Visible facial veins, which have many different names, are actually dilated blood vessels. They are usually found on the forehead, nose, cheeks, eyelids, neck, and upper chest. Visible veins are most commonly seen in fair-skinned women and usually appear in the fourth or fifth decade. Blood vessel dilation is due to weakening of the elastic fibers in the walls of the blood vessel. Although the exact mechanisms leading to blood vessel dilation are not understood, visible veins are associated with excessive sun exposure, normal aging, steroid use, liver disease, genetics, radiation therapy, and trauma. On the face, visible veins can range in size from the tip of a pencil to a thick line. Visible veins may be even larger on sites other than the face.
Visible veins are often considered to be a cosmetic issue. However, they can be found in people with rosacea (see rosacea section on this site), liver disease, and more rarely, autoimmune disease. Hormonal changes can be associated with visible veins as well.
Facial veins can be treated with
Several treatments may be required.