How to treat under eye veins? (Photo)

I have had a problem with my undercrye veins. I had my tear trough filled but the veins under the left eye are very prominent giving me a very tired look. I don't know what to do anymore. Please advise.

Doctor Answers 5

Under eye vein removal as best option

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In regards to the under eye veins ...

Images are not the best but the veins are sizable for microphlebectomy as BEST option. 

We specialize in this procedure. 

Generally, larger veins are best treated with micophlebectomy and not sclerotherapy.

An in person examination by someone who specializes in this technique is important. 

Hratch L Karamanoukian MD FACS

certified vein specialist (ABVLM) and double board certified surgeon


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Hi MidlifeMom1, Thank you for your pictures and question regarding the treatment of the blue veins of your lower eyelids. Blue lower eyelid veins are common due to deep thin skin of the lower eyelid. In my experience, these are best treated with ND:YAG laser.  The procedure takes several minutes. The procedure is performed in the office. The area is anesthetized with a topical cream.  I hope this answers your questions regarding the treatment of blue lower eyelid veins. If you have questions regarding the treatment of lower eyelid veins, please contact my office. Sincerely, Dr. Katzen.

Undereye veins.

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Undereye veins are a common problem and can easily be treated by many methods including laser, sclerotherapy for larger veins, IPL, Vein wave, Vein Gogh and fine needle RF. Several treatments may be necessary.

John Landi, MD
Naples General Surgeon

Periorbital Veins

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Periorbital veins can be successfully treated with no downtime with 1-2 session of Cutera ExcelV laser. Treatments are painless, last less than 5 min and side effects include redness that can be easily concealed and self-resolves in a few days.

Lower eyelid blue veins

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Big blue veins on the lower eyelids can be removed with selective microphlebectomy. I demonstrated my approach on The Doctors television show. 


Dr. Karamanoukian

Los Angeles vein expert

These answers are for educational purposes and should not be relied upon as a substitute for medical advice you may receive from your physician. If you have a medical emergency, please call 911. These answers do not constitute or initiate a patient/doctor relationship.