For the last year there have been bulging veins between my nose and eyes. Is there anything I can do to get rid of them (phots)

Question

For the last year, my (angular?) veins has been getting bigger and bigger. They stand out when I smile or laugh, and I do not recognise my self anymore. They also branches out on my nose, to my upper eyelids and forhead. Is there anything I can do to get rid of them? Thanks!

Jason Emer, MD · Answer

The best treatments for capillary issues are vascular lasers such as pulsed dye laser, Excel V, Aerolase, Venus Versa IPL, Laser Genesis or Yellow laser. The settings are determined on a per case basis, so it is best to consult with an expert to determine what will work best for you. We often combine vascular lasers with non-ablative fractional lasers such as Clear + Brilliant or Venus Viva for better results. I would suggest seeing a cosmetic dermatologist for a formal evaluation. Best, Dr. Emer.

John Landi, MD · Answer

Angular veins drain directly into the sinus within the brain and treating these would be very risky.  I would recommend that you leave these veins alone.

Albert Malvehy, MD · Answer

This vein is indeed the angular vein. It shares circulation with the eyes and drains into a portion of the brain. It is not safe to close this vessel with injection as it may result in blindness or other catastrophic injury. The only potential treatment would be surgical ligation by an experienced oculoplastic surgeon.

Brian Heeringa, MD, FACS · Answer

The veins pictured drain directly into the cavernous sinus at the base of the brain.  Treating those veins with sclerotherapy would put you at very high risk of cavernous sinus thrombosis which could be potentially fatal.  The risk of treatment does not outweigh the potential benefits.  I have no experience in doing a phlebectomy in this area but perhaps others will weigh in.  It may be possible to ligate the vein near the angle of the eye and then do a distal microphlebectomy but I have never done that nor seen it done so I would advise extreme caution in that area.

For the last year there have been bulging veins between my nose and eyes. Is there anything I can do to get rid of them (phots)

Answers (4)

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