How Can I Get Rid of Unsightly Temple Artery (Yes, It Pulses)?

I have seen a vascular surgeon who told me it cannot be treated with scelotherapy because of the risk of necrosis.He did not offer alternatives but from some research I see ligation might be possible. Any recommendations for doctors in the SF bay area would be greatly appreciated. Thank you.

Doctor Answers 10

Superficial temporal artery ligation - $1,500 - $2,000

Most plastic surgeons have not done much of these procedures so they are reluctant to do it. Fillers would mask and hide the problem and probably make your temples bulge, especially if there is no muscle wasting (hollow temples). 

This part of the temporal artery can be ligated at two points and that would be all you need done. 

Buffalo Phlebologist
4.8 out of 5 stars 41 reviews

Temporal Artery bulging

i agree with most of the others in that sclero is a very poor choice and is probably contraindicated.  one could probably start with a mapping of the vessel to assess branches and flow variables.  If few branches or one main branch surgically removing it could probably solve the issue.  however using fillers around the artery could potentially work as well although you would probably need to put a large amount of fillers in this area and it would probably bulge in that area creating an asymmetry.

Timothy Mountcastle, MD
Ashburn Plastic Surgeon
4.3 out of 5 stars 29 reviews

How to remedy a prominent artery in the temple

This is a very common problem in thin persons with hollow temples.  It can be dramatically improved by the use of injectable fillers, and in particular, Sculpta (Poly L Lacitc acid) with doing anything invasive to the artery.

Stephen Mandy, MD
Miami Dermatologic Surgeon
4.3 out of 5 stars 6 reviews

Forehead artery

It is not unusual to have a prominent artery on the forehead..

DO NOT remove it by any method.

sometimes fat transfer around the artery can make it less noticable.

Samir Shureih, MD
Baltimore Plastic Surgeon
4.2 out of 5 stars 7 reviews

Temporal Pulsations Can Be Eliminated By Dual Ligation

The location of where your temporal pulsations are seen is in the distal end of the frontal branch of the temporal artery. That can be very successfully ligated by tying off this frontal branch where it splits from main trunk of the temporal artery and then at its location just behind where the pulsations are visibly seen. This can be done through two small incisions in the temporal hairline. This is exactly part of the procedure that is done for temporal-based migraines to remove its pulsatile compression on the auriculotemporal nerve branch. This will completely eliminate the pulsations you are seeing.

Barry L. Eppley, MD, DMD
Indianapolis Plastic Surgeon
4.7 out of 5 stars 72 reviews

Artery treatment

Hmmmm.  This is a tough one.  I agree that sclerotherapy is a poor option here.  In the past, varicose veins were stripped or surgically removed from the legs.  Some still use this for larger vessels.  It looks like this could be carefully exposed via a small incision and tied off in the hairline. I wouldn't recommend it unless this artery ruins your day every day.  Good luck!

Jason Hess, MD
San Diego Plastic Surgeon
5.0 out of 5 stars 11 reviews

Pulsating temporal artery

The temporal artery has many branches and it would be technically difficult to ligate an isolated branch without collaterals causing the pulating appearance to return. In the absence of pain (temporar arteritis) it would be very unusual to find a surgeon who would operate based on this indicatio alone. Sclerotherapy is generally resrved for low flow vessels (veins) and not arteries.

Otto Joseph Placik, MD
Chicago Plastic Surgeon
4.9 out of 5 stars 82 reviews

Vein Treatment

Visit a board certified Vascular surgeon or a Board certified neurosurgeon. Thank you for your question and good luck with everything.

Vivek Bansal, MD
Danville Plastic Surgeon
4.9 out of 5 stars 26 reviews

You can't unless you want to compromise blood flow to your scalp and go bald

You cannot get rid of this artery unless you want to compromise blood flow to your scalp and go bald.


Mitchel P. Goldman, MD
San Diego Dermatologic Surgeon
4.9 out of 5 stars 25 reviews

Disguising a prominent vessel on the face

A great alternative to treating a vessel on the face that can't or shouldn't be compromised is just to disguise with something like Sculptra or Radiesse.  When there isn't enough fat in a particular area of the face to cover a vessel, it can be a nice alternative to just plump up that area slightly can soften the appearance  and often provide a more youthful appearance to the face itself by adding a slight bit of volume.


Grant Stevens, MD
Los Angeles Plastic Surgeon
4.7 out of 5 stars 147 reviews

These answers are for educational purposes and should not be relied upon as a substitute for medical advice you may receive from your physician. If you have a medical emergency, please call 911. These answers do not constitute or initiate a patient/doctor relationship.