Should a blue under eye vein be closed immediately after one yag laser treatment?

Question

I had a YAG laser treatment 4 weeks ago to treat blue under eye veins. Immediately after the treatment the vein seemed closed with blood pooled into the vein. After waking up the next day the pooled blood was gone. 4 weeks later blood flow seems restored however a tiny veins is more visible. However it could be that I'm more aware of the under eye area instead of the tiny vein actually being more visible (not sure).

Raffy Karamanoukian, MD, FACS · Answer

I am one of the world's specialists in the treatment of undereye veins and have demonstrated my approach on The Doctors television show. Surgical vein removal is the most appropriate treatment. Best, Dr. Karamanoukian#Realself100 Surgeon

John Landi, MD · Answer

Under eye veins are very common and can be treated by many modalities including topical laser, sclerotherapy, microneedle RF, removal via microincisions and VeinGogh.  With all the above methods more than one treatment may be necessary except for micro incisions.

Hratch Karamanoukian, MD, FACS · Answer

You will need additional treatment 4-6 weeks after 1st laser treatment.If it is on the larger side, microphlebectomy is better.H Karamanoukian MD FACScertified vein specialist (ABVLM) and double board certified surgeon

Gary Nackman, MD, FACS · Answer

The number of laser treatments to treat large facial veins can be variable. Frequently one treatment may do the job.  The laser light is absorbed by the blood in the vein, and the heat that results causes the vein to go into spasm and injure the vein wall. Sometimes the vein reopens, which is what it sounds like is your situation.  An additional treatment may result in closing of the vein permanently. It would be unusual for more small veins to suddenly appear that quickly.

Vicki J. Levine, MD · Answer

Usually more than one treatment  is necessary. It is often recommend to wait 4-6 weeks between treatments

Should a blue under eye vein be closed immediately after one yag laser treatment?

Answers (5)