What filler would be best for my situation? (Photo)

Question

I have had very thin under eye skin and 2 very clear big blue veins running them. A dermatologist already told me I can’t remove those. But perhaps could get under eye filler, but I don’t know which would be most suitable.

Jonathan Kulbersh, MD · Answer

Hello, thank you for posting your question. A combination of dermal fillers and Botox in a liquid eye lift may help with the visible veins. A liquid eye lift targets the under-eye area to help reduce hollowing and discoloration, and the added volume may help reduce the visible veins. We use a microcannula rather than a needle in this area to produce a smoother result and minimize bruising and swelling afterward. Due to its delicate location, it is critical to consult with an experienced, qualified injector for detailed information and a custom treatment plan.

Jennifer Thomas-Goering, DO, MBA · Answer

Thank you for sharing your photo with everyone. I have had a couple of patients with this problem where they want to mask these veins. Because of the location, it is not a great place to add filler. Laser could cause too much tissue destruction in the area. Surgery to remove the vein could be an option but then you would be left with a scar. The best way to treat this is to improve the thickness of the tissue. There are a couple of ways to do this. One way would be to use PDO or PLLA smoothing threads to stimulate collagen. This will help with the darkness and over time thicken the tissue in the area. Another way to mask this is using PRP or PRF. Using your body's platelets to stimulate collagen and improve the thickness and texture of the under eye area would be my number one go to option, It will take time for the body to respond and you will need a few treatments but overall this will give you the most natural and safe way to get those veins to be less noticeable. Good luck!Dr. Jennifer

Anthony Farole, DMD · Answer

Hello,I do not have the particular laser you may require to remove or diminish the veins you illustrate. But a plastic or other facial cosmetic surgeon may have an IPL or erbium laser they can offer you to remove or finish the veins. I recommend you call in your area for a consultation.

What filler would be best for my situation? (Photo)

Answers (3)

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