Under Eye Blue Veins, Skin Thinning, Loss of Fat, and Wrinkles? Only 21 Years Old. (photo)

The vein underneath your eye can be treated with laser, however this is a very sensitive area and if treated by someone without much experience it can cause more problems than good. I would recommend camouflage with makeup. As far as the volume loss and dark pigmentation under your eyes, fillers would be a very good choice to treat the volume loss although they will not take away the dark spots. For hyperpigmentation I usually start out with medical grade skincare products which have shown to be very effective when used consistently.

Our treatments use combination therapy to improve the epidermis and dermis. We see atrophic and hypertrophic acne scars, as well as scars that have hypo and hyperpigmentation. Our main concern is rebuilding collagen and that is why we use a HIDEF protocol that includes combination therapy. Morpheus 8, scar subcision, fibrous release, fractional laser, CO2 laser, Thulium laser, PDL Vbeam laser, and fractional resurfacing can be used in addition to TCA Cross and chemical peels to further improve skin. Patients should start Melarase AM and Melarase PM for active hyperpigmentation. Always begin with a consultation to discuss the best treatment options for your type of skin. .

Best,
Dr. Karamanoukian
Realself100 Surgeon

Thank you so much for your question! Rejuvenation is truly my passion. Platelet-rich plasma or PRP is the answer to your problem. We take blood from your arm, just like any other routine lab draw. We then spin it down into PRP which I then convert into platelet-rich fibrin matrix or PRFM. I do this because it has more growth factor and therefore stimulates more stem cells. I inject this PRFM under the eye, or just about anywhere (hello O-shot!). This rejuvenates your skin from the inside out and builds Collagen. I often pair this with microneedling to thicken the skin and build additional Collagen. In your case I would also do a few radiofrequency treatments to help build volume even further.

Hello there , 
I can understand your pain. You are beautiful young lady and II am sure you are full of energy. looking tired for someone like you is not fair. I want to recommend PRP which will help you build healthy tissue, give a glow. A filler can be combined with it but PRP is the most important factor. the increased volume will  help the blood vessels look less prominent.

The larger blue veins can be treated by surgical removal or laser.  The dark color under the eyes is due to pigment in the skin itself as well as the thin transparent nature of the skin in this area.  This darkness is very difficult to treat and may persist.  Until we have a better answer to this problem I would recommend camouflage with cosmetics.  Finally, the sunken look around the eyes may respond to soft tissue fillers or fat grafts.   

You have Periorbital Reticular Veins which are seen lateral and inferior to your eyes. These can be reduced with a series of Yag laser treatments. However, they can reoccur.

As for your dark circles, since you are only 21, there are a number of possible causes to consider. See your doctor to help with this. Possible causes of dark circles are hereditary factors, allergies, lack of sleep, or loss of volume under the eyes which can cause hollowing or increase the appearance of the vessels in this area. Intense pulsed light therapy treatments can be useful to reduce dark circels, and fillers such as Redensity 11 can be injected to cover the veins, so they are less apparent.

Since you are only 21, first ensure that you are getting enough sleep, and even consider a good dark circle eye coverup, before you do any other aggressive treatments.

This is quite a sizeable vein under the eye and can be removed surgicaly with 1 or 2 micro puncture wounds which should heal nicely. You should have a plastic surgeon remove that for you because you are so young. This is not a safe area for sclerotherapy.

The blue vein can be surgicaly removed under local anesthesia.

The sunken eyes If present, then Best to fill with fat. and the pigmentation and fine wrinkles are best treated with CO2 laser resurfacing

Hi there,See a vascular physician regarding the vessels under eye, there are vascular lasers to help. Also see a a certified injector to add some volume under eye. Best of luck... 

I am sorry to hear of your difficulty with your lower eyelid skin.The basic problem is that the lower eyelid skin is so thin that you can see the small blood vessels and even the purple color of the eyelid muscle showing through.The only technique I have used that can improve these changes by building new collagen in the deeper layers of the lower eyelid skin is the use of non-ablative fractional erbium laser resurfacing in the 1540nm range.  I use the Lux 1540 fractional erbium laser and do at least 4 treatments scheduled a month apart.  In my experience many young people have been improvement using this technique.Small veins less than 4 mm can also be treated with IPL in patients with a light fair skin such as yourself.  My approach would be to do the non-ablative fractional erbium laser treatments first followed by IPL treatments.I do not attempt to treat larger veins than 4 mm.  The only methods are surgical removal which leaves an unacceptable scar or injection therapy which is very unsafe on the eyelids and should not be attempted.Please consult a board certified plastic surgeon or dermatologist who has great experience and laser treatments.  Many physicians will not attempt to use this laser on the eyelids.Avoid filler injections which can only be placed on the lower portion of the lower eyelid and with thin skin there is a high risk that you will have visible gray lumps after filler especially with thin eyelid skin.