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

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,

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.

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

Answers (7)

Answer: Treating the Under Eyes with Visible Veins

Answer: Treating the Under Eyes with Visible Veins

Answer: Filling the tear trough in the presence of visible veins

Answer: Filling the tear trough in the presence of visible veins

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

Answers (7)

Answer: Treating the Under Eyes with Visible Veins

Answer: Treating the Under Eyes with Visible Veins

Answer: Filling the tear trough in the presence of visible veins

Answer: Filling the tear trough in the presence of visible veins

Browse related questions

Recommended reading

Everything you need to know about Dermal Fillers

Our mission is to create a world where every investment in modern beauty is Worth It.