I am a 21 year old female, I have forehead veins right in the middle. Should I consider Microphleboctomy?

It’s important to distinguish between varicose veins and spider veins when choosing between laser therapy, sclerotherapy, and vein surgery. With two board certified vein specialists, our center uses a combination of visual examination, functional flow measurements, ultrasound, transillumination, and infrared light to map out vein networks prior to therapy. Lasers can be used to treat deep varicose vein insufficiency, vein perforators, and varicose veins. Sclerotherapy is ideal for spider veins and reticular veins. Whereas surgery is reserved for severely incompetent varicose vein segments.


 
Dr. Karamanoukian
Realself100 Surgeon

Thanks for your question.  I do a combination of sclerotherapy with a small division of the vein near the hairline.  This will not cause hair loss when done by an experienced practitioner. There are techniques used to protect eyes also.  I will typically have my patients bring a firm headband to wear after the procedure.  In some cases it may require a touch up. Cost will vary from city to city and with different surgeons. Additionally your surgeon should check carefully for small arteries.

I use to treat these veins with a combination of microphlebectomies and sclerotherapy but I have refined the technique so that I rarely have to do any microphlebectomies any more (only rarely is it necessary).  Sclerotherapy works well but may require several sessions of treatments.  I never have had any eye or hair loss problems and I have been treating forehead veins for many years.