Pigmentation & Vascular

Vascular & Redness Treatment

Uses selected laser and light-based wavelengths targeted at the blood in visible vessels to help reduce facial redness and broken capillaries.

Vascular and redness treatment in Vancouver

Understanding Vascular & Redness Treatment.

Facial redness is exhausting in a way that other skin concerns are not. It shows through makeup, it flares at the worst moments, and strangers comment on it.

Laser and light-based treatment targets the blood inside unwanted vessels, so the vessel is closed off and reabsorbed while the surrounding skin is comparatively spared. It works well for the right kind of redness.

Two honest points up front. Redness has several different causes, and rosacea in particular is a medical condition that deserves a diagnosis before it gets a laser. And this is treatment, not cure — new vessels form over time, so maintenance is the norm rather than a sign something went wrong.

Have Your Redness Assessed Before Choosing a Treatment →

Vascular & Redness Treatment infographic

Not all redness responds the same way. Recognising which kind you have is the difference between a treatment that works and one that disappoints.

What you are seeingHow it usually respondsWorth knowing
Distinct broken capillariesAmong the most satisfying to treat; individual vessels can clearA treated vessel is gone, but neighbouring ones can become visible later
Diffuse background rednessUsually improves gradually across a series rather than in one sessionExpect softening of the overall tone, not a switch being flipped
Rosacea with flushing and vesselsVisible vessels and redness can improve; the condition itself continuesBest managed with medical care and trigger awareness alongside treatment
Rosacea bumps and pustulesNot what vascular treatment targetsThis part of rosacea generally needs medical treatment
Leg and spider veinsSome respond; larger ones need different handlingMay need assessment for an underlying vein problem first

Skin tone matters as much as vessel type. Deeper skin tones carry a higher risk of pigment change with light-based treatment, which changes the device, the settings and sometimes the recommendation itself.

Find Out Which Kind of Redness You Have →

Treatment options and technologies

Laser and light-based vascular treatment is one of several clinically recognised approaches to facial redness and visible vessels, and it is not always the appropriate one — rosacea warrants a diagnosis and medical management, and the bumps and pustules of rosacea are treated separately.

The options available here, selected according to clinical findings:

  • Clarity II — considered where vessel depth or size, or the skin tone being treated, calls for a dual-wavelength laser approach, including selected leg and spider veins
  • BBL BroadBand Light — considered for diffuse background redness and fine surface capillaries across the cheeks, nose and central face

More than one is sometimes indicated within a plan, staged across a series rather than selected against each other.

The selection is a clinical decision, not one you are expected to make. The redness is characterised in person as distinct vessels or diffuse tone, and your skin type and how it tans and burns, recent sun exposure or self-tan, photosensitising medications, cold sore and scarring history, and your flushing triggers are reviewed before any approach is recommended. A test patch is used where pigment risk is higher.

Have Your Redness and Skin Type Assessed Before Any Device Is Chosen →

Concerns this treatment may help

Vascular treatment may be considered for:

  • Broken capillaries around the nose, cheeks and chin
  • Persistent background redness across the cheeks or central face
  • Rosacea-related vessels and flushing, as part of a wider management plan
  • Redness left behind by sun damage over years of exposure
  • Red patches or marks from small vascular lesions
  • Selected leg and spider veins, where suitable

What it does not treat: the bumps and pustules of rosacea, brown pigmentation, texture, or the underlying tendency to flush.

See Whether Your Vessels Are Treatable →

Who may benefit

Well suited: people with visible facial vessels or persistent redness, who can commit to daily sun protection, and who understand this is ongoing management rather than a one-off fix.

Needs more caution:

  • Deeper skin tones. Light-based treatment carries a higher risk of pigment change — either darkening or loss of pigment — in richly pigmented skin. This does not automatically rule treatment out, but it changes device choice and settings and calls for someone experienced with your skin type. Sometimes the right answer is a different approach.
  • Recently tanned or sun-exposed skin. Treating tanned skin raises the risk of burns and pigment change, so treatment is deferred.
  • Those taking photosensitising medication, which alters how skin responds to light.
  • Larger or more extensive leg veins, which may signal an underlying venous problem needing separate assessment.

If you flush intensely and frequently but have few visible vessels, be aware that treatment tends to do more for the vessels than for the flushing itself.

Your consultation

Your consultation is with our experienced laser technicians, working under the medical direction of Dr. Gidon Frame. Where the picture suggests rosacea or another condition needing medical treatment, that is flagged rather than worked around.

We characterise the redness. Distinct vessels or diffuse tone, where it sits, how long it has been there, and whether it behaves like rosacea.

We assess your skin type, including how you tan and burn, because that drives which device and settings are safe for you.

We review medications and history — photosensitising drugs, blood thinners, isotretinoin use, cold sore history, keloid tendency, recent sun exposure or self-tan.

We ask about your triggers, because heat, alcohol, spice, stress and sun often drive the redness that treatment is trying to remove.

We tell you what the ceiling is, including how many sessions the pattern of redness is likely to need and what maintenance looks like afterwards.

