Visible temporal arteries can become prominent and pronounced on the forehead and temples, creating an undesired aesthetic appearance. While these arteries play a role in circulating blood to the scalp, their visibility is often a cosmetic concern rather than a medical issue.
Temporal artery ligation is a minimally invasive cosmetic vascular procedure designed to reduce the prominence of bulging forehead arteries, restoring a smoother, more youthful appearance. At Vascular Surgery Associates in Los Angeles & Santa Monica, our board-certified vascular specialists offer expert temporal artery ligation using advanced, precision techniques to achieve natural-looking, long-lasting results.
Why Do Forehead Arteries Become Prominent?
Several factors contribute to visible, enlarged temporal arteries, including:
Aging
Thinning skin and loss of fat over time make veins and arteries more noticeable.
Genetics
Some individuals have naturally more prominent arteries in the forehead.
Exercise & Increased Blood Flow
Physical activity temporarily dilates arteries, which may become permanently visible over time.
Weight Loss
Loss of facial fat and soft tissue can expose underlying arteries.
High Blood Pressure
Chronic hypertension can cause arteries to enlarge.
While these arteries serve a functional purpose, removing them does not affect circulation, as the blood supply is redirected through surrounding vessels.
How Does Temporal Artery Ligation Work?
Temporal artery ligation is a precise, minimally invasive surgical procedure that selectively removes or reduces the appearance of bulging arteries while preserving normal circulation.
The Procedure
- Small, hidden incisions are made along the temple or forehead area.
- The enlarged artery is carefully identified and ligated (tied off) at multiple points.
- The artery is removed or reduced, ensuring minimal disruption to surrounding tissues.
- The incisions are meticulously closed for minimal scarring.
The procedure is performed under local anesthesia, with minimal discomfort and quick recovery.
Benefits of Temporal Artery Ligation
Minimally invasive
Small incisions with minimal scarring
Quick recovery
Most patients return to normal activities within a few days
Natural-looking results
Forehead appears smoother, without visible arteries
No impact on circulation
Blood flow is naturally redirected to surrounding vessels
Permanent results
The treated arteries do not regrow, providing long-lasting improvement
Who Is a Good Candidate for Temporal Artery Ligation?
This procedure is ideal for individuals who:
- Are bothered by visible, bulging forehead arteries
- Seek a minimally invasive, cosmetic solution
- Are in good overall health and have realistic expectations
- Prefer a permanent alternative to temporary camouflage techniques
A consultation with our vascular specialists will help determine if temporal artery ligation is the right option for you.
What to Expect After Your Cosmetic Vascular Surgery
Following temporal artery ligation, most patients experience minimal downtime, with mild swelling or bruising that subsides within a few days. Post-treatment care includes:
- Applying cold compresses to reduce swelling
- Avoiding strenuous activities for 5-7 days
- Keeping the incision area clean to promote healing
- Noticing final results within a few weeks as swelling resolves
Most patients see immediate improvement, with fully healed results appearing within 4-6 weeks.
Frequently Asked Questions About Temporal Artery Ligation
Yes, this procedure is performed by experienced vascular surgeons and is considered low-risk with excellent cosmetic outcomes.
No, once the arteries are tied off and removed, they do not regrow. The body naturally redirects blood flow through other vessels.
The surgery typically lasts 30-60 minutes, depending on the number of arteries treated.
The incisions are small and well-hidden, leading to minimal or no visible scarring.
Most patients can resume non-strenuous activities within 1-2 days.

Dedicated to Excellence in Vascular Care Since 1963
Vascular Surgery Associates (VSA) has established itself as a cornerstone of vascular health in Southern California, combining decades of experience with cutting-edge treatment methods. Founded by visionary surgeons in 1963, our practice has grown from pioneering beginnings into one of the busiest and most respected vascular surgery groups in the Western United States.
Restore a Smooth, Youthful Appearance With Temporal Artery Ligation in Los Angeles & Santa Monica
If bulging forehead arteries are affecting your confidence, temporal artery ligation offers a permanent, minimally invasive solution. At Vascular Surgery Associates, our expert vascular surgeons use precision techniques to ensure natural, long-lasting results with minimal downtime.
Contact us today to schedule a consultation for temporal artery ligation in Los Angeles & Santa Monica and take the next step toward refined, vein-free skin.