Spider Vein Under the Eyes?

Laser is the best way to treat spider veins under the eyes. Several treatments are  necessary. If they are very close to your lashes, a metal contact lid is placed under your eyelid to protect your eye during the treatment. This does not hurt. It is hard to say if the vesssels will return,  or you if will get new ones. Wearing sunglasses in the summer will help protect against more sun damage which can be a cause of them. In the winter undereye conclear would probably also help.

Spider veins around the eye (periorbital) can be due to many reasons including aging, genetics. sun exposure and trauma.  There are may options for treatment of these especially laser but also ohmic theromlysis with VeinWave or VeinGogh or fine needle radiofrequency with Ellman Surgitron also work well.  Topical creams are sort of hit and miss for effective therapy.  We have had success with Auriderm cream.  There is always a risk of veins recurring.

If they are spider veins and telangiectasias, not varicose veins, then the best treatment is lasers. These are not areas that can be injected safely and therefore sclerotherapy is not recommended. Yes, you can get recurrence as there is no cure for venous disease.