How to get rid of under eye veins?

Hello danaelan, thank you for your question. I would
suggest the YAG laser because it is quick and painless. This type of laser can
help to permanently remove under eye veins in one treatment. It is an in office
procedure and is relatively painless and does not require anesthetic. The
results are almost immediate.



If you have any questions feel free to
contact my office. Good luck.



Sincerely,

J. Timothy Katzen, M.D.

Thank you for your question. I would recommend consulting with a Board Certified Dermatologist or an opthamalogist for best treatment plan. I hope this helps!

Thank you for your question. Veins around the eye are best handled by an Opthamologist as the veins can run inside the orbit and a good understnding of your health is best understood before treatement. I hope this helps!

My suggestion is to go to a laser expert, long pulsed yag lasers work fantastic for this with very little risk if dont by a trained expert.  Best, Dr. Emer.

There are an array of treatment options for veins that occur primarily under the eyes but sometimes extend to the temples and outer forehead.Treatment options depend on the size of the veins. Sometimes combination treatment including sclerotherapy and microphlebectomy is needed. I reserve microphlebectomy for larger veins. Sclerotherapy is very effective and well tolerated but may require several treatments. Other treatments include IPL and laser. Best to see someone who has experience with all of these techniques and who can taylor a treatment plan for you. These are of cosmetic concern and are not covered by medical insurance (unlike leg veins). 

Thanks for
your question and my first recommendation is to find a board-certified
dermatologist or plastic surgeon who is an expert in laser therapy. With the
right physician and the proper light source, most of these eye veins can be
successfully treated. We typically use a 1064 nm laser for the 1-2 mm veins; a
532 nm KTP or an IPL for the smaller veins in the area. Larger veins, as
already noted, will usually require a series of treatments. Side effects,
including bruising, can occur. Laser experts can work with you on choosing the
proper treatment for you.

Prominent blue-green veins of the periocular region - above, below or lateral (temples) to the eyelids - are common.  Sometimes these veins (which are usually 1mm to 3mm in width) protrude above the plane of the skin.  These veins are consistently successfully removed by Sclerotherapy.  Treatment by microphlebectomy may leave small scars at the incision sites.  Treatment by any light source has a much lower rate of success.  This includes Neodynium YAG (1064nm & 532nm) lasers along with other wavelengths and IPL (non-laser, intense pulsed light).  Often, at the time of laser treatment, the vein may appear to be gone due to spasm (contraction) of the vessel.  However, this is a temporary phenomenon and the vein will reappear intact.After Sclerotherapy, there is redness and swellling; sometimes this is accompanied by bruising, all of which can require (unusually) up to 2 weeks to resolve.  Unlike treatment of veins on the lower extremities, there is rarely brown pigmentation along the course of the treated vein.David Green, M.D.Dermatologist Bethesda, MD

1-2 mm veins can be safely treated by an expert with a 1064 nm laser. Smaller veins can be treated with a vascular laser like pulsed dye or 532, possibly IPL (Intense Pulsed Light). 3-4 mm veins need a series of laser treatments. Main risks are retinal damage (minimized by expert treatment) or bruising. Veins tend to recur, so follow up treatments may be needed.

You are right.  There are multiple options to treat under eye veins. The options depend on the size of the veins and the experience of the treating physician.  Laser, microphlebectomy, sclerotherapy, VeinWave, VeinGogh and fine needle radio frequency all work.  There is no permanent solution to the problem although microphlebectomy does actually remove the vein but the trade off is a micro scar.  Discuss the pros and cons with your treating physician.