most cases.  Triggers associated to rosacea flares are things that are known to dilate blood vessels like exercise, alcohol consumption, spicy foods, and changes in weather (strong winds, changes in humidity or temperature.)  Additionally, emotional factors like stress, fear, anxiety or embarrassment can also cause flares.

Treatments and Prevention

There is no cure for rosacea but there are many treatment options available.  Most patients with moderate to severe rosacea need a combination of medication and laser treatments to control their symptoms.


Generally speaking, most of the medical treatments for rosacea are types of antibiotics – either applied topically or orally. Retin-A formulations such as Tazorac or Differin can be used as well. It is thought that both antibiotics and the Retin-A family both work through reducing inflammation in the skin, although this research is still ongoing. Metronidazole (Flagyl), erythromycin, and clindamycin (Cleocin) are all topical antibiotics that can help reduce redness and bumps.  Tetracycline, doxycycline, minocycline and amoxicillin are more commonly prescribed orally.  Sometimes a combination of these products offers a significantly better result than one alone.  Another topical medication, Sodium sulfacetamide (Klaron lotion), is known to reduce inflammation in the skin. It is also helpful to avoid the triggers mentioned above along with avoiding sun exposure by applying sunscreen daily and wearing wide-brimmed hats when outdoors.

Treating Rosacea with Lasers

Historically, this has been a very difficult complaint to treat, but with the new age of lasers, rosacea is no longer an unbeatable enemy. The Genesis laser can be used to reduce the redness from rosacea, while at the same time building new collagen, improving skin tone and texture, and reducing pore size. It works by targeting the very fine capillaries under the skin that create the redness in the overlying skin.

This laser has no downtime, is painless, and takes approximately 30 minutes per treatment. We recommend a series of 4 to 6 treatments for optimal results. Like spider veins, rosacea is caused by and underlying skin disorder, and will recur. However, repeated treatments of the Genesis laser can keep it under control. We recommend one series with the Genesis laser every 1 to 2 years for maximal effect.

The IPL laser can also be used in some cases of rosacea. A good rule of thumb is that veins which are large enough to see with the naked eye are better treated with IPL, while diffuse redness will respond more to the Genesis.