You are not charged for that conversation. The consultation is complimentary, which matters when the honest outcome may be that your redness needs a rosacea diagnosis before it needs a laser. A booking fee is charged to reserve the appointment; it holds the time, covers the physician's time and reduces no-shows.

What treatment is like

Eye protection is non-negotiable. You will be given protective eyewear before the device is switched on and it stays on for the whole session — no exceptions, no peeking, no lifting it to check progress. Everyone in the room wears it. This is the single most important safety rule of a light-based facial treatment, because the eye absorbs these wavelengths readily and injury can be permanent. If treatment is near the eyelid margin, protective shields may be placed directly over the eyes.

Before. Skin is cleansed, and any makeup or self-tan removed. Cooling gel or contact cooling may be used.

During. Pulses of light or laser energy are delivered over the treated area. Most people describe a hot snap, like the flick of an elastic band, brief with each pulse.

Immediately after. Treated vessels may darken, look more prominent, or briefly disappear. The skin is usually pink and warm.

Ask What a Session Would Feel Like on Your Skin →

Results and what to expect over time

What this treatment can improve: the visibility of individual broken capillaries, the intensity of background facial redness, and some rosacea-related vessels.

What it cannot do: cure rosacea, stop you flushing, treat rosacea bumps and pustules, remove brown pigmentation, or prevent new vessels forming.

When change appears. Distinct vessels often fade over the days to couple of weeks after a session as the body clears the treated vessel. Diffuse redness changes more slowly and cumulatively — it is the kind of improvement you notice in photographs taken months apart rather than in the mirror the next morning.

Series and maintenance. A series is usual, particularly for background redness and rosacea, with sessions spaced according to how your skin settles. Then it recurs. Redness and rosacea are ongoing conditions and new vessels form over time, so periodic maintenance sessions are the normal pattern for most people rather than a failure of the original treatment. Anyone promising you permanent clearance is not being straight with you.

What influences the outcome: vessel size and depth, your skin type, sun exposure, how well you manage flushing triggers, whether rosacea is being medically treated alongside, and consistency with sun protection.

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Recovery and aftercare

The first day or two. Redness, warmth and mild swelling are usual, a bit like mild sunburn. Treated vessels may look darker or more raised before they fade.

Bruising. Purpura — a temporary purple bruise-like discolouration — can occur, particularly with larger vessels and leg veins. It settles over days to a couple of weeks.

What helps:

  • Daily broad-spectrum sun protection, and genuine sun avoidance while healing
  • Cool compresses and gentle, bland skincare
  • Pausing retinoids, acids and scrubs until cleared
  • Avoiding heat — hot showers, saunas, hot yoga, vigorous exercise — for the period you are advised
  • Leaving any crust or scab strictly alone

Contact the clinic if you notice blistering, an open or weeping area, spreading redness or pus, unusual pain, a cold sore outbreak, or any change in vision or eye discomfort after treatment.

Common side effects

Most reactions are temporary:

  • Redness and a warm, sunburn-like feeling for hours to a couple of days
  • Mild swelling, particularly around the eyes and on the cheeks
  • Treated vessels darkening or looking more prominent before fading
  • Temporary bruising or purpura
  • Tingling or mild stinging
  • Dryness or slight flaking as skin settles
  • Increased sensitivity to sunlight

Less common but important risks

These are uncommon, and they are why device selection, test patches and eye protection matter.

  • Ocular injury. The wavelengths used are readily absorbed by structures in the eye, and unprotected exposure can cause serious and potentially permanent damage to the eye, including the iris and retina. This is why protective eyewear is mandatory throughout the session for you and for everyone in the room, and why treatment close to the eye may require shields placed over the eyes themselves.
  • Burns from excessive energy, treatment of tanned skin, or inadequate cooling.
  • Blistering, crusting or superficial wounding of the skin.
  • Pigment change — darkening (post-inflammatory hyperpigmentation) or loss of pigment (hypopigmentation), which may be prolonged and occasionally lasting. The risk is higher in deeper skin tones, and higher again if skin is tanned at the time of treatment.
  • Scarring, uncommon but possible, particularly where blistering or infection occurs or a crust is picked.
  • Infection of treated skin, or reactivation of cold sores.
  • Prolonged redness or swelling beyond the expected settling period.
  • Textural change, or an incomplete or uneven clearing of vessels.
  • Matting — the appearance of fine new vessels in a treated area.

When treatment may need to wait

Treatment may need to be deferred or avoided if you have:

  • A recent tan, sunburn or self-tanning product on the area
  • Active infection, cold sore outbreak, or broken or inflamed skin in the treatment area
  • Recent isotretinoin use, or medication that increases light sensitivity
  • Anticoagulant therapy or a bleeding disorder, which increases bruising and purpura
  • A history of keloid or hypertrophic scarring
  • A photosensitive condition such as lupus, or a seizure disorder triggered by light
  • An undiagnosed pigmented or vascular lesion in the area, which should be assessed first
  • Pregnancy
  • A tattoo or permanent makeup in the treatment area
  • Larger or symptomatic leg veins that warrant assessment for an underlying venous cause
  • An inability to commit to strict sun protection afterwards

This is not a complete screening list. Your skin type, medical history, medications, previous treatments and recent sun exposure are all reviewed before treatment.

