VBeam vs. CO2 Fractional laser vs. YAG for under eye veins?

Question

Hello. I have very large and dialated purple/blue veins inder my eyes. I have seen three plastic surgeons. All three say theirs is the best however - as a result - I am getting three separate anwers. Thoughts?

Jason Emer, MD · Answer

These requires long pulsed yag lasers or sclerotherapy.  VBeam and co2 will have no effect.  Best, Dr. Emer.

Raffy Karamanoukian, MD, FACS · Answer

Vbeam laser is an excellent modality for patients who have rosacea, blushing of the skin, facial and body telangiectasia, spider veins, redness, post surgical redness, and skin flushing. It is a safe procedure that can be used at varying depths to help treat micro blood vessels in the skin. We also use it in our office for facial skin inflammation, keloids, and hypertrophic scarring. It is an important part of scar therapy. Vbeam can be combined with chemical peels and other lasers, but experience with the treatment is essential. The Vbeam laser does not affect deeper tissue. Schedule a consultation with an expert in Vbeam and you will find it to be an excellent modality for many skin types. 
 
Best, 
Dr. Karamanoukian
Realself100 Surgeon

Steven F. Weiner, MD · Answer

There is only one choice, it's the 1064 YAG laser. The others won't do it. If there are small red vessels, the VBeam can get it. CO2 can't get any veins. The Excel V is great for this because it has both the 532 and 1064 laser to get all the veins, blue or red, on the face. If they are within the orbital rim, corneal shields might be needed. Usually I can pull them down enough that the shields aren't necessary, just the normal metal goggles.

VBeam vs. CO2 Fractional laser vs. YAG for under eye veins?

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