Do you keep getting told that you look tired or warn out? Under-eye veins are a common issue that might be to blame.

These veins are among the most difficult facial cosmetic issues to treat on your own. Fortunately, a number of tried-and-true clinical methods are available to help you get rid of those stubborn blue veins for good.

What causes under-eye veins?

As the skin beneath the eyes is so thin and delicate, it’s a prime spot for blue veins, dark circles, and under-eye bags to develop.

People with lighter skin tones are at a higher risk of developing facial spider veins and visible enlarged blood vessels. Genetics, prolonged exposure to the sun, and aging are also determining factors.

With time, the skin becomes thinner and less elastic, making these veins even more prominent and difficult to treat. The following will help you determine which vein removal treatment option is best-suited for your unique situation.

Laser treatments

As one of the most popular vein removal options available today, laser treatments have a high rate of success and take a convenient, non-invasive approach to the job at hand. What’s great about laser treatments is that they also stimulate blood flow in the eye area, which helps target under-eye circles and dull skin in addition to veins.

These treatments are performed in 15- 30 minute sessions, using specialty laser systems such as CoolTouch Varia or Cutera CoolGlide. Most devices target the veins with pulses of light energy that cause the blood inside the vein to coagulate. The deconstructed blood vessels are then reabsorbed into the body.

As far as vein removal procedures go, lasers rank relatively well in terms of the potential risks involved. With that being said, there is a chance of blood clotting, which can trigger serious eye complications.As a result, many doctors use an internal eye shield to protect patients while they’re being treated. A cooling gel is also applied to protect the delicate under-eye skin and make the patient more comfortable.

Pros:

When compared to other vein treatment options, laser treatments are relatively safe with few complications and side effects. In fact, one of the best things about laser treatments is that they can be performed painlessly with almost no recovery time involved.

  • Virtually no side effects or downtime
  • Can be performed on an outpatient basis
  • Typically painless
  • Veins are eliminated instantly
  • Proven successful for individuals with tanned skin

Cons:

As with any under-eye vein removal treatment, lasers come with some risks to the eyes and surrounding area.

  • Potential damage to the eyes
  • Veins may return after a given period of time
  • Potential discomfort post-treatment, including a feeling of burning, slight pain or prickling sensation

Foam sclerotherapy

In some cases specialists recommend foam sclerotherapy to remove mild blue under-eye veins. This in-office procedure requires the insertion of a solution, usually sodium tetradecyl sulphate (STD), into the vein.

Doctors mix the solution with air in order to create a foamy texture, which provides better results than traditional sclerotherapy. Small needles containing the foam STD are then inserted into the visible vein and flushed with a salt solution containing a blood-thinning agent. This causes the veins to collapse and fade. Two to three sessions are required, depending on the size of the vein you want removed.

In general, the procedure is performed under local anesthesia and requires almost no downtime. Some patients report a slight stinging sensation — similar to vaccination or having blood drawn — but it’s usually painless. Another benefit of foam sclerotherapy is that it leaves minimal scarring.

Foam sclerotherapy isn’t the most popular option for patients who have larger, deeper veins as surgery and laser treatments are best-suited in these instances.

Pros:

Compared with surgery, under-eye sclerotherapy is an excellent option for those seeking a minimally invasive and relatively inexpensive treatment.

  • Almost no downtime
  • Minimal risk of scarring
  • Affordable
  • No bruising
  • No need for general anesthesia

Cons:

  • Not all facial veins respond well
  • Post-procedure discoloration and scarring are possible
  • Minor side effects, like redness and swelling, are common
  • Not a great option for large, deep facial veins

Under-eye fillers

It seems that facial fillers are the true miracle skin treatment, erasing wrinkles, fine lines, dark circles, and even under-eye veins. Specialists often recommend injecting Restylane or Juvederm facial fillers to provide temporary masking of under-eye veins.

These solutions are designed to add volume to facial areas. Rather than eliminate the veins, they simply conceal them by plumping up the eye area and reducing shadowing, making the veins less visible. However, fillers require a fair amount of maintenance, and the results from each treatment only last about a year.

Unlike other treatments outlined here, this non-invasive option is not designed to correct or erase large or deep veins. It’s a good choice for those who have small, surface veins in the lower eyelid skin. With that being said, there are a few major benefits to choosing facial fillers as an under-eye vein treatment. Not only do injections help conceal facial veins, they also brighten up dark spots and hollow circles under the eyes.

Pros:

Much like lasers and sclerotherapy, facial fillers are beloved for their convenience and minimal downtime. They’re also a good choice for people who’d like to address other age-related skin issues simultaneously.

  • Minimal downtime
  • Targets other skin issues simultaneously
  • Relatively affordable

Cons:

The list of cons to using fillers to treat under-eye veins may not be lengthy, but some of the disadvantages could be deal-breakers. The fact that the treatment is temporary and limited makes it less than ideal in some scenarios.

  • Not a permanent solution, requires maintenance
  • Won’t remove veins, only conceals them
  • Can trigger allergies and mild side effects

Surgical excision

Surgical vein removal is possible for large and deep facial veins, although it is relatively uncommon. A plastic surgeon is more likely to recommend surgical excision in cases of visible veins on the legs and body. During a procedure called vein stripping, the doctor permanently removes the vein by pulling it out through an incision.

Surgical excision presents higher risks than other treatment options, and is rarely recommended around the eye area.

A safer vein surgery option known as microphlebectomy may be perfored instead. During this minimally invasive procedure, a plastic surgeon will trace the vein using a marker and tie off its edges using a fine suture, thinner than a human hair. A microneedle is then used to puncture the skin and remove the vein through a small hole.

