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I typically do not recommend injecting central veins in the face as they have connections cranially to the cavernous sinus, unlike veins that are more laterally on the face. When they are more laterally I use a laser, such as the Nd:YAG which is very effective.
This is a good sized vein on the bridge of the nose and although it can be treated with laser, sclerotherapy or microphlebectomy, I prefer microphlebectomy in this particular area. One or two tiny puncture wounds and the vein is gone.
The treatment of facial veins is a commonly asked question. There are 3 options-laser, sclerotherapy or removal via microphlebectomies. There are multiple lasers which can treat this vein but they usually require several treatments. Sclerotherapy can also treat this but it too may require several treatments and should be done by someone doing sclerotherapy in this area. The third option is surgical removal by 2 mm incisions. The treade of for this one time treatment is one or more tiny scars.
