Veins

Laser Treatment for Small Facial & Leg Veins

At The Skin Doctor, we offer medical assessment and laser treatment for selected superficial blood vessels — often called spider veins or broken capillaries.

Using our Fotona long-pulsed Nd:YAG laser, we target suitable small superficial vessels to help reduce their visibility and support a clearer, more even complexion.

Before any treatment, your veins are assessed by a doctor to determine whether laser therapy is appropriate or whether another approach would be more effective.

 

Why Veins Appear

Visible superficial veins can occur due to:

  • sun exposure

  • genetics

  • age-related vessel weakening

  • hormonal changes

  • lifestyle factors

  • previous skin inflammation

  • trauma or pressure

  • flushing or rosacea tendencies

These vessels are usually harmless, but many people seek treatment for cosmetic reasons or to improve evenness of the skin tone.

 

Your Vein Consultation

Every patient begins with a doctor-led assessment.
This is essential because not all veins are suitable for laser treatment, and treating the wrong type of vein with laser may be ineffective.

During your consultation, your doctor will:

  • assess the size, colour and depth of the vein

  • determine whether the vein is amenable to Nd:YAG laser

  • evaluate underlying causes (e.g. rosacea, refluxing leg veins)

  • review your skin type and medical history

  • discuss the safest and most effective treatment options

If a vein is not suitable for laser, your doctor may recommend alternative treatments or referral for vascular assessment.

 

What Veins Are Suitable for Laser Treatment?

Laser treatment works best for:

  • small superficial spider veins

  • tiny red, blue, or purple vessels

  • fine broken capillaries

  • facial veins related to sun exposure or rosacea

  • small leg telangiectasia (dependent on cause)

These veins respond well because they are:

  • close to the surface

  • small enough for laser energy to collapse

  • not connected to underlying venous insufficiency

Veins NOT suitable for laser

The following typically require other treatments:

  • large, blue “rope-like” leg veins

  • bulging varicose veins

  • veins with underlying reflux

  • deeper reticular veins

  • vessels feeding into larger incompetent veins

A short skin or vein consultation with Dr Chris Irwin will determine which type you have and what treatment is best.

 

How Fotona Nd:YAG Laser Works

The long-pulsed 1064 nm Nd:YAG laser targets haemoglobin within the blood vessel.
This produces controlled heating of the vessel wall, causing it to:

  • collapse

  • close off

  • fade gradually over weeks

Because the Nd:YAG wavelength penetrates deeper than other vascular lasers, it is particularly effective for:

  • small, deeper bluish vessels

  • red or purple telangiectasia

  • small spider veins on the face or legs

  • resistant broken capillaries

However, deeper or larger veins still require non-laser modalities.

 

What to Expect During Treatment

During treatment

  • Protective eyewear is applied

  • The laser handpiece is placed over the vessel

  • Each pulse feels like a warm snap or quick sting

  • Cooling may be used for comfort

Treatment time varies depending on the number of vessels.

After treatment

You may experience:

  • redness

  • slight swelling

  • temporary darkening of the vein

  • light bruising (less common)

These effects typically settle within days.

 

How Many Treatments Are Needed?

This varies depending on:

  • size of the vessel

  • depth

  • skin type

  • responsiveness

Many small facial veins need 1–2 sessions, whereas leg veins may require multiple treatments spaced several weeks apart.

Your doctor will give a personalised plan.

 

Risks & Considerations

All medical laser treatments carry risks.
Potential side effects include:

  • redness or swelling

  • temporary darkening of treated veins

  • blistering or crusting

  • pigmentation changes (more common in darker skin types)

  • incomplete response or recurrence

Your doctor will advise on the risks relevant to your skin type.

 

Frequently Asked Questions

Are all veins treatable with laser?

No.
Laser works best on small superficial spider veins.
Larger veins often require non-laser treatments.
A consultation with Dr Chris Irwin will determine suitability.

Can laser treat bulging leg veins?

No.
Bulging or rope-like veins are typically due to deeper venous issues and require different treatment pathways.

Is laser vein treatment painful?

Most patients describe a brief warm snap or sting.
It is generally well tolerated.

How soon will I see results?

Small facial veins may fade within weeks; leg veins can take longer.

Can veins return?

Treated veins usually do not return, but new veins can appear over time depending on genetics, lifestyle and sun exposure.

Is the treatment safe for all skin types?

Nd:YAG is one of the safest vascular lasers for medium to darker skin types, but your doctor will determine appropriateness.

