Treating Periorbital Veins (veins around the eyes) with Laser

Written by Dallas Vein Specialists on August 29, 2019

At Dallas Vein Specialists we have been treating patients with prominent veins surrounding the eye for years. We have accumulated considerable experience using our Cutera Excel V laser in this endeavor. We have enjoyed much success in improving the facial appearance of patients with dark and often quite noticeable veins, which are typically in the soft tissues just below the eye. The eyes are focal points of the face, and it is understandable that people are self-conscious when there are dark veins that detract from their appearance.

Application of the Cutera Excel V laser is the ideal modality to treat periorbital veins, as the laser specifically targets these veins. The laser beam of light from this laser is very similar in wavelength to that of the color of blood and vein. When the laser light hits the vein there is immediate absorption of the light by the vein and a consequent burst of heat at the vein. This focused heat injury damages the vein so that it will fade and disappear. Surrounding tissues have minimal damage from the heat because there is no significant uptake of the laser light. Some mild redness and perhaps a little swelling in the area are common, but these resolve in a day or two. Often a single session will result in the disappearance of the vein. If not, a repeat treatment in 3 or 4 weeks can be done. The treatment takes only a few minutes and with the use of cold air anesthesia there is little discomfort. Throughout the entire time the laser is in use, the eyes are protected by overlying shields that are impenetrable to the laser light.

At Dallas Vein Specialists we never treat periorbital veins with injection of any sclerosant solution (sclerotherapy). Though rare, partial or complete loss of vision in the eye can occur from injection of these chemicals into these veins. Laser treatment is safer, faster and more successful in abolishing the veins. The veins tend not to reappear later. Patient satisfaction has been high.