Bluish veins on the lower eyelids are a concern for many because they may lead to skin darkening of the area around the eyes and may further accentuate of the tear trough hollowness above the cheeks. The treatment of lower eyelid veins includes several noninvasive options including micro-phlebectomy, laser vein removal, and sclerotherapy.
Dr. Raffy Karamanoukian is a specialist in the management of lower eyelid varicose veins and can help you determine which treatment option is ideal for your situation. Lower eyelid sclerotherapy is effective but may have an unpredictable risk profile which may prohibit its use in certain cases. The Vein tributaries that connect to the lower eyelid veins can be highly unpredictable and may lead to embolization or thrombosis of periocular vasculature.
Laser vein removal is also a highly effective option for unwanted thread veins but has limited potential with larger reticular veins within the context of thin eyelid skin. Furthermore, patients with darker skin complexions may exhibit post-inflammatory hyperpigmentation along the area of treatment. The presence of post-inflammatory hyperpigmentation may prohibit the widespread use of laser vein treatments for larger reticular veins along the course of the lower eyelid and tear trough.
Dr. Karamanoukian is a specialist and world expert on micro surgery for lower eyelid veins which he demonstrated on the popular television show, The Doctors. Vein microsurgery is an outpatient procedure performed under local anesthesia which can precisely remove unwanted reticular varicose veins along the lower eyelids in order to effectuate an improvement in eyelid skin and contour. The use of microsurgery for lower eyelid vein removal has been supported by clinical expertise and can result in complete improvement of unwanted varicose veins.
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