Bulging vascular temporal vein with pulse. What can I do to get rid of this major artery in temple? (Photo)

Question

The photo that I attached just happens to be a good day. There are days it is so far out and looks so ugly I have to come my hair to the other side to cover it.

Hratch Karamanoukian, MD, FACS · Answer

The issue is not a cosmetic one and seeing a plastic surgeon is not the way to take care of this problem. Untreated or undiagnosed temporal arteritis may have consequences.Giant cell arteritis is sometimes called temporal arteritis or cranial arteritis. Giant cell arteritis can cause headaches, jaw pain, blurred vision or double vision. Blindness and, less often, stroke are the most serious complications of giant cell arteritis.I recommend that you seek a rheumatologist immediately before you enlist a plastic surgeon to take care of this problem. It needs to be biopsied for proper diagnosis and proper treatment.

Michael M. Omidi, MD, FACS · Answer

Thank you for the question! It is rather difficult to fully assess your situation without an in-person exam. Detectable pulse indicates that you are referring to an artery, which is not the same as a varicose vein.Artery cannot be eliminated with sclerotherapy or other treatments reserved specifically for varicose or spider veins. One available option is to use injectable fillers around the artery to minimize its appearance. 
An in-person exam with a board-certified plastic surgeon is the best way to assess your needs and obtain expert medical advice. Best of luck!

Stephen M. Davis, MD, FACS · Answer

This is the anterior branch of the superficial temporal artery. I would check with a Board Certified Plastic Surgeon in you area to see if they are willing to tie it off. Good LuckStephen M. Davis, MD, FACSGreen Hills Plastic Surgery

John Landi, MD · Answer

The reason the vein is pulsating most likely is because it is overlying the temporal artery. The first step is to distinguish the temporal artery from the temporal vein.  I just last week had a patient with the same problem.  We actually did an ultrasound to ensure that the pulsation was due to the underlying temporal artery.  The best treatment for this vein would be removal by 2 micro incision. Removing the vein, however, will not eradicate the pulsations.

Bulging vascular temporal vein with pulse. What can I do to get rid of this major artery in temple? (Photo)

Answers (4)

Answer: Temporal vein treatment.

Answer: Temporal vein treatment.

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Everything you need to know about Sclerotherapy

Our mission is to create a world where every investment in modern beauty is Worth It.

Bulging vascular temporal vein with pulse. What can I do to get rid of this major artery in temple? (Photo)

Answers (4)

Answer: Temporal vein treatment.

Answer: Temporal vein treatment.

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Recommended reading

Everything you need to know about Sclerotherapy

Our mission is to create a world where every investment in modern beauty is Worth It.