Facials that are safe for all skin types

Hello - Is diamond tip microdermabrasion really that much safer for delicate skin? I was told by an esthetician that her machine (DiamondTome) was ok to use on my skin despite the broken capillaries on/around nose. Just wondering if any type of suction is a bad idea for my skin. Thank you, Dr. Irwin!

Great question.  Words matter …..and for years we’ve describing those little red blood vessels (capillaries really) as “broken” veins or capillaries. Really though……they are not broken!  They are just enlarged (dilated).

We really don’t know why they are so common at the base of the nose, but it might just be congestion there…..and the fact that most of us blow our noses, get colds, have allergies, etc which may cause them to get bigger over the years.

Facials Safe for Sensitive Skin:

  • Standard facials (no add ons). Most importantly facials that focus on organic or hypoallergenic product use, a gentle mask and extractions, and light massage.
  • Oxygen facials.  Assuming with the products above.
  • Microdermabrasion if done correctly without too much force or suction, with the above products.  You should feel a glide across the skin.  If you feel too much tugging, talk to the facialist.
  • Light peels based on organic enzymes.  Avoid the ones with alpha and beta hydroxy acids, which is most of them.   OR, start with the very lightest one to make sure you tolerate.

Factors that contribute to dilated blood vessels on the face:

  • Rosacea.  Either acne-like or just red, this is a chronic inflammatory condition.  Over time rosacea causes an almost permanent flush, acne-like red bumps and oil gland enlargement (sebaceous hyperplasia).   On the nose this is called rhynophyma.  If you think you might have it, see your doctor/dermatologist and work on improving your gut health.
  • Trauma, including plastic surgery, skin cancer surgery, large bruises, scars from accidents.  You get the idea. It’s common to have dilated vessels around the scars.
  • Autoimmune.  Lupus, Sjogren’s and several others may contribute.  Please see your doctor!
Hope this helps,
Dr. Brandith Irwin
Founder, SkinTour
Director, Madison Skin & Laser Center
Follow my skin tips and travels on Instagram!
Dr. Brandith Irwin, MD

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Hi, I’m Dr. Irwin. I believe that consumers deserve a medically trained and unbiased skin care advocate.

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