well hey guys happy Friday welcome back
to the QA today I'm gonna be talking
about a topic that I get many questions
on which is what to do about broken
blood vessels on the face and dilated
Tila inject asia's is a what you guys
refer to as broken capillaries they tend
to occur around the nose and on the face
I get a lot of questions about this so I
thought today I would address this topic
and if you're new here welcome my name
is Andrea from the dermatologist and I
film fun vlogs here on my youtube
channel as well as a lot of skincare q
and A's and skincare product reviews
talk about skincare procedures so if
this type of content is of interest to
you then I encourage you to subscribe
and stick around for all of the fun but
with that let's get started so blood
vessels on the face are referred to as
teal inject Asians they're actually
quite common and they tend to occur
around the nose they're really um
offshoots if you will of some of the
bigger arteries that profuse or bring
oxygen and blood to the face that's why
they tend to be around the nose you know
sometimes around the cheeks areas where
there's a higher density of blood
vessels and they're not broken actually
what they are are just kind of offshoots
of the main vessel that is down deeper
and the reason you see them and the
reason they're so prominent is that
they're very superficial on the skin as
opposed to the the main vessel that's
down deep doing most of the work and in
terms of bringing blood flow to your
face but occasionally and not not
uncommonly so little little baby shoots
and sprouts can can sprout out kind of
like a potato you know when it sprouts
those little things blood vessels can
sort of do the same thing and make
little baby tiny blood vessels that pop
up close to the surface of the skin and
so why do they occur well they tend to
happen more so as we get a little bit
older but they can really happen in our
younger years as well and you know it's
a variety many many factors play a role
here okay so as we get older in the
underlying collagen framework of our
skin starts to
down just related to cumulative sun
exposure throughout our life as well as
expected age-related changes in the
deeper layers of our skin and as that
deeper collagen framework is kind of
breaking down and becoming altered that
support is no longer there and now some
of these blood vessels become a little
bit more prominent appearing to the eye
furthermore any sort of sun damage on
the face that you know accumulates over
our lifetime also will exacerbate the
appearance of these little blood vessels
people who have a personal history of
like asthma seasonal allergies really
sensitive irritated skin you know you go
out in the springtime and pollen is just
not your friend oftentimes these folks
are a little bit more predisposed to
getting more prominent capillaries on
the face just kind of from chronic
irritation and you know rubbing of the
skin perhaps as well as you know just
inflammation in the skin that can bring
about some of the growth factors that
promote a little bit of this sprouty
blood vessel growth if you will and then
the other group who really is plagued
with little blood vessels on the on the
face our folks with rosacea okay I have
a whole Q&A on rosacea and I'd like to
do some more rosacea q and A's sometime
this year I don't know exactly one
rosacea is a skin disease in which
individuals have for whatever reason a
hypersensitivity in the skin of the face
to otherwise innocuous stimuli that come
in contact with the skin like you know
your face washes very very sensitive
skin and their skin responds by flushing
and turning red okay as well as stinging
and burning sensations and there's a lot
of inflammation in the skin of rosacea
when that occurs that inflammation
brings in little growth factors that
kind of contribute to some of the the
redness and those same little growth
factors can lend themselves to sprouting
of blood vessels that with each flare of
rosacea can become more likely to form
and more likely to be a persistent okay
so people with rosacea are at risk for
developing little blood vessels on the
face it's not uncommon to develop little
broken capillaries and blood vessels on
the face during pregnancy because during
pregnancy the growth factors for blood
vessel formation appropriately so are
amped up and so you know sometimes that
appears on on the mother's face and of
course who would we be without our
genetics so genetic certainly plays a
role in your risk of developing these
little blood vessels you know as we get
older the subcutaneous fat tissue in our
skin starts to we start to lose that it
goes other places but our face it
migrates away from there that's kind of
why you know the aging face has some
changes related to fat loss and one such
change related to fat loss is actually
more prominent appearing little blood
vessels in the face because they no
longer have that kind of support of
fatty tissue around them to to kind of
make a little bed for them and hide them
in the skin so they become a little bit
more noticeable and you know and people
who have a tendency towards blushing and
flushing kind of sort of in the same
family of rosacea right if you turn red
easily your face turns red that that
persistent increase in blood blood flow
to the face
you know sometimes can encourage a
little blood vessel growth as well so I
think it's a common misconception
however you know I got a lot of comments
