Why have I bulging veins all over my forehead? (Photos)
Doctor Answers 6
Temple veins can be treated with microphlebectomy
I recommend microphlebectomy for temple veins versus sclerotherapy. Cosmetic outcome is better with microphlebectomy.
H Karamanoukian MD FACS
Some people have prominent facial veins especially in the forehead area. Typically these veins are large and patients get the best cosmetic result when the veins are removed through small incisions called a microphlebectomy.
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Forehead and Temple "Veins"
Usually these are superficial arteries and not veins and can be quite prominent in athletic and thin people.
There is no treatment short of surgical removal.
They are easily diagnosed with ultrasound or simply pressing on the "vein" which demonstrates pulsatility.
What to do about temple veins
Temple veins are almost always a cosmetic concern and not indicative of an underlying medical condition. They can be easily treated by sclerotherapy (injections), but should be done by an expert. One of the critical distinctions that must be made by your doctor is whether the vessel you have is truly a vein and not an artery. The artery on the side of the temple, also known as the superficial temporal artery, is sometimes visible - it can be distinguished from a vein as the artery will have a pulse that may be felt and sometimes seen. Injection of the artery would be disastrous...but this is rare. Injection of the vein is relatively safe as long as it is done carefully. Other possible treatments for temple veins include using an external 1064 YAG laser (with adequate skin cooling), as well as sometimes actually taking out the veins through tiny incisions (microphlebectomies). In our practice we predominantly do sclerotherapy for such veins, with excellent results. You should be aware that 2-3 treatments may be needed. The good news is - there's hope! Best of luck.
it is common to have forehead veins and sometimes they can become more noticeable as we age and our skin becomes thinner. They can treated very easily (1-2) treatments with an ND:Yag laser to essentially shrink the vein and it becomes less noticeable. The treatment only takes a few minutes. You will wear protective Google during your treatment. Veins inside the bone where your eye sits are not easy to treat u less an eye shield is used -- even then, it should be done with by someone who is experienced.