Is microphlebectomy a permanent solution for periorbital veins? (photos)

I have veins under my eyes and I'm looking for a permanent solution because I know that lasers and sclerotherapy have the risk of reoccurrence. I want to treat the cause of my vein problems and not just my veins so that they can't return. What under eye vein treatment would be permanent and have no risk of reoccurrence? If surgery isn't an option is medicine an option?