Is Microphlebectomy always needed after EVLT ?

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 (11)


Arizona Vein and Laser Institute

Published on Mar 23, 2011

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.

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Answered by Arizona Vein and Laser Institute

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.

Published on Jul 11, 2012


Atlanta Access Care Vascular and Interventional Specialists

Published on Mar 12, 2011

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.

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Answered 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.

Published on Jul 11, 2012


Vein Specialties of St. Louis

Published on Mar 09, 2011

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

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Answered 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

Published on Jul 11, 2012


General Vascular Surgery Group

Published on Mar 09, 2011

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

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Answered 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

Published on Jul 11, 2012


VeinCare Centers of Tennessee

Published on Mar 09, 2011

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

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Answered 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

Published on Jul 11, 2012


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

Answered 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.

Published on Jul 11, 2012


Heart and Vein Center

Published on Mar 09, 2011

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

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Answered 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

Published on Jul 11, 2012


Vanish Vein and Laser Center

Published on Mar 09, 2011

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.

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Answered 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.

Published on Jul 11, 2012


Bella MD Laser Vein and Aesthetic Center

Published on Mar 09, 2011

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

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Answered by Bella MD Laser Vein and Aesthetic Center

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

Published on Jul 11, 2012


Angelo N. Makris MD

Published on Mar 09, 2011

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

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Answered 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.

Published on Jul 11, 2012


Bailey Vein Institute

Published on Mar 09, 2011

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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Answered 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

Published on Jul 11, 2012


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