Facial Varicose Veins: A Treatable Aesthetic Concern
Prof. Kittipan Rerkasem
Leg Vein Clinic Thailand
Introduction
Many people feel concerned when they notice small green or purple veins appearing on the cheeks, around the nose, or under the eyes. These are called “facial varicose veins”, which are harmless but can affect confidence and appearance.
This article explains the causes, possible health considerations, and effective medical treatments available.
What Are Facial Varicose Veins?
Facial varicose veins occur when small veins on the face dilate and become visible. They may appear as straight lines, curved veins, or spider‑web patterns.
Image show prominent veins in the temples
Image shows picture of varicose vein at forehead
Common locations:
• Cheeks and sides of the nose
• Around the eyes
• Forehead
• Temples
Causes of Facial Varicose Veins
• **Genetics:** A strong family history increases risk.
• **Abnormal connections between arteries and veins:** Often after trauma, causing high pressure in facial veins.
• **Obstruction of major veins in the chest:** Blood finds collateral routes to the face, making veins more prominent.
• **Thin or aging skin:** Makes veins more visible, especially in fair‑skinned individuals.
This lady had varicose vein in the temple due to obstruction of major veins in the chest
Are Facial Varicose Veins Dangerous?
Most are harmless and mainly cosmetic.
However, if caused by obstruction of major chest veins, further evaluation is recommended.
Treatment Options
1. **Sclerotherapy (Injection Treatment)**
A special solution is injected into the affected vein, causing it to shrink and disappear.
• Benefits: Excellent results for medium to large veins
• Downside: Temporary bruising may occur
Image Left image shows before injection and right image shows 1 month after injection
ภาพซ้ายแสดงเส้นเลือดที่ขมับขวาปูดก่อนทาการฉีดยา ภาพกลางหลังทา 3 วัน ภาพขวาหลังทา 3 เดือน
2. **Laser Therapy**
Uses laser energy to collapse small, superficial facial veins.
• Benefits: Best for small veins and spider veins
• Downside: Often requires multiple sessions and may cost more
3. **Combined Treatment**
Some patients benefit most from both injection therapy and laser.
Important Notes Before Treatment
• Procedures should only be performed by a vascular specialist
• Do not inject or treat yourself
• Avoid strong sunlight afterward; use sunscreen
• Results vary depending on skin and vessel characteristics
FAQ
**Q: Will facial varicose veins go away on their own?**
A: Usually no. Medical treatment is required.
**Q: Is the treatment painful?**
A: Mild discomfort—similar to an injection or mild heat from laser.
**Q: Is downtime required?**
A: No. You can resume normal activities immediately, but avoid strong sunlight.
**Q: Will it come back?**
A: Treated veins usually disappear permanently, but new veins may develop over time.
Conclusion
Facial varicose veins are a common cosmetic concern, but modern medical treatments such as sclerotherapy and laser therapy are safe and effective when performed by a qualified vascular specialist. Proper
treatment can restore a clear, youthful appearance and greatly improve confidence.