Bulging Under-Eye Vein Treated with nd:Zag Laser - Does the vein itself disappear or just blue pigment? (photos)

Three days ago, the bulging blue vein under my eye was treated with an hd:Zag 1064 laser. As expected, I have slight discoloration, a thin scab & puffiness. The blue color of the vein was gone immediately after the treatment. The bulging vein, however, is still there. Can I expect the vein itself (and its bulging) to disappear or does this treatment address only the blue pigment? Also, I find it odd that the scab is ABOVE the vein rather than ON it. Any insight would be appreciated! Thanks!

Doctor Answers 3

Under eye vein treatment with laser can leave hyperpigmentation

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In regards to the under eye veins ...

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

The issue with laser is that it can leave hyperpigmentation.

This can be redued with 2 creams: Sclerovase and Scleroquin plus.

As well, I recommend PIH Relief Complex known as Scler-X from VenaSmart.

Hratch L Karamanoukian MD FACS

certified vein specialist (ABVLM) and double board certified surgeon

Laser for blue under eye veins

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When I treat blue veins under the eyes with laser, my goal is for the veins to visibly contract and almost disappear during the laser treatment.  I can actually see the veins contract after each laser pulse.  This is the endpoint that I look for.  I tell my patients to give it a few weeks after treatment before they assess their final result.  If you have specific questions about your treatment, I would recommend that you follow up with your laser physician.  Regards,Dr. Ort

Richard Ort, MD
Lone Tree Dermatologic Surgeon
5.0 out of 5 stars 28 reviews

Blue vein under eye treatment

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It seems like there is some swelling around the treatment area, which is normal. It will take a few days but the swelling will decrease. I am not sure if the bulge is still there given all the swelling. I would advise some ice to the area a few times a day. These are easy to treat and patients usually have great results. Though the results are immediate, it may take time for the vein to shrink and the swelling to go away. It may need retreated if the bulge is still present.

Manu B. Aggarwal, MD
Lima Phlebologist

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.