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Dilemma for treatment of veins under eyes/tear trough hollows? (Photo)

nat942110Aug 22, 2015
I have deep tear troughs and I veins in the same area. I've had these since I was a little girl. Veins are flat and blue in color. I live in Denver CO and having a hard time finding a dermatologist who treats periorbital veins and tear troughs. I'm worried the veins could get poked or worse if I do fillers first. Am I right to want to treat the veins first and then go on to fillers? I found one dermatologist that uses a Cutera Excel V 1064 nm laser for face veins. Is this a good option for me?

Answers (3)

From board-certified doctors and trusted medical professionals
Dr. John Landi, MD
Board Certified General Surgeon
Answered on Oct 4, 2017
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1 person found this helpful
Dr. Hratch Karamanoukian, MD, FACS
Board Certified Phlebologist
Answered on Feb 12, 2016
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Dr. Marilyn Pelias, MD
Board Certified General Surgeon
Answered on Aug 27, 2015
Answer

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Hratch Karamanoukian, MD, FACS

Not related to diet.You could take some bioflavonoids to keep your veins healthy. However, these can easily be treated in the legs with sclerotherapy and or cosmetic laser. The same can be done on the face using long pulse dye lasers. There is nothing you can do about the genetics of having a f...

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Hratch Karamanoukian, MD, FACS

Scleorosant solutions cause an inflammatory reaction in the veins that have been injected. PROPER compression over the veins that have been sclerosed prevents the pooling of blood and blood clotting. Since the sclerosed veins are superficial, they may be felt as lumps. If there is tenderness or...

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There are many patients who have PFO's who get foam sclerotherapy without incident. Most PFO's remain undiagnosed and asymptomatic.It is not just having a PFO, but a right to left shunt that is key. This is done with a bubble test which I assume you have already had.If there is no shunt, the...

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