Safest way to remove an under eye vein?

I have demonstrated my approach to removing under eye veins on The Doctors using a local, outpatient procedure. Results are long-lasting. Best, Dr. KaramanoukianLos Angeles

Microphlebectomy is the preferred method to remove large under eye veins. It is done using the tiniest puncture wounds (2 or 3) that are steri stripped. H Karamanoukian MD FACScertified vein specialist from ABVLM

This is a commonly asked question and there are many alternatives to treating under eye veins depending on the size of the vein and the experience of the person treating them.  The most common options are sclerotherapy, topical laser, fine needle radio frequency and removal through micro incisions.

Very good question.  A good vascular laser in the hands of a good vein doctor, like the Cutera Excel V 1064 Nd-Yag laser is your best option.  I would stay away from sclerotherapy.  There are many complex vein connections and you could end up with a major complication if someone were to inject sclerosant into a periorbital vein.  Likewise, microphlebectomy in that area is extremely hazardous, except perhaps in the hands of oculoplastic surgeons.  Such a surgical procedure would likely be overkill.  Find a skilled vein doc in your area with an Excel V.

Thank you for your question. We use the gentlemax laser on the 755nm Alexandrite wavelength to safely and effectively treat the blue veins under the eyes. It would be best to get a consult in office for an evaluation of your vessels to see if you would be a good candidate.