Blue or purple under-eyes that no concealer or eye cream can fix? It might be your veins, not just "dark circles."

In this episode of KestyMD Esthetics, double board-certified dermatologist and fellowship-trained laser surgeon Dr. Kat Kesty breaks down everything you need to know about under-eye vascular laser: what it treats, who it's for, and how to avoid the biggest safety risk.

In this episode:

- What under-eye vascular laser treats (anything red or blue in the orbital area)

- Why you get a blue or purple tint under your eyes: genetics and aging

- Who is a good candidate (and the one condition that rules you out)

- The lasers used: 1064 vs. 532/595 nm

- How many sessions you'll need (the published average is 2.7)

- Does it hurt? Numbing, Pronox, and what it actually feels like

- Why metal eye shields are non-negotiable, including for laser hair removal lasers

- Recovery, downtime, and when you can wear makeup again

- How long results last

- Risks and complications

- What results to expect, and why you'll still look like a human with a human under-eye

- Why laser resurfacing and BBL/IPL don't treat under-eye veins

- Under-eye filler vs. vascular laser, and whether to combine them

- Is it worth it?

If your under-eye concern is blue or red, you need a vascular laser. If it's hollowing and contour, filler may be the better fit. A cosmetic consultation with a provider who offers both is the best way to know which you need.

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