Am I a candidate for tear trough filler if I have visible veins under my eyes? (photos)

Question

I have some small blue veins under both of my eyes. Would this make me a poor candidate for filling in the depressions under my eyes?

Monica Boen, MD · Answer

Thank you for your question. You can have your tear troughs treated with filler even if visible veins are present. Make sure you work with a board-certified dermatologist with extensive training in treating this area to ensure a safe and effective procedure. You can also treat the veins if you like so they are no longer present. I use a couple of different lasers for this purpose, the Clear and Brilliant or the Vbeam. Both of these devices target the blood inside the vessel to eliminate the vein without damaging surrounding skin and tissue. A combination of these two procedures might give you the best outcome.

Jason Emer, MD · Answer

Fillers like Belotero, Volbella, and Restylane Silk are good for improving under the eyes, but keep in mind that a combination approach will give the most improvement. My patients try to get non-surgical treatments to avoid surgery, so we use fillers, lasers, microneedling/PRP and stem cells. I suggest consulting with an expert to develop a treatment plan best suited for you. Best, Dr. Emer

David C. Mabrie, MD · Answer

Hi akgettingbetter,
yes, you can still safely get filler injections with periorbital veins present.  At our San Francisco office, we use a microcannula for all under eye injections, this helps minimize the chance of bruising and makes the patient more comfortable.  We recommend seeing a dermatologist for the periorbital veins, you may be able to reduce the appearance with laser treatments. 
Make sure to do your research and find an experienced injector who specializes in treating the under eyes whose vision aligns with the aesthetic that you are hoping to achieve and to attend an in-person consultation to tailor your treatment based on your unique anatomy. 
Here is a video with more information on treating the under eyes with dermal fillers and a link to our blog explaining the essentials of layering dermal fillers.We hope this is helpful.  Good luck and stay beautiful!
~ Mabrie Facial Institute

Benjamin Barankin, MD, FRCPC · Answer

You can certainly have tear trough filler even in the presence of visible veins, its just that your expert physician injector needs to be more careful and precise. That's why you go with a highly trained and experienced physician such as a dermatologist for optimal results and safety.

Shaun Patel, MD · Answer

Yes, periorbital veins are common and can be treated used an Nd:YAG laser by an experienced physician. You can still have filler treatment of the tear trough if needed. I would use Restylane to treat your tear troughs. Using a microcannula for the injections should minimize bruising and swelling based on my experience.

Mehdi Sina, MD · Answer

Hi,You can have fillers placed without a problem. You can also have those veins treated with a YAG laser, which will make them disappear instantly. Best,

Leonard Grossman, MD · Answer

The veins under the skin are not usually a problem when treating a tear trough. Even though 90% of the time I prefer my patients use their own fat for filling out the tear trough because it produces natural and permanent results, in your case a small amount of Restylane in the hands of a proficient plastic surgeon should do the trick. I hope this helps and good luck from New York City plastic surgery

Am I a candidate for tear trough filler if I have visible veins under my eyes? (photos)

Answers (7)

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