Sclerotherapy for bulging forehead vein? (photo)

Question

I went to a vein clinic/specialist and they said for 800 dollars they could perform sclerotherapy on a bulging forehead vein I have. I posted a picture. I wanted a second opinion. Is sclerotherapy safe for this? Is hair loss a high possibility if removed? What is the likelihood of another vein appearing and bulging in my forehead to pickup the other vein's work? Are there any natural ways to solve this or what is the safest/best option in order get rid of it? Thank you.

Hratch Karamanoukian, MD, FACS · Answer

All of these technologies and techniques have a role in the treatment of forehead vein - it depends on the size, on the arborization pattern (where if extensive, one may not elect to place many puncture wounds as in sclerotherapy) and certain locations (like around the bridge of the nose) and so on. Sclerotherapy has a role. Microphlebectomy has a role and $800 for such a procedure is considered very low and if the physician has good experience, is a very good deal. We charge $2000 for such forehead veins. You are paying for the physician/surgeon's experience and outcome, not for how long it takes to do the procedure.

Jeffrey Zwiren, MD · Answer

I would avoid sclerotherapy for forehead veins.  If you are interested I would consider laser treatments.

John Landi, MD · Answer

Central forehead veins can be treated by either removal through micro incisions or by sclerotherapy.  Either way should be done by someone with experience doing these procedures.  Injecting the central forehead veins can safely be done if several techniques are followed such as injecting away from the upper forehead and applying proximal and distal compression.  Each procedure has pros and cons.  Sclerotherapy may require multiple injections and microphlebectomies require small scars. There are no natural ways to remove these veins and there is always a chance that new veins will form.

Samir Shureih, MD · Answer

In my opinion sclerotherapy should never be done fo veins in the face. The risks are too high. I usually do not recommend removing facial veins, specilly if they are normal anatomy.

F. Victor Rueckl, MD (in memoriam) · Answer

Sclerotherapy is a very specific procedure and must be done by a very well-trained physician on the face. I have done it for over 20 years but many physicians will not do sclero to the face. For a single vein like that, $800 is, excuse my french, a rip off. You will probably need it injected a few times for it to totally be gone, but I wouldn't pay more than $150 a session. "This answer has been solicited without seeing this patient and 
cannot be held as true medical advice, but only opinion. Seek in-person 
treatment with a trained medical professional for appropriate care."

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Sclerotherapy for bulging forehead vein? (photo)

Answers (5)

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