Significant varicose veins of both legs
A 60-year-old man who visited our clinic had been suffering from significantly visible bulgy varicose veins over the medial (inside) aspect of his right leg and medial and anterior(front) aspect of the left thigh. He presented with R sided Superficial Venous Thrombosis (SVT or superficial blood clot). His veins started appearing when he was in his 30s and gradually got worse. He and his partner were very concerned about the appearance and effects of these abnormal veins.
On thorough examination, we noticed significant varices on both legs, the left side worse than the right side. 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 deeper truncal veins called Great Saphenous Vein (GSV).
Our approach was to manage his clot before treating the source of surface varices. Once the risk of clot-related complications got minimized, Endovenous Laser Ablation (EVLA) technique under local anesthesia was performed. This procedure has a very promising success rate in treating large truncal veins (up to 95% effective if done properly by an experienced hand). It was performed as an outpatient, walk-in walk-out procedure.
The patient was advised to wear compression stockings for a few months as he was suffering from a superficial clot that he developed before our treatment. Following EVLA, Ultrasound Guided Sclerotherapy (UGS) was performed to treat visible and non-visible abnormal branches of refluxing (abnormal) GSV's. He tolerated EVLA and UGS very well with minimum discomfort and little downtime. The photo was taken after 16 weeks post 3 sessions of the treatment cycle. The clot was completely dissolved without complications.
At the 16 weeks review, his legs looked normal as per photos. He was extremely satisfied with both aesthetic and medical outcomes.