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

I am only 21 years old. In the past 3 years it seems as if my skin has been rapidly aging, but more than just fine lines... Underneath my eyes are very large bulging blue veins. Towards the tear ducts are purple/briused looking tiny veins. My eyes look sunken in as if I've lost all fat. Additionally I am starting to have wrinkles. I have tried every product to moisturize, and even conceal but nothing has worked. Attached are two photos of my face now vs. 3 years ago. :( Please help!!!!

Doctor Answers 7

Thin skin, dark circles and volume loss

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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.

Sherman Oaks General Surgeon
5.0 out of 5 stars 10 reviews

Vein under the eye

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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.

Best treatment for thin lower eyelid skin, visible veins and wrinkles in young people

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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.

Eye rejuvenation

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Although surgical removal of the vein is best, it is not your only option.  Treating this area with a combination of RF and IR treatments (using Elos) technology can assist in creating volume i. He tissue making the vessel slightly less visible.  The treatment of YAG lasers may assist with reducing the vessel however, this area is very sensitive and should only be addressed by a cosmetic physician.  Injections with either fat grafting or HA fillers will allow for thicker tissues in the area reducing the visibility of the vessel.  These may need to be repeated over time (not always with fat grafting but regular injections of HA will be needed).  It's difficult to see the tissue discolouration but there are some topicals that can address pigment.  These must only be administered by a physician and monitored regularly.

Always seek the advice of your cosmetic physician and ensure they are qualified and trained to treat the eye area.

R. Stephen Mulholland, MD
Toronto Plastic Surgeon
4.6 out of 5 stars 101 reviews

Early aging around the eyes

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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.   

Clyde H. Ishii, MD, FACS
Honolulu Plastic Surgeon

Lasers for Facial Veins

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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.

Gail Nield, MD, FRCPC
Toronto Dermatologist

Sunken Eyes

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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

Samir Shureih, MD
Baltimore Plastic Surgeon

These answers are for educational purposes and should not be relied upon as a substitute for medical advice you may receive from your physician. If you have a medical emergency, please call 911. These answers do not constitute or initiate a patient/doctor relationship.