Lasers to remove under eye veins: What are my options and is it safe? (Photos)

Question

I have big blue/purple veins under both eyes that have become more visible over time. I Understand that fillers can help make them less visible, but I want them gone. Are YAG lasers safe for removing under-eye veins? Is there a risk for blindness?

Raffy Karamanoukian, MD, FACS · Answer

It’s important to distinguish between varicose veins and spider veins when choosing between laser therapy, sclerotherapy, and vein surgery. With two board certified vein specialists, our center uses a combination of visual examination, functional flow measurements, ultrasound, transillumination, and infrared light to map out vein networks prior to therapy. Lasers can be used to treat deep varicose vein insufficiency, vein perforators, and varicose veins. Sclerotherapy is ideal for spider veins and reticular veins. Whereas surgery is reserved for severely incompetent varicose vein segments.

Best,
Dr. Karamanoukian
Realself100 surgeon

Best,
Dr. Karamanoukian
Realself100 surgeon

Ramandeep Sidhu, MD · Answer

Thank you for the question and photos. To determine the best modality for those veins we would recommend a consulation to see the exact site of the veins - if they are above or below the rim of the orbit and also the sixe. That will determine the best way to treat either with laser of sclerotherapy.

John Landi, MD · Answer

The posted veins can be treated by multiple modalities including topical laser, sclerotherapy, fine needle RF and Vein Gogh.  With proper techniques their treatment is very safe.  What technique or techniques to use is dependent on the size of the veins to be trated and the experience of the person treating them.

Albert Malvehy, MD · Answer

These veins drain into something called the cavernous sinus, which also drains the eye. Though unlikely, a potential complication is thrombosis and embolism to this area, which may result in vision loss.

Lasers to remove under eye veins: What are my options and is it safe? (Photos)

Answers (4)

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