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38, male, pale skin, how can I treat orbital blue veins under eyes?

kjk85Dec 15, 2023
38yo male, pale skin, suffering from under eye blue orbital veins near tear trough. How can these be safely and permanently removed without reoccurrence? From what I’ve read, scelerotherapy, or lasers are the treatment options. Which is preferred? How do I find an occularplastic surgeon to perform this near me?

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Dr. Randal Haworth, MD, FACS
Board Certified Plastic Surgeon
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Answered on Dec 18, 2023
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Philip Coleridge Smith, DM, FRCS

The image of the shin suggests that you have inflammation of the successfully treated veins, sometimes known as 'phlebitis'. The brown discolouration is common after foam sclerotherapy and will slowly resolve as time passes.I often remove the 'trapped blood' from inside veins (with a needle and...

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Randal Haworth, MD, FACS

I’m not a big fan of sclerotherapy as it bears some risks. I would suggest laser and fillers or fat transfer. Best of luck !

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Steven Mehta, MD

Yes, surface veins of the feet (and hands) can be treated - we do so regularly. Your situation is interesting in that the veins seem to have increased following your perforator ablation and phlebectomy. It would be very helpful to see a detailed ultrasound of the current venous drainage of your...

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