Understanding Rosacea and Broken Capillaries

Broken capillaries (sometimes called “spider veins”) are small, visible blood vessels that often appear on the face, chest, or legs. They may look like fine red or purple lines and can be associated with rosacea — a common chronic skin condition.

Rosacea often begins with frequent blushing or flushing, but over time may progress to persistent redness, visible capillaries, or other symptoms. There are four recognised subtypes:

  • Acne rosacea – acne-like breakouts in adults
  • Phymatous rosacea – thickened, bumpy skin texture (commonly on the nose)
  • Ocular rosacea – eye redness, irritation, or swollen eyelids
  • Erythematotelangiectatic rosacea – persistent redness and visible blood vessels

What can trigger rosacea?

Rosacea flare-ups can be influenced by individual triggers. Common ones include:

  • Sun exposure and heat
  • Stress or strong emotions
  • Alcohol, spicy food, or hot beverages
  • Harsh skincare products
  • Extreme temperatures (hot or cold environments)

Identifying and avoiding personal triggers is an important part of long-term management.

Treatment Options at HEMAC

At HEMAC Aesthetic & Skin Clinic in Hawthorn East, our practitioners assess each patient individually and may recommend a combination of approaches:

  • Topical or oral medicines – such as antibiotics or anti-inflammatory agents.
  • Mineral sunscreen and emollients – to protect and repair the skin barrier.
  • Laser and light-based treatments – including IRIS laser for redness and vascular changes, or Fraxis fractional laser for thickened skin.
  • Procedural options – such as electrocautery for targeted vessels.

Treatment plans are tailored based on the type of rosacea, symptom severity, and patient preferences.

Rosacea & Broken Capillaries – FAQs

Can rosacea be cured?
There is currently no cure for rosacea, but treatments can help manage symptoms, reduce flare-ups, and improve quality of life.

How many treatments are needed for broken capillaries?
This depends on the size, location, and severity of vessels. Multiple sessions may be required for optimal improvement.

Are the treatments safe?
All procedures carry some risk. Side effects may include redness, swelling, temporary sensitivity, or changes in pigmentation. Your practitioner will explain risks and aftercare.

Do triggers affect rosacea treatment?
Yes. Avoiding known triggers such as sunlight, spicy foods, or stress can reduce flare-ups and help maintain results.

Who is suitable for treatment?
Suitability depends on skin type, medical history, and the subtype of rosacea. A consultation is required before starting treatment.