Telangiectasie is a Greek word meaning ‘end vessel dilation’. These are not ‘broken capillaries’ as so often named, but permanently dilated capillaries. The thin, singular cell wall structure of the fine facial capillaries dilate and constrict constantly in order to control the body temperature and their elasticity weakens and they can become permanently dilated. There are numerous causes for Telangiectasia including: ageing, hereditary and genetic causes, pregnancy, hormones, general skin fragility, smoking, extreme sports, temperature extremes and harsh weather exposure. They are very commonly seen in a maturing ‘English rose’ complexion. **Treatment overview** A course of advanced electrolysis is often advised for telangiectasia so that treatments can be spaced out to prevent skin damage or hyper-pigmentation. Both Thermolysis and laser methods can be used. Diathermy is more commonly used, which involves a very accurate positioning of the probe over the blood vessel and a gentle tap that applies current to the skin’s surface. This causes that tiny section of vessel to immediately disappear. Although not considered a cause of telangiectasia, rosacea (and the medication for it) may be a related factor, with the two conditions often presenting simultaneously. Reducing the appearance of the blood vessels using electrolysis may initially trigger a rosacea attack and the client should be made aware of the possible trigger reaction. However this is relatively rare and only a temporary consequence of the long-term positive results.