Can more filler around a bulging vein disguise it or will that just compress it more?

Veins after filler injections in the temples can appear more pronounced for several weeks after the filler application. This should resolve in time as the body adjusts to the fillers. If you have more concerns, please return to your doctors and review your issues.I hope that helps and best regards, Dr. Sapijaszko.

I have seen this question a bunch of times over the past few weeks.  This can be seen after filler injections in the temple and forehead and go down after 2-4 weeks.  If they dont, more filler can camoflage the area or venus legacy or thermage treatments can be used to tighten the skin there and improve the appearance.  Nd:Yag laser treatments can be used to remove veins as well. I would avoid sclerotherapy unless done by a vein expert.  Best, Dr. Emer.

Thank you for your question. This is a common problem, especially in the temple region, with its network of veins.  I find that fillers do work well in this region to help mask veins by adding volume through both the filler, and the water it absorbs, pushing veins deeper into the skin and making them less noticeable. It does not occur immediately, results tend to take a couple of weeks for best effect, but it is an option for improvement.  In my opinion I would allow more time to pass before deciding on a course of action. 

I would recommend waiting for at least another week or two before taking any action.  There may be some swelling at this point in time, and your body is adjusting to the filler.  Be sure to follow up with your injector and consider a second opinion if necessary.In general, I would recommend against ligation of a vein in this scenario.  Dissolving the filler should make the prominent vein go away. More filler is likely to make the situation worse, so I would avoid any more Voluma in that area.  Voluma is certainly off label in this location, but I have used it there with success.  However, the exact placement and volume used is important to keep this sort of thing from happening.Best wishes, MKB

Thank you for your question.  Without a personal examination of the problem, my thoughts will only be a generalized discussion.I have to make the assumption that your question regarding Voluma is an injection at the side of the face by the cheek.  There are off-label FDA injections of Voluma elsewhere but the FDA indication is for the cheeks.  Thus, the problem described is bulging vessels in the temple (probably a vein) 1 week after Voluma injections in the cheek.It is possible that the venous outflow is somewhat limited due to the mass-effect created by the added volume of the filler (Voluma) and the very likely added swelling from the physical nature of the procedure.  When the swelling subsides, the venous outflow would become less obstructed.  In my opinion it may take 3 weeks for the swelling to disappear.  Perhaps at that time, the veins would become less distended.During this time, if you were my patient, I would appreciate knowing about your situation and concerns.  Together, further therapy could be discussed - such as those that you mentioned such as dissolving the filler or ligation of the vein.  Ligation of a facial vein is possible but it would be an extreme measure in my opinion.  Sometimes the hardest therapy to endure is a tincture of time.  But many times, that is the best option along with watchful expertise from your injector.If you haven't contacted your injector, please do so as your top priority.  You mentioned "who to go to next."  Your injector should help guide you in that decision if you feel another level of expertise is needed.  Best of luck to you.Calvin Lee, MDModesto, California