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I have low body fat,several veins now pop-out in my calves all the time now for the past 2yrs, stopped working-out my legs as well. Will sclerotherapy guarantee me that those exact veins will not bulge or pop-out or do I need a different procedure?
The first thing to do is determine if they are varicose veins (i.e. have reflux or if they are just prominent veins). Ultrasound examination can determine this. If they are varicose veins, the source of the reflux should
be determined and treated first. If they are just prominent veins and you don't like them, they can be treated by microphlebectomy (my preference) or sclerotherapy.
Depends on which veins. Many very thin people just have superficial visible veins that are normal and should not be treated. See a vein MD.
Prior to any treatment duplex ultrasound examination should be performed to determine the status of the truncal veins and of the veins described. If there are incompetent vessels then I strategy for treating the problem can be determined.
In someone with low body fat and good muscle tone, it isn't uncommon for the surface veins to show. Look at some of the ancient Greek statues and also body builders.
If you have symptoms such as tired, achy, heavy legs or pain, you should have a thorough evaluation with and experienced surgeon who specializes in vein treatment. He will perform an ultrasound to establish if there is a deeper cause such as venous insufficiency. If none of these situations is present and this is a cosmetic issue for you, you could be a candidate for microphlebectomy or sclerosing depending upon the size of the veins. Larger veins are best removed as sclerosing will require several treatments and possible areas of trapped blood that may need to be released between treatments.
If dealt with correctly, they should not recur. You may develop new veins later if genetically predisposed.
I suggest consultation with a vein specialist who can examine you and possibly perform an ultrasound. This would allow him/her to better answer your questions.
I do not think your question can be answered without a venous color duplex ultrasound study and a clinical exam.
Bulging veins are varicose veins and are usually due to valvular incompetence of the saphenous system. You should have a reflux venous ultrasound to evaluate this and treat the reflux first if this is the cause.