Is Sclerotherapy the best way to treat periorbital veins? (photos)

Question

I have very noticeable blue veins under each eye that started to be visible when I was like 25, and now I'm 36 and makeup is no longer enough to cover them up. Which is the best/safest method of treating these cosmetically? I've had sclerotherapy on my legs, which worked great, but I've heard it's riskier to do that procedure on the face, because of the risk of scarring. I've heard that laser treatment is safe but rarely effective. (I tried to have spider veins lasered off, with zero result.)

Jason Emer, MD · Answer

At home peels like cosmelan, enlighten and aerify along with dermarolling (MTS roller with anteage MD ampules) should be started now. There are many things you can do to treat under eye hollows and dark circles. A surgical option to remove skin and/or fat will such as lower eyelid blepharoplasty with or without fat pad repositioning will be the best long term. There are many things you can do to treat under eye hollows and dark circles without surgery. Non invasive less downtime options such as fillers (Belotero, Juvederm Volbella​), lasers (Moxi/Halo/Fraxel/CO2​), Renuvion (J-Plasma), microneedling/PRP, stem cells and microneedling RF like Fractora PiXel8 or Morpheus can all help give some improvement. Accutite can often be used or stronger lasers like erbium or co2 spot treatment can tighten the skin and give very quick improvement in wrinkles and texture. A surgical option to remove skin and/or fat might be the best solution long-term. I suggest you get a formal consultation to see what is best for you and your goals. Best, Dr. Emer.

John Landi, MD · Answer

I would treat your pictured veins with a combination of sclerotherapy and topical microneedle radiofrequency.

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Is Sclerotherapy the best way to treat periorbital veins? (photos)

Answers (2)

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