Significant varicose veins on the inside (medial), Outside (lateral),
Front (anterior), and back (posterior) of the right leg
A 42-year-old man who visited our clinic was suffering from significantly bulgy varicose veins over the medial, lateral, anterior, and posterior aspects of his right leg. His veins first started appearing when he was in his teenage years and gradually got worse. He and his partner were more concerned about the appearance and health effects of these abnormal veins.
On thorough examination, we noticed significant varices on one side of the leg. Duplex Ultrasound (DU) examination was done during his initial visit to find out the source of these visible bulgy veins. The source of surface varices was 2 deeper truncal veins called Great Saphenous Vein (GSV) and Small Saphenous Vein (SSV).
Our approach was to treat the source of surface varices by performing Endovenous Laser Ablation (EVLA) technique under local anesthesia which has a very promising success rate in treating big truncal veins (up to 95% effective if done properly by an experienced hand), it was performed as an outpatient, walk-in walk-out.
The patient was required to wear compression stockings for a week (only during the day) and he resumed work within 1-2 days with minimal discomfort.
Following EVLA, Ambulatory MicroPhlebectomy (AMP) and Ultrasound Guided Sclerotherapy (UGS) were performed to treat visible and non-visible abnormal branches of refluxing (abnormal) GSV and SSV.
He tolerated AMP and UGS very well with minimum discomfort and or little downtime. After the photo was taken 12 weeks post 4 sessions of the treatment cycle.
At the 12 weeks review, our patient had some minor lumps under the skin which were not causing discomfort, and very much expected after treatment, we noticed lumps completely disappeared at six months post-treatment. He was extremely satisfied with both aesthetic and medical outcomes.