Dilated Capillaries and Facial Redness
Dilated capillaries, often referred to as thread veins or broken veins, are a common skin concern that can develop gradually over time. They most often appear on the cheeks, chin and nose and are particularly common in fair or sensitive skin types.
While some people inherit a tendency towards facial redness, dilated capillaries are often part of a progressive vascular condition that becomes more noticeable with age.
What Causes Dilated Capillaries?
Capillaries are tiny blood vessels located close to the skin surface. When these vessels lose elasticity, they can become permanently enlarged and visible through the skin.
A number of factors can contribute to their development, including:
Genetics
Sun exposure
Smoking
Hormonal changes
Menopause
Extreme temperatures
Stress
Diet and alcohol consumption
Excessive exercise
Sensitive or fragile skin
For women, the cheeks and chin are often the most affected areas, while men commonly experience visible capillaries around the nose.
The Link with Rosacea
Dilated capillaries are frequently associated with rosacea, a chronic inflammatory skin condition that causes persistent redness and flushing.
Rosacea can also cause:
Increased skin sensitivity
Episodes of facial flushing
Small red bumps or pustules
Burning or stinging sensations
Generalised facial redness
Unlike acne, rosacea-related breakouts do not usually involve blackheads or excess oil production.
Treatment of Dilated Capillaries
At Daydreams Skin & Body Therapy, visible capillaries can be treated using the Epil 2000 system.
This treatment uses a fine disposable needle to deliver a precise high-frequency current that seals the affected vessel without damaging the surrounding tissue.
The treatment is highly targeted and designed to minimise trauma to the skin while improving the appearance of visible capillaries.
What to Expect After Treatment
A consultation is always carried out before treatment to assess suitability and discuss expectations.
Following treatment:
The treated vessel may appear darker initially
Mild redness is common
The appearance of dried blood within the vessel is a normal part of the healing process
The treated area gradually improves as the body naturally clears the vessel
For this reason, treatment is best scheduled well before important social events or holidays.
An aftercare product may be recommended to support the healing process.
Skincare Advice for Facial Redness
People prone to rosacea or facial redness often benefit from a gentle skincare routine.
Helpful measures include:
Avoiding harsh exfoliants and scrubs
Using gentle cleansers
Avoiding rough cleansing cloths and brushes
Maintaining good skin hydration
Protecting the skin from extreme temperatures
Wearing daily sun protection
Mineral-based sunscreens containing zinc oxide or titanium dioxide are often well tolerated by sensitive or reactive skin.
Camouflage and Cosmetic Support
For those wishing to reduce the appearance of redness cosmetically, colour-correcting products can be helpful.
Green-tinted products are often used beneath foundation to neutralise redness, while specialist camouflage products can provide additional coverage where required.
Managing Rosacea Triggers
Although triggers vary from person to person, common factors that can worsen redness include:
Stress
Alcohol
Spicy foods
Excessive heat
Sun exposure
Smoking
Hormonal changes
Identifying and avoiding personal triggers can help minimise flare-ups and support long-term skin comfort.
With the right combination of professional treatment, gentle skincare and trigger management, visible capillaries and facial redness can often be significantly improved, helping the skin appear calmer, clearer and more even in tone.