and a lot of my different tips videos
and like might Rhett know and videos
like do topical retinoids cause broken
capillaries in the skin no they don't
actually but what I is is plausible and
what I suppose could occur is that if
you are excessively irritated from
topical application of whether it be
Tretton Owen or any anything that you're
using on your face any product if it is
causing irritation in the skin chronic
irritation brings in
nation into the skin subsequent growth
factors that you know could lead to
blood vessel formation but Trent Owen
and different do not cause do not cause
blood vessel growth in the face or you
know quote broken blood vessels teal
inject Asia's
you
and another group of folks who will be
plagued by prominent little capillaries
he'll inject a jizz on the face as well
as on the body are people who who have
liver disease like like really profound
liver disease you know end-stage liver
disease are oftentimes one of the skin
manifestations of end-stage liver
disease is what is it what are called
spider teal inject agents are little
blood vessels kind of scattered all
about and that is actually the skin
manifestation of an internal disease but
what can you do to prevent them okay
unfortunately there's not a whole lot
outside of whatever EQA will tell you to
do every single one of my Q&A is almost
I feel as though which is great to cut
my agenda here is to tell you that
really the best thing to do is some
protection guys I mean honestly some
related changes in the skin atrophy
damage
you know increased redness increased
inflammation destroying that support of
collagen framework all from ultraviolet
light
another reason if if you if you were on
the fence yet another reason to wear
sunscreen guys is is to you know protect
yourself against the risk of developing
these sunscreens broad-spectrum SPF 30
to 50 higher is not better okay just 30
to 50 shoot for that range you know
applied to the face the neck every two
hours while you're outdoors and
periodically throughout the day that is
important for overall skin health
teal inject asia's on the face are an
example of why it's needed one of many
so definitely you know don't neglect
sunscreen don't neglect you know the
broad brimmed hat sunglasses just
protect your skin from ultraviolet light
don't be Cavalier when going outdoors
and you know crossing the parking lot
ultraviolet light reflects off of the
surfaces of cars off of the surfaces of
asphalt
so not all sun protective measures on
their own or enough okay if Sun reflects
off of the ground so if you're just
wearing a hat it's
still going to reach the underside of
your face the lower half of your face
and still put you at risk there okay so
be a really protective of your skin from
ultraviolet light I cannot overemphasize
that enough and and teal inject asia's
on the face are yet another example of
why you need it the other thing that you
can do if you particularly if you are
somebody who has rosacea is to make sure
that you have a good understanding of
things that make your skin red okay and
for people with rosacea it tends to be
one of the main things that causes
increased redness or it brings brings
flushing to the face is drinking hot
liquids or you know the rise in body
temperature that occurs like when we
work out or something okay if you drink
hot coffee in the morning as as I do you
may notice that your rosacea gets so you
get a little rosacea flower okay and so
one of the things that you can do to to
help counterbalance that is it don't go
giving up coffee the world doesn't need
need that kind of crime in it what you
can do instead however is get yourself a
cold neck cloth okay we can put it
around your neck or an ice pack and when
you when you take a sip of the hot
coffee that can counterbalance the rise
in body temperature to your face and
help kind of lessen that that response a
little bit likewise when you go to the
gym when you're working out and don't
don't not work out because of rosacea
that that should not occur what you
should do instead is bring some ice-cold
water
and as you're working out put a few ice
chips in your mouth and just let them
dissolve there or some ice-cold water
and that likewise can counterbalance
that rise in body temperature to your
face and really help a lot having a
really minimalistic skincare routine is
another practical approach to ward off
these little little friends I mean the
less see the less stuff you put on your
face the better off you are I mean
you know don't go putting all of these
essential oils and botanicals and things
that belong on a salad bar and in in a
garden the Garden of Eden on your face
okay the skins going to react to that by
by causing redness and persistent
redness brings in those growth factors
firm for blood vessel growth leads to
teal I inject asia's so minimize your
skin care
all right minimalistic skin care focused
on sunscreen a gentle moisturizer not a
lot of serums toners essences all of
that stuff just stop doing that less is
definitely more and blood vessel growth
in the face is yet another example of
why you should go minimalist with your
skincare routine one other point about
rosacea too you know there are some
newer drugs for folks with rosacea like
Merv oz o or ro fade that are intended
to be taken on when you're about to have
a flushing or when your face is red and
the way these work is they get rid of
the redness but they get rid of the
redness for a short period of time okay
