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.