Surgical Removal of Forehead Veins? Other Options?

Large blue puffy veins:forehead & temple.4 Yag treatments didn't work (worse).Temples filled w/Resty.Fat Transfer not an option.Afraid of schlero. 1)Is microphlebectomy possible solution?Any recommended Drs in SoCal? 2)Is there anything nutritionally I can do? 3)Veins are visible and puffy MOST of time.Sometimes they appear flatter and not sure why?I drink a lot of water to stay hydrated. 4)Will anything topical help thicken skin to improve appearance? 5)Will browlift help?Whew!

Doctor Answers 4

Treatment for large temple veins - Buffalo Niagara NY

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You have mentioned the treatments that are available for large temple and forehead veins. Experience of the treating physician is important in proper guidance. Sclerotherapy is a safe option given your concerns. Fat transfer only hides the veins and gives an 'abnormal' look. 

We routinely treat these veins with all of the modalities mentioned. Sclerotherapy may require more than 1 treatment. 

Vein Treatment

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The vein can be surgically removed, but that means surgery, a scar, and possible indent where the vein was.  If all that sounds like a risk worth taking, see a Board Certified Plastic Surgeon for this.

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

Forehead veins

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Unwanted vessels on the forehead, around the eyes and face in general can be addressed with many different modalities.  From lasers to radio-frequency to surgical removal. Multiple treatments will most likely bee needed with any non-surgical approach.


Victoria Karlinsky, MD
Manhattan General Surgeon
4.7 out of 5 stars 26 reviews

Facial Veins

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For vessels on the face that appear reddish and are small caliber (< 1mm), the pulsed dye laser or the KTP laser can be used to reduce the appearance of these telangiectasias.  For deeper blue vessels on the forehead, a longer length wavelength laser is needed to adequately treat these vessels, such as the long pulsed Nd: YAG laser.  Typically, multiple treatments may be necessary to result in the desired amount of improvement.  Surgical removal is rarely indicated for the removal of forehead veins.  Other options may include Sclerotherapy, which involves injection of an agent into these vessels to cause them to close off. 

Kristel D. Polder, MD
Dallas Dermatologic Surgeon

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.