Request a Skin-Type and Safety Assessment →

Skincare and trigger management

With redness, what you do between sessions genuinely affects the result.

Sun protection every day. Ultraviolet exposure drives new vessel formation, so it is not just aftercare — it is the main thing protecting your investment.

Gentle, non-irritating products. Reactive skin does badly with strong actives, fragrance and physical scrubs.

Know your triggers. Heat, alcohol, spicy food, hot drinks, temperature swings and stress all flush the face. Recognising your own pattern does more for day-to-day redness than any product.

None of this replaces proper medical care for rosacea, which sits alongside rather than instead of light-based treatment.

Anti-Aging Medical & Laser Clinic

Why patients choose our clinic

  • Diagnosis before treatment. If your redness is rosacea, it is named as such and managed accordingly, not simply lasered.
  • More than one platform, so the wavelength is matched to your vessels and your skin type instead of the other way round.
  • Careful practice around skin tone, including conservative settings and test patches where pigment risk is higher.
  • Treatment by experienced laser technicians under the medical direction of Dr. Gidon Frame, with strict eye-protection protocol every session.
  • Honest expectations, including telling you upfront that maintenance will be part of the picture.
  • Caring for Vancouver skin since 2001.

Book a Consultation About Your Facial Redness →

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FAQ

Questions about Vascular & Redness Treatment.

Because the wavelengths used to target blood vessels are strongly absorbed by structures inside the eye, and even brief unprotected exposure can cause serious, potentially permanent injury. The eyewear goes on before the device is switched on and stays on until it is off, for you and for everyone in the room. If we are treating close to the eyelid, protective shields may be placed directly on the eyes instead.

No. Light-based treatment can reduce the visible vessels and redness of rosacea, sometimes substantially, but rosacea is an ongoing condition and it continues underneath. The bumps and pustules are a separate part of it that this treatment does not address. The best outcomes usually come from combining vascular treatment with medical management and trigger awareness.

Often yes, but it needs care and it changes the plan. Melanin absorbs the same light being aimed at your vessels, so richly pigmented skin carries a higher risk of darkening or pigment loss. That usually means a different device, more conservative settings, a test patch, and sometimes the recommendation that another approach suits you better. Ask directly about experience with your skin type — it is a fair question.

Often you can go straight back. Most people have redness and warmth for a day or two. However, purpura — a temporary purple bruising of the treated vessels — can occur, especially with larger vessels or leg veins, and takes days to a couple of weeks to fade. Tell us if you have an event coming up so we can plan the timing or adjust the approach.

Because treatment removes the vessels that are there now; it does not change the tendency to form new ones. Sun exposure, rosacea and time all generate new vessels. This is why maintenance sessions are the normal pattern rather than a sign the first treatment failed, and why daily sun protection makes such a difference to how long you go between them.

No, that is often expected. Treated vessels commonly darken or look more prominent immediately afterwards as the blood inside them coagulates, before the body clears them over the following days to weeks. Sometimes a vessel disappears during the session and then reappears before fading properly. What is not expected is blistering, an open area or spreading redness — call us for those.

Not usually. Leg veins tend to be larger and deeper than facial capillaries and need different wavelengths and energies to reach. More importantly, prominent leg veins can be a sign of an underlying venous problem, which needs assessing in its own right — treating the surface vessels without addressing that tends to be disappointing.

Yes, and this one is genuinely important. Treating tanned skin significantly raises the risk of burns and pigment change, because the light is absorbed by the tan as well as the vessels. Recent sun exposure or self-tanning product is a reason we will reschedule you rather than proceed — which is frustrating on the day but far better than the alternative.

Your sessions are carried out by our experienced laser technicians, working under the medical direction of Dr. Gidon Frame. Where your assessment suggests rosacea or another condition that would benefit from medical treatment, we will say so and help you get that alongside your sessions rather than treating the surface alone.

No consultation fee applies — that visit is complimentary, including the assessment of your skin type and the discussion of whether light-based treatment is safe for you at all. There is a booking fee to hold the appointment, which reflects the physician's time and helps keep no-shows down.

Reviews

What patients say about the clinic experience.

Reviews help show the human side of care, from the first consultation to comfort, communication, treatment planning, and follow-up.

Medical Review

Reviewed for clinical accuracy.

Medically reviewed by Dr. Gidon Frame, Medical Director, Anti-Aging Medical & Laser Clinic (CPSBC).
Last medically reviewed: August 2026.
Evidence reviewed: clinical practice guidelines, systematic reviews and peer-reviewed medical literature.

AuthorDr. Gidon Frame
Medical ReviewerDr. Gidon Frame
Last ReviewedAugust 2026
Anti-Aging Medical & Laser Clinic

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Why Anti-Aging Medical & Laser Clinic?

  • A medical clinic with physicians and experienced medical-aesthetic providers on the team.
  • Science-informed assessment, treatment planning, and realistic expectations.
  • Laser, injectables, skin, body, hair, wellness, and medical services available in one clinic.
  • Complimentary aesthetic consultations are available for appropriate cosmetic and laser services.
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