Bulging Temple Veins Bilaterally? (photos)

I had flat but visible temporal veins bilaterally. A (board certified) plastic surgeon made this situation infinitely worse by tying off the veins at the hair line. Now I have bulging temple-periorbital veins along with temporal hollowing and sagging that accentuate the problem. Two oculoplastic surgeons do not advise removing these veins whereas two plastic surgeons advocate microphlebotomy along with a temporal lift. Real Self physicians please advise. Thank-you.

Doctor Answers 3

Treating big and large bulging temple veins

Sclerotherapy and microligation both work to eliminate these bulging temple veins.  The veins can be removed permanently.

Los Angeles Plastic Surgeon
5.0 out of 5 stars 70 reviews

804 7th Street
Santa Monica, CA 90403

Sclerotherapy for temple veins - Buffalo Niagara NY

Thank you for your question and for posting pictures. 

Options of treatment for these temporal veins and periorbital veins are sclerotherapy, microligation with microphlebectomy or a combined modality with sclerotherapy and microligation. Another good option may be long pulsed duration pulse dye lasers (PDL) using 595 nm technology. 

Hratch Karamanoukian, MD, FACS
Buffalo General Surgeon
5.0 out of 5 stars 27 reviews

5225 Sheridan Drive
Williamsville, NY 14221

Careful use of vascular laser (1064nm) usually works well for blue temple veins

We have successfully treated hundreds of patients with enlarged, blue, "reticular " veins on the temples and around the eyes.  We have published photos and detailed these techniques in our textbook on sclerotherapy and vein treatment

While microphlebectomy could work it would be more invasive and I'm not convinced from your photo that your temple needs any more lifting. 

Margaret Weiss, MD
Baltimore Dermatologic Surgeon
3.5 out of 5 stars 7 reviews

54 Scott Adam Road
Baltimore, MD 21030

These answers are for educational purposes and should not be relied upon as a substitute for medical advice you may receive from your physician. If you have a medical emergency, please call 911. These answers do not constitute or initiate a patient/doctor relationship.