Bipolar RF Thermocoagulation of Telangiectasias (Broken Capillaries)

Small, dilated blood vessels—telangiectasias or “broken capillaries”—commonly appear on the face as fine red or purple lines. They can arise from sun damage, rosacea, genetics, or aging. Bipolar RF thermocoagulation offers a precise, low-risk method to selectively coagulate these vessels, improving complexion and reducing redness.

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✅ Why Choose Bipolar RF?

• Precision: Pinpoint coagulation of vessels under 1 mm in diameter
• Bloodless: No bleeding, no need for sutures
• Minimal Downtime: Return to activities immediately
• Low Risk: Less pigment change than cryotherapy; fewer pigmentary risks than some lasers in darker skin

⚡ Treatment Protocol

Protocol:

1. Cleanse and dry the treatment area.
2. Apply topical anesthetic cream for 20 minutes.
3. Use the bipolar RF probe to deliver a quick 1–3 second pulse directly on each visible vessel until immediate blanching is seen.
4. No dressings usually required; a mild ointment may be applied.

🧴 Post-Op & Recovery

• Immediate: Slight redness or pinpoint crust at each site.
• Days 1–3: Tiny scabs form and fall off naturally—avoid picking.
• Week 1: Most sites healed; residual pinkness fades.
• Sun Protection: Strict SPF 30+ daily to prevent hyperpigmentation.
• Makeup: Can be resumed 24 hours post-treatment if no open crusts remain.

🩺 Candidates & Contraindications

Ideal for:

• Fine facial vessels on nose, cheeks, chin
• Skin types I–IV (Fitzpatrick)

Not ideal for:

• Vessels > 1 mm wide (better treated by vascular lasers/IPL)
• Extensive rosacea with diffuse erythema (medical therapy first)
• Active infection or open wounds

❓ Frequently Asked Questions

Q: How many treatments will I need?
A: Most patients require 2–4 sessions for optimal clearance, spaced 3–4 weeks apart.

Q: Does it hurt?
A: A quick pinprick or zap; numbing cream makes it comfortable.

Q: When will I see results?
A: Vessels blanch immediately; full resolution over 1–2 weeks as tiny scabs shed.

Q: Are there side effects?
A: Rarely mild pigment lightening or redness; scabs are normal and transient.

Q: Can I combine with other treatments?
A: Yes—combine with IPL or vascular laser for larger vessels, or with topical rosacea therapies.

💬 Schedule Your Telangiectasia Consultation

For precise, minimally invasive treatment of broken capillaries, trust the expertise of our team at Mountcastle Medical Spa & Laser Center. We tailor energy settings and protocols for your skin type and vessel characteristics, ensuring safe, effective results.

📍 Ashburn, VA •