For best results, doctors often pair excision with laser treatments or sclerotherapy.

Pros:

Vein removal surgery is generally performed on deep, large, purplish veins that haven’t responded well to other, less involved treatments.

  • Can effectively erase large veins
  • Offers a permanent solution

Cons:

Compared with surgical vein removal in other parts of the body, facial vein surgery presents more risks due to its close proximity to the eyes. It also causes more pain and requires a longer recovery period than lasers or injections.

  • More significant bruising
  • A heightened risk of blood clots
  • A higher risk of scarring
  • The most expensive treatment option
  • More painful than other options

VeinGogh

The VeinGogh Ohmic Thermolysis System is similar to laser treatments, but instead of lasers it uses energy in the form of tiny, high-frequency currents to eradicate veins.

With the VeinGogh procedure, a high-frequency current is delivered to the vessel through a hair-thin probe, which receives a burst of energy. According to VeinGogh’s makers, this causes the blood inside the vein to coagulate. The blood vessel then collapses and is absorbed into the body. VeinGogh can be used to treat facial veins, broken capillaries, spider veins, and other conditions.

The best part about the VeinGogh treatment is that, like lasers and fillers, there’s virtually no downtime and almost no pain involved. In fact, VeinGogh claims to offer a significantly less painful vein removal solution when compared with laser and surgery techniques. Unfortunately, results are not immediate: it can take several weeks before the effects of the treatment are fully realized.

VeinGogh is best-suited for smaller spider veins, but can be combined with sclerotherapy for larger veins.

Pros:

  • Almost no downtime
  • Alleged to cause little or no pain
  • Usually requires only one treatment
  • No trauma to the skin, hence fewer risks and side effects
  • Requires a maximum 25 minutes to complete

Cons:

  • No guarantee the vein won’t return
  • Does not provide immediate results
  • Only recommended for smaller veins (under 0.3 millimeters)

Cost

ProcedureCost
CoolTouch Laser
$750-$850
Cutera CoolGlide$200-$300
Foam Sclerotherapy$200-$500
Fillers$500-$750
Surgical Excision$1,200-$1,500
VeinGogh $250-$450

The best option for you

While this article looked at the treatment options available, it is important to speak with a specialist and find out which procedure would best help you meet your aesthetic goals.

There is a certain level of risk involved with any procedure, but working with a board-certified medical professional, experienced in treating these veins, will help to minimize the potential for complications.

Under-eye color correcting concealers: recommended products

If the veins under your eyes give your face a tired appearance, then it may be time to try color correcting concealers. While makeup isn’t a permanent solution, it’s a fast, effective and affordable way to make those veins disappear.

BYS Color Correcting Cream Palette

BYS Color Correcting Cream Palette

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BYS’s eight shade palette is a long-lasting cream formula, made for easy and seamless blending. Unlike other palettes, there are many orange, pink and salmon hues, which are great for hiding blue veins. It’s also sleek and compact, so you can fit it into even the smallest purse for occasional touch-ups throughout the day.

NYX Professional Makeup Color Correcting Palette

NYX Professional Makeup Color Correcting Palette

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This compact six shade palette is made for on-the-go correcting, concealing and contouring. The color choices provide an all-in-one range that conceals dark spots and veins, brightens features, and accentuates the cheekbones. Its lightweight cream formula is optimal for a natural, full coverage look, and can be applied with your finger, a brush or a sponge.

L.A. Girl Pro Conceal Set

L.A. Girl Pro Conceal Set

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This liquid set comes with six concealers — orange, yellow, peach, lavender, green and yellow — and a bonus highlighter, which is a great product to throw pull out of your bag anytime you need a little added glow to your cheekbones, brow bones or nose bridge. Each color is designed to offer the ultimate coverage for any problem area. The individual bottles allow you to bring only the needed concealer of the day, instead of a carrying around a big palette in your bag. The lightweight cream formula is crease-proof, while still providing heavy duty coverage.

Sephora Collection + Pantone Universe Conceal Palette

Sephora Collection + Pantone Universe Conceal Palette

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If you’re looking for the Cadillac of concealers, you’ve found it here. This fifteen shade lightweight creamy set is made to target any problem area you could possibly have, such as dark circles, redness, hyperpigmentation, and dullness. This specific palette is made for light to medium skin tones, but Sephora also sells a medium to dark palette. There’s also a booklet that comes with the palette that explains how to get the most out of it.

About The Author

Articles by

Gary D. Breslow, MD, FACS is a highly regarded board certified plastic surgeon in New Jersey, known by both patients and peers as a problem-solver with a warm, engaging personality, and an instinctive ability to identify and truly understand the goals of his patients and the patients, themselves.

Originally from Long Island, New York, Dr. Breslow graduated from Brown University with a Bachelor of Science degree and received his medical degree from New York University School of Medicine.

Following medical school, Dr. Breslow spent 6 years training at the Hospital of the University of Pennsylvania’s nationally renowned Integrated Plastic Surgery Residency Program. There he received extensive training in both cosmetic and reconstructive surgery from some of the nation’s top practitioners. After leaving Penn, he returned to NYU Medical Center to spend one year as the Microvascular Reconstructive Fellow at NYU’s prestigious Institute of Reconstructive Plastic Surgery.

Dr. Breslow is Board-Certified by the American Board of Plastic Surgery. He is a member of the American Society of Plastic Surgeons, a Fellow of the American College of Surgeons, and is licensed to practice plastic and reconstructive surgery in both New Jersey and New York.

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