Dilated Temple Vein. Can this be safely treated?
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Doctor Answers 4
Removing a vein in the temple area
I would map out the temple vein and if appropriate, perform selective microphlebectomy to remove the vein and ligate the base.
Temple vein microphlebectomy
Temple veins that are larger than 3 mm can be treated most optimally with microphlebectomy. The usual charge for this is $2000 in the U.S. with additional charge for "touch ups".
Hratch L Karamanoukian MD FACS
Treatment of temple veins
Temple veins are treatable. You practitioner must first always make sure it's a vein and not an artery. Assuming it's a vein, there are a number of ways that it can be treated, including sclerotherapy (injections), external laser, and microphlebectomies (taking the vein out through a tiny incision). If you treat this vein, other veins have to take over, so yes they'll be under a bit more "pressure", but veins are low pressure anyways. There are risks associated with each procedure. Sclerotherapy can cause hyperpigmentation in some patients...and there are extremely rare risks of blindness and loss of skin on the forehead (which I have never seen but have been reported)...so it must be done with extreme care by an expert. External laser can cause pigment changes as well. Microphlebectomies can leave tiny scars. Sometimes multiple treatments are needed...and there's always a chance that over time new veins will appear (but if so are usually smaller).
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