Spider veins after Botox by eye. What would be the best way to treat it? (Photo)

Hello,

Thank you for your question and for providing a photo for reference. The appearance of spider veins, or telangiectasias, after Botox injections under the eyes can be concerning. While it's not a common side effect, it can happen due to a few reasons:

Trauma to the Blood Vessels: The injection process itself can sometimes cause trauma to the small blood vessels in the skin, leading to the formation of spider veins.

Reaction to the Injection: If the injection technique was different, or if there was more pressure applied during the injection, this could have caused the vessels to become more prominent.

Skin Sensitivity: The skin under the eyes is very delicate and can be more prone to such reactions.

Treatment Options:

Laser Therapy: This is often the most effective treatment for spider veins. Lasers can target the blood vessels without damaging the surrounding skin, causing the veins to gradually fade away.

Sclerotherapy: Although more commonly used for larger veins, sclerotherapy can be used for smaller veins as well. A solution is injected into the vein, causing it to collapse and fade.

Topical Treatments: There are topical treatments available that can help to reduce the appearance of spider veins, although these are generally less effective than laser therapy.

Preventive Measures:

Choose an Experienced Injector: Ensure that your injector is experienced and skilled in performing Botox injections, particularly in sensitive areas like under the eyes.

Discuss Your Concerns: Before your next treatment, discuss your concerns and the previous reaction with your injector. They may adjust their technique or the injection site to avoid similar issues.

Gentle Technique: Request that the injector uses a gentle technique and possibly a smaller needle to minimize trauma to the area.

I hope this information helps. It’s always a good idea to consult with a dermatologist or a specialist in cosmetic procedures to discuss your specific case and the best treatment options for you.

You may find improvement to these spider veins by having laser treatments. Because these small vessels are under pressure, it may take multiple sessions for resolution. Visit with a board certified plastic surgeon or experienced aesthetician to learn more.