Temple Veins - Common Problem
Temple veins are common, routinely treated, not interesting to treat for endovascular surgeons. There is no need for an endovascular specialist as they enjoy stenting aneurysms, peripheral arteries, carotid arteries and are not likley to spend the 1 hour to treat a cosmetic problem. These are not covered by insurance, require delicate microphlebectomy and patience and a board certified vein specialist (American Board of Venous and Lymphatic Medicine) can take them out for you with minimal scarring. Expect to pay $1500 to 2,000 for this procedure.
There are many options for treating temporal veins besides microphlebectomies. In fact, I rarely recommend microphlebectomy and I most commonly use either sclerotherapy or laser depending on the size of the veins. Your surgeon is right in that there will be a small scar following surgical removal. I have not seen a compensatory enlargement of a adjacent center forehead vein following treatment of temporal veins.
If you are a candidate, I would recommend Nd:Yag 1064nm laser for treatment of the smaller temple blue veins. I am not aware of any studies showing that after treatment of the temple veins the central forehead vein enlarges. I do not recommend treatment of the central forehead vein. Best wishes.