Forehead veins can be very prominent. They can distend in size particularly when the smiling, laughing, straining, or ending forwards.
Many people find this cosmetically damaging, making them very self-conscious.
Until recently, very few doctors would treat these veins.
Over the last four years, Prof Mark Whiteley of The Whiteley Clinic has been introducing new techniques for the treatment of forehead veins as well as other facial veins and the temple region and around the eyes.
When these veins are simple red thread veins or small green veins that do not bulge, they can be treated by laser or intense pulsed light. This is often done by Vicki Smith of Absolute Aesthetics with a good result.
However when the veins bulge, particularly if large as in the gentleman pictured in this article, then the only removal of these veins will give a good result.
The technique for doing this has been developed by Prof Whiteley and is performed at The Whiteley Clinic under local anaesthetic.
The case pictured is a 45-year gentleman who came to The Whiteley Clinic for removal of these veins. He had suffered from these veins since being a teenager and was very self-conscious of them.
Having consulted Prof Whiteley, he consented to local anaesthetic surgery where these veins were successfully removed.
He had a small amount of bruising for five days. After that, there was minimal bruising and the wounds had healed well enough that few if any people noticed at work at all.
The patient return three months after the surgery so the photograph above could be taken and the results of the procedure checked. The patient was very happy and was discharged.
In the past, some doctors and nurses have injected veins on the face or forehead with sclerotherapy. However, this practice has a high potential risk. If the veins are anywhere near the orbits, there is a risk the sclerotherapy can go back through the veins of the orbit and into a major vein in the brain. This is called the sagittal sinus. It can lead to a sagittal sinus thrombosis. This is like a venous stroke. Although this complication is very rare, it is so significant that injection sclerotherapy should only be performed on veins of the face if the patient has been made fully aware of the risks and is happy to proceed. As there are usually other ways to treat these veins, sclerotherapy is rarely used at The Whiteley Clinic for these veins.