so you may be wondering like are those
good to potentially prevent the the
little blood vessels from from forming
the teal inject asia's and I would say
no not necessarily because what can
happen with those medications is that
they really only work for a short time
right they're kind of intended for you
to use right before you go out to an
event or something and you don't want to
be red okay but if you use them enough
there is a risk of what's called rebound
redness where after you know the skin
responds by by getting an even redder
after after the drug has worn off so I
wouldn't say those those are the go-to
but if you have rosacea not only
identifying and avoiding those triggers
for your rosacea that that's key but the
other key is to make sure you're
following up with your dermatologist
regularly because there are quite a
spectrum of treatments for rosacea
outside of you know more vaso and retro
fade but using your rosacea medications
consistently along with your treating
dermatologist can kind of
sure or help you stay away from that
path of developing persistent teal
inject Asia's on the face so but if you
have persistent teal inject ages on the
face and blood vessels on the face what
can be done about them well usually it
is a laser called the V beam or the
vascular laser it is a pulsed dye laser
and the way that this works is it
targets the blood vessel specifically
okay and ignores everybody else in your
skin okay it's very important that the
appropriate wavelength to be used as far
as the laser but a vascular laser can
target these little blood vessels that
lie up up top to the skin and what it
does is it kind of it kind of burns it a
little bit on from the inside causes it
to the blood inside of it to coagulate
okay to form like a little clot and the
blood vessels are kind of shrink up and
then your immune system comes in and
says oh okay well let's make a funeral
for this and carries it away and it gets
resorbed by the body and goes away okay
I got some questions in my laser video
like how exactly can laser work for
broken blood vessels or teal inject
asia's on the face that doesn't make
sense that's how it that's how it does
it okay coagulate quite it's the little
blood vessel the blood vessel dies it's
not it's not a critical little blood
vessel okay it's not critical for
perfusing your face it's just an
offshoot yeah I mean think of it sort of
like lawn care right you can you can
trim a few branches off of your tree but
the whole trees not gonna die that's
similar to how laser targets teal inject
Asia's a teal inject Asia's like like a
little branch that doesn't quite look
right off of a main main trunk okay and
so you trim it off and throw it throw it
in the composting pile and that is it
and the trimming off and compost pile
that's the vascular laser that can be
performed by it by a dermatologist it is
considered a cosmetic procedure but you
know you got one or two of them it's
really not oftentimes that expensive
out-of-pocket to be honest with you as
far as cosmetic procedure
years ago and the the laser procedure
takes about 20 minutes usually need
about three to five treatments just to
ensure that that little blood vessel is
kind of adequately targeted and goes
away
minimizing bruising around the face so
that's usually what what to expect and
even with the laser though it can be
hard to get rid of them permanently they
sometimes can't come back so do know
that that sometimes the laser doesn't
work 100% okay so be aware of that
you'll see lots of ads for vitamin K
creams to take care of these little
challenge ectasias and those don't work
for t inject asia's so don't waste your
money on those vitamin K is a fat
soluble vitamin that you know people
with liver disease actually have to take
and I'm a topical vitamin K has been
shown actually to be helpful in in in
bruising specifically in bruising that
occurs after a cosmetic procedure
sometimes you know a lot of cosmetic
procedures an unfortunate little trance
eyed effect of them is it caused a
bruise okay and so physicians don't like
to bruise their patients and then they
like to make that go away as fast as
possible
we have some studies to show that if a
vitamin K cream is put on around the
time of the procedure that those
individuals will have a bruise for a
shorter number of days but the same does
not hold true with Tina inject asia's or
blood vessels in that you see with your
eyes in the skin okay they are not the
same thing and that just doesn't make
any sense that that would work nor does
it so don't waste your money on that
save it up and you know consider the
laser treatment if you're really
bothered by them but be proactive about
preventing more from coming hopefully
some of the tips that I gave you in this
video are helpful I know it can be
incredibly frustrating to have something
like this on your skin so you know do
you see a dermatologist to to consider
getting it treated if it really bothers
you is you know keeping you from doing
the things that you you want to do but
anyways guys I hope this video is
helpful to you and that you liked it if
you have any questions about lasers make
you check out my laser video that I
posted a few weeks back I'll list it
down below in the description box for
you guys but yeah if you liked this
video give it a thumbs up share it with
your friends and as always don't forget
sunscreen and subscribe I'll talk to you
guys
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