There is not necessarily a "best" all around option, as the best therapy for you may not be the best therapy for everyone. Some of the availalbe treatment options include OhmicThermolysis (Veinwave or VeinGogh), laser, radiofrequency heat, IPL, and sclerotherapy. I personally avoid sclerotherapy on the face due to potential risks in this "thinned skin" region. I have often gotten suboptimal results with laser and IPL, which often requires multiple sessions that can be rather painful. There is also some variability in risk and response with these devices with various skin colors / tones. In my experience of using all of these various modalities, I have found the use of Veinwave or Veingogh to be the most consistent and effective. These are referred to as Ohmic Thermolysis devices and were designed for use for facial veins (hence the word "vein" in names of veinwave / veingogh. They deliver focused pinpoint heat to the veins, removing the veins without any significant risk to the skin. These devices can also be used on various skin colors / skin tones, without signficant risk of pigment changes in the skin. My patients have been consistently pleased with the results. The charge can vary between $300 and $600, depending on the city, the specialist, and the number of veins being treated.