Is Microphlebectomy always needed after EVLT ?

Endovenous Laser Ablation . 11 answers . 3 years ago

How long should I wait to see if the veins in my calf will diminish after EVLT? I would like to avoid Microphlebectomy if possible, but will have it done if necessary ?

ANSWERS FROM DOCTORS


3 years ago by General Vascular Surgery Group

It is not always mandatory, however I have found the cosmetic result to be better with concomitant Microphlebectomy.
It is very reasonable to proceed with ablation alone first and then subsequent Microphlebectomy thereafter if needed. Generally after at least 4-6 weeks.
Michael D. Ingegno, MD

3 years ago by General Vascular Surgery Group (View Profile)

It is not always mandatory, however I have found the cosmetic result to be better with concomitant Microphlebectomy.
It is very reasonable to proceed with ablation alone first and then subsequent Microphlebectomy thereafter if needed. Generally after at least 4-6 weeks.
Michael D. Ingegno, MD


3 years ago by Arizona Vein and Laser Institute & Cosmetic Surgery

Microphlebectomy is needed to shorten the recovery and better the
results. The varicose veins will disappear most of the time but it may
take a long time if they are big and cause lumps on the legs. I
reccomend microphlebectomy if the veins are large and many.

3 years ago by Arizona Vein and Laser Institute & Cosmetic Surgery (View Profile)

Microphlebectomy is needed to shorten the recovery and better the
results. The varicose veins will disappear most of the time but it may
take a long time if they are big and cause lumps on the legs. I
reccomend microphlebectomy if the veins are large and many.


3 years ago by Center for Venous Disease - Santa Fe

These are not questions that can be answered on line. If you've had procedures done, then you should speak with the doctor involved.

3 years ago by Center for Venous Disease - Santa Fe (View Profile)

These are not questions that can be answered on line. If you've had procedures done, then you should speak with the doctor involved.


3 years ago by Bella MD Laser Vein and Aesthetic Center

One month should tell you. I find it or foam sclero necessary about 80 % of time.

3 years ago by Bella MD Laser Vein and Aesthetic Center (View Profile)

One month should tell you. I find it or foam sclero necessary about 80 % of time.


3 years ago by Vein Specialties of St. Louis

Good question!
Many people want their microphlebectomies done at the same time to reduce down time
However, approximately 50% of bulging veins will resolve spontaneously after sealing the Saphenous vein.
That does leave 50% that don't. We typically will leave the very large bulbous varicose veins for 6 weeks to 3 months depending on insurance guidelines or patient preference.
Norman N. Bein MD FACS RVT

3 years ago by Vein Specialties of St. Louis (View Profile)

Good question!
Many people want their microphlebectomies done at the same time to reduce down time
However, approximately 50% of bulging veins will resolve spontaneously after sealing the Saphenous vein.
That does leave 50% that don't. We typically will leave the very large bulbous varicose veins for 6 weeks to 3 months depending on insurance guidelines or patient preference.
Norman N. Bein MD FACS RVT


3 years ago by Angelo N. Makris MD

It is not always necessary, but it may take up to one year to see the comlete results after ablation.

3 years ago by Angelo N. Makris MD (View Profile)

It is not always necessary, but it may take up to one year to see the comlete results after ablation.


3 years ago by VeinCare Centers of Tennessee

The degree of improvement of varicose veins after endovenous thermal ablation varies considerably from patient to patient. We usually wait 2-6 weeks to assess the extent of microphlebectomy and/or sclerotherapy needed for treatment of residual varicose veins.
Stephen F. Daugherty, MD, FACS, RVT, RPhS

3 years ago by VeinCare Centers of Tennessee (View Profile)

The degree of improvement of varicose veins after endovenous thermal ablation varies considerably from patient to patient. We usually wait 2-6 weeks to assess the extent of microphlebectomy and/or sclerotherapy needed for treatment of residual varicose veins.
Stephen F. Daugherty, MD, FACS, RVT, RPhS


3 years ago by Atlanta Access Care Vascular and Interventional Specialists

No, phlebectomy is not always necessary. The decisions is largely yours. Wait about a month after the EVLT and see if you are satisfied with the results. If you are, you do not need to proceed to microphlebectomy.

3 years ago by Atlanta Access Care Vascular and Interventional Specialists (View Profile)

No, phlebectomy is not always necessary. The decisions is largely yours. Wait about a month after the EVLT and see if you are satisfied with the results. If you are, you do not need to proceed to microphlebectomy.


3 years ago by Heart and Vein Center

Microphlebectomy will be indicated if the varicose veins are still visible and did not completely reduced after EVLT.
Dr Farhy

3 years ago by Heart and Vein Center (View Profile)

Microphlebectomy will be indicated if the varicose veins are still visible and did not completely reduced after EVLT.
Dr Farhy


3 years ago by Vanish Vein and Laser Center

Microphlebectomies is not always needed after EVLT. However, there is no guarantee that the varicose veins will resolve after EVLT and it could take up to 1 year for this to happen. I would recommend microphlebectomies at the same time as the ablation procedure and , in my practice, patients prefer this.

3 years ago by Vanish Vein and Laser Center (View Profile)

Microphlebectomies is not always needed after EVLT. However, there is no guarantee that the varicose veins will resolve after EVLT and it could take up to 1 year for this to happen. I would recommend microphlebectomies at the same time as the ablation procedure and , in my practice, patients prefer this.


3 years ago by Bailey Vein Institute

This question is not easily answered without looking at you legs and
ultrasound study. If however you had bulging veins below the knee before
evlt they will be decompressed and look improved. In some cases they almost
disappear. However with time they will usually repressurize and become
problematic. There are a few physicians that disagree with this statement,
although I do not think that a Board Certified Phlebologist would disagree.

Colin E. Bailey, MD, FACS

3 years ago by Bailey Vein Institute (View Profile)

This question is not easily answered without looking at you legs and
ultrasound study. If however you had bulging veins below the knee before
evlt they will be decompressed and look improved. In some cases they almost
disappear. However with time they will usually repressurize and become
problematic. There are a few physicians that disagree with this statement,
although I do not think that a Board Certified Phlebologist would disagree.

Colin E. Bailey, MD, FACS


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