I have a varicose vein on the outside of my eye socket that extends up to the side of my forehead and down to the top of my cheek. microphlebectomy?

Several options.: What you describe are usually blue (reticular) veins rather than varicose veins. These can be treated by several means including sclerotherapy and microphlebectomies. My treatment of choice is sclerotherapy and over the years I have had great success and excellent cosmetic results without the need for the small scars from the small incisions

Yes: Microphlebectomy is a good way to remove this vein, under local anesthesia, and performed in the office setting. Some would perform sclerotherapy, but concern is that the agent may enter the cerebral circulation. Sclerotherapy may leave one with pigmentation. Choose accomplished phlebologist by checking with www.Phlebology.Org.

Facial veins: Large blue facial veins lateral to the eye can be treated in a number of ways provided they are outside the orbital rim. Sclerotherapy injection, microphlebectomy (segmental removal), ligation, 1064 wavelength laser are all methods used with variable success, depending on the skill and experience of the doctor. See a vein specialist to see if you are a candidate.

The angular vein: Drains into the facial vein and it is these two anatomic entities that are engorged or dilated. Since the angular vein is valveless, it would be rare for it to become varicose. As a side note, it connects with the ophthalmic veins, this potentially can be a source of superficial infectious materials entering the cavernous sinus by this route. You should discuss this with your ophthalmologist.