Visible veins on the face can be a cosmetic concern for some people; fortunately spider veins are not dangerous. There are several treatment options available to reduce or eliminate the appearance of facial veins, including laser therapy, IPL (intense pulsed light), and diathermy. The most effective treatment will depend on the type of veins and their cause, the skin type, and the overall health of the individual.

1. Laser therapy: Laser therapy is a non-invasive treatment that uses intense beams of light to heat the blood vessels, causing them to collapse and be absorbed by the body. This treatment is most effective for small to medium-sized veins, and it may require multiple sessions to achieve the desired results. Some benefits of laser therapy include minimal discomfort, quick recovery time, and long-lasting results.
2. IPL (intense pulsed light): IPL is another non-invasive treatment that uses a broad spectrum of light to target the veins. The heat from the light energy causes the veins to coagulate, and the body eventually reabsorbs them. IPL is ideal for treating facial veins that are close to the skin's surface, and it can be used on a range of skin types. Some benefits of IPL include no downtime, minimal discomfort, and the ability to treat multiple areas at once.
3. Diathermy: Diathermy is a procedure that uses high-frequency electrical current to cauterise the blood vessels. It's typically used for smaller veins that are closer to the surface of the skin. Diathermy is effective and efficient, with most treatments taking only a few minutes. However, it can be uncomfortable during the procedure, and there may be some redness and swelling afterward.

If the facial veins are due to rosacea, treatment may involve a combination of a light-based treatment in conjunction with the a prescription cream, such as a topical antibiotic, a topical anti-inflammatory, or a topical vasoconstrictor. These creams can reduce the inflammation and redness associated with rosacea, which may help reduce the appearance of the facial veins. The best prescription cream for rosacea will depend on assessment of the patient's unique symptoms.