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Under-eye veins are among the most difficult facial cosmetic issues to treat. 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?

Because 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.

Fair-skinned individuals 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 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. Because of this, 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.


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


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

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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 getting a shot 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; surgery and laser treatments are best-suited in these instances.


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


  • 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 yes, 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, thus making the veins less visible. Fillers require a fair amount of maintenance, however, 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.


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


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


RELATED: Sunken, Hollow Eyes? Use Tear Trough Fillers to Brighten Your Gaze

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. In such cases, 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.


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


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 a longer recovery period than lasers and injections.

  • More significant bruising
  • A heightened risk for blood clots to develop
  • A higher risk of scarring
  • The most expensive treatment option
  • More painful


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.


  • 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


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

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