What is the best treatment for awful blue, veiny under eyes? (photos)

Question

I'm currently 20, with a horrendous curse on my face. The veins spread under my eyes and on my temple. It has KILLED my self confidence. I need the best treatment ideas for the blue and veins. The pictures don't even show it to it's full awfulness. Please help!? Surgery is even an option at this moment however would prefer lasers.

Jason Emer, MD · Answer

There are many ways to treat dark circles, as well as under eye wrinkles and bags. It is important to note however, that the majority of times the cause for discoloration is genetic and due to the viability of the blood vessels below the skin. A combination approach is always needed to get the best results in this area and this includes: topical skin care, laser and/or radiofrequency treatments, and fillers if placed appropriately. All my patients are on topical lightening agents, typically a vitamin C serum product in the AM and a brightening agent and/or a vitamin A based product in the PM. Sun protection is essential.Resurfacing and tightening are essential. My patients get offered a menu of options, for which a combination gives the best results. Light salicylic acid peels help give textural and pigment improvement; nonablative lasers (Fraxel or Clear + Brilliant) can be used to tighten and improve fine lines/wrinkles and crepe skin; fractional radiofrequency devices (Sublative, Viva) are cutting edge and improve texture, tone, and wrinkles with very little downtime; radiofrequency with pulsed electromagnetic fields (Venus) are amazing for puffiness and bags, in patients who do not want eyelid surgery; appropriately placed fillers can replace lost volume, cover up the vessels and fat pads below improving the appearance -- patients should pick a well experienced practitioner to prevent complications such as Tyndall (blue discoloration) and irregularities, one that uses a cannula for injection will help give results with little bruising or swelling; microsecond Nd:YAG laser treatments (Laser genesis) has produced dramatic improvement in discoloration in some of my patients and is safe in dark skin types, similar to the radiofrequency devices. For lifting, ablative laser resurfacing such as co2 laser combined with monopoloar radiofrequency deep heating (thermage) give amazing results. The key is for a patient to see a cosmetic dermatologist with experience in all the latest devices and techniques so the persons goals can be met by a combination approach of individualized treatments and skin care. In some cases, those who smile and have crepe skin or under eye wrinkles, a small amount of neurotoxin (botox, dysport, xeomin) strategically placed in the lower eyelid skin can improve wrinkles dramatically and give the eye a more "open" appearance.

Hratch Karamanoukian, MD, FACS · Answer

Thank you for your question.Thank you for your picture.The small veins under your eye should be treated with long pulse dye laser or needle radiofrequency.BestDr. Karamanoukian

John Landi, MD · Answer

For the veins that you show, I would recommend either sclerotherapy or fine needle radio frequency and I usually do a combination of both.  Several treatments are usually necessary.

What is the best treatment for awful blue, veiny under eyes? (photos)

Answers (3)

Recommended reading

Everything you need to know about Sclerotherapy

Our mission is to create a world where every investment in modern beauty is Worth It.

What is the best treatment for awful blue, veiny under eyes? (photos)

Answers (3)

Browse related questions

Recommended reading

Everything you need to know about Sclerotherapy

Our mission is to create a world where every investment in modern beauty is Worth It.