Best Treatment for Under Eye Veins?

I have small veins under my eyes causing me to have dark circles. Had them for a long time I feel as though they are getting worse. Had my blood checked it was perfect. Had ionto treatment. They think it helped but I'm not so sure.

Is it worse because I am pale? Because I wear sunscreen everyday but i hope it isn't making it worse.

This isn't the best picture of the circles (wearing makeup and such) but I have no others since I always edit them out. Please help!

Doctor Answers 6

How do you treat small under eye veins?

There are different modalities to treat under eye veins.

Thank you for posting this picture. It is helpful.

I recommend the use of long pulse wave lasers. It is important to remember that you may need multiple treatments. 

Buffalo Phlebologist
4.8 out of 5 stars 41 reviews

Veins under eyes

For larger blue veins, a long pulsed 1064 nm laser - such as the GentleYAG with dynamic cooling - can be used to reduce or eliminate them. For smaller veins that are more red, a series of pulsed dye laser treatments - such as the Vbeam - is very helpful in reducing the number of vessels but is unlikely to remove all veins due to their small size and location. Be sure to go to a practitioner who is very experienced in treated under eye veins. The eyes must be protected with eye shields that are inserted into the eye to protect the eye. You can view before and after photographs of the 1064 GentleYAG on my page.

Elizabeth F. Rostan, MD
Charlotte Dermatologist
4.2 out of 5 stars 19 reviews

Undereye veins

Larger undereye veins can be addressed with the Nd:YAG laser, while smaller vessels respond to the pulsed-dye laser and IPL.

Certain cosmeceutical products containing antioxidants such as green tea polyphenols and caffeine can significantly reduce the appearance of these blood vessels.

You do seem to have some shadowing effect which accentuates the appearance of undereye dark circles and would probably benefit from small volumes of carefully placed hyaluronic acid filler.

Good luck.

Bryan K. Chen, MD
San Diego Dermatologist
5.0 out of 5 stars 5 reviews

Best treatment for under eye veins?

Small superficial blood vessels may be obliterated with Sciton's Broad Band Light treatment (BBL). The machine's 560 nm setting treats –cherry angiomas, telangiectasias, and rosacea. See

Good Luck.

Peter A Aldea, MD

Peter A. Aldea, MD
Memphis Plastic Surgeon
4.9 out of 5 stars 108 reviews

Dark circles under the eyes

While you may have small skin veins, these are hard to eradicate,  You DO have tear troughs, hollow areas which can be filled in with Juvederm or Restylane.  This will eliminate the shadow artifact and make your eyes look less dark.  The filler will last over a year. 

Richard P. Rand, MD, FACS
Seattle Plastic Surgeon
4.8 out of 5 stars 67 reviews

Under eye circles treatment

Under eye circles can be caused by excessive thinning of the skin and hemosiderin deposition. Small veins under the eyes can be reduced by laser, injection, or surgical removal. Each of these treatments is indicated for specific combinations of skin complexion and size of veins.

Raffy Karamanoukian, MD, FACS
Los Angeles Plastic Surgeon
4.8 out of 5 stars 94 reviews

These answers are for educational purposes and should not be relied upon as a substitute for medical advice you may receive from your physician. If you have a medical emergency, please call 911. These answers do not constitute or initiate a patient/doctor relationship.