Capillaries are the tiny blood vessels throughout the body that connect arteries to veins. Capillaries play an important role in carrying oxygen and nutrients throughout the body. Due to their small size, capillaries aren't as hardy as arteries and veins. This makes them susceptible to breaking, often as a result of trauma or certain medical conditions. There is a complex network of capillaries responsible for carrying a rich blood supply to your skin on your face. Unfortunately, facial capillaries can break as a result of:

  • Genetics and Family History: many people who experience broken facial capillaries have a family history of spider veins, which can affect the face as well as more well-known areas like the legs.
  • Rosacea: this skin condition causes the small capillaries in the face to dilate and become visible on the skin. Depending on the severity of your rosacea, you may notice visible broken capillaries across your cheeks and nose.
  • Trauma: when someone experiences a facial injury, it’s possible for small blood vessels to break in the affected area. When this happens, the broken veins may become visible until the area heals.
  • Pregnancy: due to the hormonal changes in a woman’s body during pregnancy, they may experience broken facial capillaries as well as spider veins across their body. Thankfully, many women will heal after their delivery and require no further assistance with broken capillaries and spider veins.
  • Vomiting, Coughing, or Sneezing: Sudden changes in pressure are known to cause broken facial capillaries. A long coughing fit, sneezing, and vomiting can all cause enough of a pressure change to break the tiny capillaries in your face.

Unlike some other dermatological conditions, broken capillaries are quite easy to identify and diagnose. Like spider veins, broken facial capillaries appear as dark, red lines underneath the skin. In some cases, you can even see how the capillaries branch off underneath your skin. Broken facial capillaries may also "disappear" or lighten in color when pressure is applied to the area. They quickly become visible again after the pressure is removed and blood flow returns to the area.

Dr. Schultz will carefully examine your skin and have an in-depth conversation about your health history and concerns. Depending on the cause of your broken capillaries, he will recommend a treatment that will remove broken facial capillaries. While "removing" a broken capillary may sound invasive – it isn't! The most common treatments used to remove a facial capillary that has burst include:

  • Time: for many people, time is all it takes to heal a broken capillary. Whether you experienced an accident or merely sneezed too hard, visibly burst facial capillaries may heal and become imperceptible after a few weeks.
  • Topicals: depending on your circumstance, Dr. Schultz may recommend a topical cream to reduce the appearance of broken facial capillaries. In many cases, these topical creams include retinoids to promote collagen production and healing within your skin.
  • Laser treatments: this popular treatment is able to safely target broken facial capillaries and areas of hyperpigmentation without damaging the surrounding tissue. Laser treatments remove broken facial capillaries by safely destroying the capillary. This causes the broken capillary to shrink and dissipate so that it is no longer visible.
  • Sclerotherapy: one of the best treatments for broken facial capillaries and spider veins, Sclerotherapy is a non-invasive procedure where Dr. Schultz will inject a solution into the vein. This solution will cause the vein to shrink and dissipate until it is no longer visible, making sclerotherapy one of the top choices for those looking to remove broken capillaries, spider veins, and varicose veins.

Dr. Schultz understands that broken facial capillaries are a frustrating problem. While broken capillaries may not be a major medical concern, many patients report feeling most confident when they do not have to worry about visible veins. Due to their dark color, broken facial capillaries may also be difficult to hide with makeup. Before recommending a treatment, Dr. Schultz will carefully examine your skin and discuss the cause of the broken capillary. If time or topical creams would not be strong enough to remove the broken capillaries, he may recommend a laser treatment or sclerotherapy.

During your appointment, Dr. Schultz will carefully examine your skin. Depending on the cause of your broken capillary, he may recommend giving your body more time to heal or that you try a topical cream at home. When a patient is a good candidate for a laser treatment or sclerotherapy, they will first receive information about what to expect during their procedure, how the healing process works, and what results to expect. Then, their skin will be thoroughly cleaned and prepped for the laser or injection needed to remove the broken capillary.

Patient Reviews

I've been seeing Dr. Schultz for the last 8 years and during that time, I've recommended him to countless friends for both cosmetic and medical dermatologic help. I trust him completely both diagnostically and aesthetically. When I had shingles, he was wonderful, incredibly supportive and kind. And when I eased into doing more cosmetic dermatology, he was– and continues to be– patient, careful and cautious. He listens to concerns and really hears what your goal outcome is and works with you to make it happen. I wanted to maintain a natural look while keeping my skin looking fresh and that's just what he's done for me. I always leave his office feeling prettier and well-cared for! If you have a medical concern or something about your skin you want to upgrade, you can't do better than Dr. Schultz and his wonderful team. And the products are amazing as well!

