Large blue puffy veins:forehead & temple.4 Yag treatments didn't work (worse).Temples filled w/Resty.Fat Transfer not an option.Afraid of schlero. 1)Is microphlebectomy possible solution?Any recommended Drs in SoCal? 2)Is there anything nutritionally I can do? 3)Veins are visible and puffy MOST of time.Sometimes they appear flatter and not sure why?I drink a lot of water to stay hydrated. 4)Will anything topical help thicken skin to improve appearance? 5)Will browlift help?Whew!
Surgical Removal of Forehead Veins? Other Options?
Doctor Answers (3)
The vein can be surgically removed, but that means surgery, a scar, and possible indent where the vein was. If all that sounds like a risk worth taking, see a Board Certified Plastic Surgeon for this.
Unwanted vessels on the forehead, around the eyes and face in general can be addressed with many different modalities. From lasers to radio-frequency to surgical removal. Multiple treatments will most likely bee needed with any non-surgical approach.
For vessels on the face that appear reddish and are small caliber (< 1mm), the pulsed dye laser or the KTP laser can be used to reduce the appearance of these telangiectasias. For deeper blue vessels on the forehead, a longer length wavelength laser is needed to adequately treat these vessels, such as the long pulsed Nd: YAG laser. Typically, multiple treatments may be necessary to result in the desired amount of improvement. Surgical removal is rarely indicated for the removal of forehead veins. Other options may include Sclerotherapy, which involves injection of an agent into these vessels to cause them to close off.