We specialize in getting rid of facial telangiectasia—those small, visible blood vessels that can appear as red, blue, or purple thread-like lines, often around the nose, cheeks, or chin. Spider veins on the face can be a common cosmetic concern, becoming more prominent with age, sun exposure, or hormonal changes. While generally harmless, they can impact a person’s confidence and make the skin appear uneven or flushed.

Telangiectasia Treatment
Telangiectasia Treatment, also commonly known as Spider Vein Treatment, at Hawaii Natural Medicine is designed to reduce and eliminate the appearance of spider veins, restoring a more even skin tone and healthier look to affected areas. Using safe, advanced technology, these treatments target the blood vessels responsible for spider veins, causing them to collapse and eventually fade, leaving skin visibly clearer.
How It Works
Telangiectasia treatment generally involves laser therapy, which uses targeted light energy to heat and collapse the blood vessels responsible for spider veins. The body naturally reabsorbs these veins over time, resulting in a significant reduction in visible spider veins. For some patients, sclerotherapy may also be an option; this minimally invasive procedure involves injecting a solution directly into the vein, causing it to seal and fade over time.






What Causes Spider Veins?
Telangiectasia often develops when veins close to the skin’s surface weaken or become damaged. This can be due to a range of factors, such as genetics, hormonal changes, prolonged sitting or standing, sun exposure, and age. These factors can lead to the pooling of blood in the veins, causing them to become enlarged and visible as spider veins.
Disclaimer: Alma VascuPen Treatment & Skin Type Eligibility
The Alma Harmony VascuPen treatment is recommended only for individuals with Fitzpatrick Skin Types I-III. This is due to the way the laser interacts with melanin (skin pigment), which can increase the risk of adverse effects on darker skin tones.
Why is this Treatment Not Recommended for Skin Types IV-VI?
Darker skin tones naturally have higher melanin levels, which can absorb excess laser energy, leading to:
- Burns or excessive heat damage
- Hyperpigmentation (dark spots)
- Hypopigmentation (light spots or loss of pigment)
- Scarring or prolonged skin irritation
Consultation & Safety Precautions
Before undergoing treatment, all clients will be evaluated by a trained provider to determine eligibility. If you have a darker skin tone (Fitzpatrick IV-VI), alternative treatments that are safer and more effective for your skin type may be recommended. By booking this treatment, you acknowledge that you have been informed of the risks, limitations, and suitability based on your skin type. If you have any concerns, please contact our office for a consultation before proceeding.
IV Therapy Appointments

Frequently Asked Questions
Most patients experience minimal discomfort, with a mild warming or tingling sensation during laser treatments.
Results are typically long-lasting, with these veins unlikely to reappear. However, new spider veins and telangiectasia may form over time, depending on lifestyle and genetics.
There is usually little to no downtime, though you may experience slight redness or swelling that resolves within a few days.