There are different why reasons blood vessels become dilated or broken. Â Most of these causes involve skin damage, such as: Inflammation and irritation, UV exposure from the sun, Rosacea, Injuries to the skin, Exposure to extreme temperatures,Genetics, Hormones, Pregnancy, Medical issues, Obesity, Smoking, Alcohol, Aging. Note: Â The number of sessions recommended depends on the area, skin type and severity of the problem and is highly individualized