Facial Vein Treatment in Los Angeles & Walnut
Visible veins on the face — whether fine red telangiectasia on the cheeks, blue vessels near the temples, or prominent veins along the nose or jawline — are a common cosmetic concern that can significantly affect confidence and appearance. At Vein Care Medical Center in Los Angeles & Walnut, Dr. Michael D. Landau treats facial veins using the Cutera® Excel V™ laser — a state-of-the-art dual-wavelength system capable of targeting both red and blue vessels with precision and no downtime. Call (323) 934-9191 to schedule your consultation.
Request an AppointmentTypes of Facial Veins We Treat
Facial veins present in several forms, each requiring a slightly different treatment approach:
- Telangiectasia — fine red or pink vessels visible on the cheeks, nose, and chin, often associated with rosacea or sun damage
- Facial spider veins — branching clusters of small surface vessels, commonly appearing around the nose and inner cheeks
- Blue facial veins — larger blue vessels visible at the temples, forehead, or along the jaw that become more prominent with age or weight loss
- Periorbital veins — visible veins around the eyes that create a tired or aged appearance
- Venous lake — a soft, dark blue or purple compressible lesion commonly appearing on the lips or ears, caused by dilated venules
What Causes Facial Veins?
Facial veins develop due to a combination of genetic predisposition, chronic sun exposure, hormonal changes, aging, and environmental factors. UV radiation is one of the most significant contributors — it weakens the walls of superficial blood vessels over time, causing them to dilate and become permanently visible. Fair-skinned individuals are particularly susceptible. Rosacea, pregnancy, and certain medications can also trigger or worsen facial vessel visibility.
Excel V™ Laser Treatment for Facial Veins
The Excel V™ combines a 532nm KTP (green) laser and a 1064nm Nd:YAG laser in a single platform:
- The 532nm wavelength targets superficial red vessels with high precision — ideal for telangiectasia, facial spider veins, and rosacea
- The 1064nm wavelength penetrates deeper to target larger blue vessels such as temple veins and periorbital veins
The laser energy is absorbed by oxyhemoglobin inside the targeted vessel, causing it to coagulate and close without affecting the surrounding skin. The closed vessel is gradually absorbed by the body over several weeks. There are no incisions, no needles in the treatment area, and no anesthesia required. Sessions are typically 15 to 30 minutes, and patients can return to normal activities immediately.
Results and Recovery
Most patients see progressive improvement over two to three weeks as the body absorbs the treated vessels. Some redness or mild swelling at the treatment sites may occur immediately after the session but typically resolves within hours. Sun protection is essential after treatment to protect the skin and prevent new vessels from forming. Most patients achieve their desired results in one to three sessions.
Schedule Your Facial Vein Consultation
Call (323) 934-9191 or request an appointment at our Los Angeles or Walnut office. Dr. Landau will evaluate your facial vessels, determine the best treatment approach, and develop a personalized plan to restore a clearer, more even complexion.
Facial Veins — Frequently Asked Questions
What is the best treatment for facial veins?
The Excel V™ laser is one of the most effective and versatile treatments for facial veins available today. Its dual-wavelength system allows Dr. Landau to target both fine red surface vessels and deeper blue vessels with precision. The appropriate wavelength and treatment parameters are selected based on the size, color, and depth of your specific vessels.
Is facial vein laser treatment painful?
Most patients describe a brief warming or snapping sensation during treatment that is well tolerated. The Excel V™’s integrated cooling system actively protects the skin surface during each pulse, minimizing discomfort. No topical anesthetic is typically required, and the procedure takes only 15 to 30 minutes.
How many treatments will I need for facial veins?
Most patients achieve their goals in one to three sessions depending on the number and size of vessels being treated. Telangiectasia associated with mild rosacea may clear significantly after a single session. More prominent temple or periorbital veins may require two to three sessions. Dr. Landau will provide an honest estimate at your consultation.
Will the facial veins come back after treatment?
Treated vessels are permanently closed and will not return. However, new vessels can develop over time due to ongoing sun exposure, aging, or hormonal changes. Sun protection is the most effective preventive measure. Periodic maintenance treatments can address any new vessels that develop.
Is there any downtime after facial vein treatment?
No significant downtime is required. Temporary redness, slight swelling, or minor bruising at the treatment site may occur but typically resolves within hours to a day. Makeup can usually be applied the same day. Patients are advised to avoid direct sun exposure for one to two weeks after treatment and to use SPF 30 or higher daily.
Can the Excel V™ treat veins around the eyes?
Yes — the Excel V™ can safely treat periorbital (around the eye) veins with appropriate precautions including eye protection during the procedure. These vessels, which often make the eye area look tired, bruised, or aged, respond well to the 1064nm Nd:YAG wavelength. Dr. Landau will assess whether periorbital vein treatment is appropriate for your specific presentation.
Is facial vein treatment covered by insurance?
Facial vein treatment is considered cosmetic and is generally not covered by insurance. Vein Care Medical Center offers CareCredit financing with zero-interest payment options. Contact our office for current pricing information.
