Options for Broken Capillaries Under the Eyes?

Various laser treatments are both safe and effective treatments for under eye treatment of broken blood vessels. The pulsed dye laser (PDL) , intense pulsed light (IPL), and Long wave Nd:YAG devices can be used with good results. Because the eye area is very thin, there may be bruising following these treatments. However, often, if treated at lower settings, much of this bruising can be avoided, or at least minimized.
Ice and avoidance of aspirin, ibuprofen and other blood-thinning medications can also help to reduce bruising. More than one treatment may be needed, especially if treatments are administered at lower settings to offset the risk of bruising. Corresponding eye shields for each device should be worn during the treatment to ensure safety.

Small red veins or telangiectasias under the eye can be treated with a number of lasers. The most commonly used is the pulsed dye laser such as the Vbeam laser. A series of treatments is needed to reduce these small veins.
Larger blue veins can also be treated with lasers but a longer wavelength laser such as a 1064 nm neodynium: yag or 755 nm alexandrite. These are very powerful lasers but in experienced hands can be used to eliminate these unsightly vessels. I ask that all my patients be prepared for bruising which happens about 15% of the time and lasts one week, and swelling which will last 24-28 hours. Do not let anyone but an experienced physician treat these vessels near the eye. Ask if it is commonly done in their practice. Eye shields are needed to protect the eye.
Treatment of these blue veins can really improve the appearance of dark circles as well as enhance entire facial appearance but it must be done cautiously by an experienced phyisician who appreciates the unique nature of these veins.