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I would suggest a selective microphlebectomy of the lower eyelids to help remove the isolated blue veins on the lower eyelids. Best, Dr. KaramanoukianLos Angeles
Large sized visible veins are best treated with microphlebectomy. Sclerotherapy can leave hemosiderin deposits under the eyes which are not cosmetically appealing. H Karamanoukian MD FACScertified vein specialist (ABVLM) and double board certified surgeon
Loss of volume under the eyes does lead to more prominent appearing veins in that area. Also genetic, sun exposure and aging all play a role. There are treatments available for under eye veins.