- Laura B.

Dr. Schultz is the most thorough and good natured dermatologist I have ever seen. I have been a patient of his for more than 20 years. He has taught me everything I know about the value of taking care of my skin, a gift that keeps on giving. He also takes the time to listen to me, to see me as an individual and doesn't treat my needs as a one size fits all doctor. I really appreciate his kindness, patience and expertise. I absolutely love his product line and have definitely reaped the rewards from using it, especially his glycolic peel pads and moisturizer, which I can't live without. My skin feels softer, smoother, appears more translucent and actually looks younger! He helped me to see beyond the lines and wrinkles, although he so good at helping to keep those at bay while maintaining a very natural appearance. His staff is outstanding. They make you feel welcome, like family, from the moment you walk through the door. Angela, Monika, Deborah and all of the support staff are extraordinary at what they do. Thank you Dr. Schultz and everyone at Park Ave Skincare. You're the best!

- Laura M.

Dr. Schultz has truly transformed my skin, so much so that I can confidently leave the house without wearing makeup now. During my first meeting with him, he intently listened to my skin concerns, we discussed what my goals were, and he explained pragmatically what treatments and products he recommended for me. I truly appreciate his fantastic bedside manner and conservative approach. I am a perfectionist in every aspect of my life, including my skin, and he understood this and was committed to helping me achieve every skin goal I had. The entire staff is just so fantastic and friendly, from reception to the PAs. They make you feel welcome and extremely comfortable, which to me is very important when visiting any doctor’s office. As someone who works too much and never gets enough sleep, my skin was looking very dull and lifeless. My skin is now full of life again and has an incredible glow to it which I have never had before. And I owe it all to the incredible Dr. Schultz.

- Kelly D.

My partnership with Dr Schultz began more than 30 years ago. As a generous friend, advisor, skilled surgeon, and superb cosmetic diagnostician, he has enabled me to look my best. He has kept me abreast of the most sophisticated procedures and in so doing, has maximized my appearance, always guided by what will be most beneficial for me. He is someone I go to for advice and care and his staff is another manifestation of this care. I don’t know many patients who can say this, and I feel fortunate to be among them.

- Ellen R.

In the four years that I've been a patient of Dr. Schultz, my acne-prone skin has gone from constant breakouts to smooth and clear. These days, I feel confident and comfortable enough in my skin to wear minimal makeup, if any—which I never would have done in years past. He and his warm, friendly staff always go above and beyond; he takes the time to listen, talk with me, and create the best plan for my skin. It's clear he has my best interests in mind, and I trust him wholeheartedly. I would highly recommend him to friends, family, and frankly, anyone who asks.

- Deanna P.

Each session with Dr. Schultz is a mini education in skin care. He approaches each patient as a unique individual with different needs. I’m Asian and he’s explained to me how that impacts treatment in a clear manner that a layperson can understand. At each examination, he recites detailed notes to his staff which he then refers back to at each future appointment, adjusting and tweaking treatment plans when necessary. Over the past two years I’ve seen a remarkable improvement in my blemishes and overall complexion and wholeheartedly recommend him to anyone looking to enhance their appearance.

- Sherry G.

I have been a patient of Dr. Schultz for many years, and I continue to be amazed at his medical approach, patience, and professionalism. He takes the time to listen to my health concerns, explains how and why he would like to issue a treatment in a way that I understand , answers all of my questions, and all of his procedures and painless and thorough. He is very attentive, results-oriented, and extremely knowledgeable. He follows up and is committed to my health and satisfaction. The Park Avenue Skincare is a calm environment and the staff are all very friendly, warm, and respectful. It's easy to get appointments at a time that works for me and they are always on time and considerate. I think so highly of him and his practice that I sent my mom to him, and continue to go to his office even though my life is based in midtown west! I have great confidence in the care that he gives.

- Katrina A.

Frequently Asked Questions

  • Will broken facial capillaries come back?

    It's possible for broken facial capillaries to return. If you used a Read More

  • How do I prevent a facial capillary from breaking?

    Most broken capillaries happen as a result of trauma or a sudden Read More

  • Is there a recovery period after a broken facial capillary is removed?

    No, laser treatments and sclerotherapy are both non-invasive procedures. Aside from mild Read More

  • Are broken capillaries dangerous?

    In most cases, broken facial capillaries do not indicate a larger medical Read More

Rejuvenate Your Skin

Make your skin care a priority with leading-dermatologist and New York Magazine’s “Top Doctor”: Dr. Neal Schultz.

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