 

Vein Treatment at The Skin Doctor

If you have small spider veins or broken capillaries you’d like assessed, our doctors will help determine:

  • whether laser is appropriate

  • whether another treatment is better

  • how many sessions you may need

  • what expectations are realistic

A short consultation with Dr Chris Irwin ensures your veins are correctly diagnosed and safely managed.

Skin of Colour Clinic

Safe, Doctor-Led Aesthetic and Laser Treatments for Melanin-Rich Skin

Darker skin tones are beautiful, diverse, and uniquely complex. Melanin-rich skin (Fitzpatrick types IV–VI) requires specialised knowledge, careful technology selection, and a deep understanding of pigmentation behaviour, scarring tendencies, and laser safety.

At The Skin Doctor, we provide a dedicated service for patients with African, Afro-Caribbean, South Asian, Middle Eastern, Latin American and Pacific Islander skin. Our approach combines:

  • Advanced laser and pigmentation expertise

     

  • Cultural understanding and representation

     

  • Evidence-based dermal therapy delivered by expert dermal therapists

     

This allows us to offer safe, effective and personalised care for all shades of melanin.

Why Darker Skin Needs Specialised Care

Melanin-rich skin has several important characteristics that influence treatment planning:

Higher risk of post-inflammatory hyperpigmentation

Even minor irritation can trigger darker marks lasting months to years.

Increased tendency toward keloid and hypertrophic scarring

This requires careful assessment and preventative strategies.

Certain lasers and energy-based treatments can be unsafe

Incorrect devices or settings may lead to burns, pigment loss or scarring.

Pigmentation behaves differently in darker skin

Melasma and deeper dermal pigmentation need long-term, gentle management.

Acne often leaves prolonged dark marks

Post-inflammatory pigmentation is more visible and frequently the main concern.

These factors make medically supervised, carefully selected treatments essential.

What Makes Our Clinic Different

Doctor-Led Laser Safety

Dr Chris Irwin is one of the few Melbourne doctors who routinely uses medical-grade lasers both for aesthetic concerns and in the treatment of skin cancer. This provides a deep understanding of laser–tissue interaction, risk minimisation and safe laser settings for darker skin tones.

Representation and Cultural Understanding

With Zimbabwean heritage and lived experience managing melanin-rich skin, Kim Irwin offers perspective, guidance and a culturally sensitive environment. Her background helps patients feel understood, respected and represented.

Evidence-Based Dermal Care

Our dermal therapists have extensive experience in treating pigmentation, melasma, acne, scarring and texture concerns in darker skin. Her approach prioritises safety, skin-barrier support and long-term pigment stability.

Technology Suitable for Skin of Colour

Our use of state of the art Fotona including qswitch allows safe and effective treatment for higher Fitzpatrick skin types. All care is tailored, conservative and medically overseen.

Conditions We Treat Safely

Pigmentation and Melasma

We provide tailored protocols using non-ablative Nd:YAG laser, pigment-stabilising skincare, peels suitable for skin of colour and long-term pigment control strategies.

Acne, Scarring and Post-Inflammatory Hyperpigmentation

We treat inflammatory acne, hormonal patterns, pigmentation from previous acne, and selected scarring with safe, gradual treatment pathways.

Keloid and Scar Prevention

We assess keloid risk before treatment and provide medically supervised scar-prevention strategies, including corticosteroid therapy when appropriate.

Laser Hair Removal for Darker Skin

We use long-pulse Nd:YAG laser, the global standard for safe hair removal in melanin-rich skin. This minimises burn risk and provides effective results for coarse, dark hair.

Texture, Tone and Rejuvenation

We offer gentle, non-ablative laser treatments and dermal therapies suitable for improving tone, luminosity, hydration and overall skin health without compromising safety.

Your First Visit

Your consultation includes:

  • A full skin assessment focusing on pigment depth, pattern and behaviour

     

  • Review of medical history, scar tendency and previous treatments

     

  • A discussion of which technologies are safe and appropriate for your skin type

     

  • A personalised treatment plan developed collaboratively

     

This ensures your results are achieved safely, gradually and with long-term skin health in mind.

Why Our Approach Works

Our treatment philosophy combines medical assessment, laser physics, dermatologic science and culturally aware care. We favour conservative, stepwise plans that prioritise skin integrity, pigment stability and minimal downtime.

This approach creates natural, healthy and reliable outcomes for melanin-rich skin.

Enquiries

If you have concerns about pigmentation, acne, scarring, or safe laser options for darker skin tones, we welcome you to book a consultation to discuss suitable treatment pathways.