A 39-year-old woman, who had been troubled by visible bulging veins since her teenage years, visited our clinic and embarked on a remarkable journey towards renewed leg health and confidence.
From her adolescence, she noticed the gradual appearance of varicose veins on the front and inner side of her left leg. Over time, these veins became more pronounced, accompanied by painful night cramps that disrupted her sleep and increasing discomfort after long periods of standing. Elevating her legs offered only temporary relief, and concerns about both the cosmetic appearance and long-term health risks led her to seek expert treatment.
Veins Treatment Procedure
At her initial appointment, our specialist team carried out a detailed clinical examination followed by a Duplex Ultrasound (DU) scan. This investigation confirmed reflux in two key veins: the left Anterior Accessory Great Saphenous Vein (AAGSV) and the left Small Saphenous Vein (SSV). These veins, enlarged and malfunctioning, were directly responsible for the visible varicosities on her leg’s surface.
To address the root cause, the recommended treatment plan included Endovenous Laser Ablation (EVLA). Conducted under local anaesthesia, this minimally invasive procedure involves inserting a fine laser fibre into the affected vein under ultrasound guidance. Laser energy is then delivered to seal the vein wall, diverting blood flow into healthier veins. EVLA has a high success rate of up to 95% when performed accurately, and is designed as a walk-in, walk-out treatment requiring no hospital stay.
The procedure was completed in a single sitting, and the patient was able to walk out of the clinic the same day. She was advised to wear compression stockings for one week during the daytime. Within just a few days, she resumed her daily routine, reporting only minimal discomfort.
To further improve results, our team performed ultrasound-guided sclerotherapy (UGS). This targeted both visible and hidden branches of the refluxing AAGSV and SSV that could not be fully treated with EVLA alone. By injecting a sclerosant solution under ultrasound guidance, these smaller tributary veins were effectively closed off. The patient experienced only mild, short-term discomfort with virtually no downtime.
Results & Transformation
Six months after completing two treatment sessions, follow-up scans and clinical images revealed an extraordinary transformation. The bulging varicose veins had completely resolved, and the night cramps and leg discomfort that once impacted her daily life had vanished. Her legs not only looked significantly better but also felt healthier, free from the heaviness and pain she had carried for years.
Her journey highlights the effectiveness of combining modern vein treatments such as EVLA and UGS. Today, she enjoys an active lifestyle without the limitations her varicose veins once imposed. This case is a testament to how advanced, minimally invasive procedures can restore both physical health and personal confidence.
If you are experiencing similar symptoms, our Melbourne Varicose Vein Expert is here to guide you through the path of recovery.
