You didn't mention which procedure you have undergone. If you just had a laser ablation of a saphenous veins, not all varicose veins will resolve. I typically remove most of these at the same time as the ablation. It is also not always possible to remove or shrink down all veins. I usually wait six weeks before offering additional treatments such as sclerotherapy injections.

Published on Jul 11, 2012

Saphenous ablation surgery only treats the problem in the saphenous vein and usually is performed on the saphenous vein from the groin to the top of the calf. The varicose veins on the lower part of the leg are branches off of the saphenous and usually are treated several weeks later.

Published on Jul 11, 2012

They are present because your surgeon did not treat your whole leg. He/She treated only a portion of what you have wrong with your leg with respect to your vein disease. This is a very common issue that I see in my office. Patients get only partially treated for their vein issues and are told by their doc that they are done. Proper vein treatments involve treating the entire leg. Not just addressing one or two large veins.

Published on Jul 11, 2012

Varices can resolve spontaneously but often do not because they are abnormal and lack elastic recoil. This is why many patients need phlebectomy or sclerotherapy to deal with these residual veins.

Published on Jul 11, 2012

The answer to this question varies depending on the surgery you had. Neither the type of surgery, nor the procedure was stated in the question. Also, what you mean by "lower veins?" Do you mean lower extremity veins, or veins lower in your legs, or elsewhere in your body? Remember, hemorrhoids are veins.

Published on Jul 11, 2012

There are innumerable veins in one's legs. The purpose of the viens is to bring the blood back to the heart after it has delivered oxygen to the tissues. The surgery or the procedures are usually targeted only at the superficial culprit veins causing signs and symptoms of venous insufficiency. The remainder of the healthy veins are still going to be present after the surgery or the procedure. Hope that helps!

Published on Jul 11, 2012

I can't answer this question without knowing what operation you had.

Published on Jul 11, 2012

There are many reasons why you could still have varicose veins after having surgery, which can be re-evaluated with ultrasound and a follow-up with your surgeon. Recurrence patterns are different for each individual patient depending on the original cause of the varicose veins and the type of treatment/surgery that was previously performed.

Published on Jul 11, 2012

Lower leg veins are often still present after endovenous ablation due to persistent reflux distally in the leg. Usually this is taken care of with either foam sclerotherapy or ambulatory phlebectomy.

Published on Jul 11, 2012

You need an ultrasound to determine if there is residual venous reflux in your lower legs to determine what type of treatments would be indicated, if any ie: ablation vs sclerotherapy. It is not normal for you to still see or feel symptoms.

Published on Jul 11, 2012

Are they present immediately after surgery or has some time passed since the procedure? Sometimes the vein circulation is complex with multiple sites of reflux contributing to varicose veins, and this can happen especially in the lower legs. Also perforator veins can be major causes for stubborn, residual veins. These need to be evaluated for their role in your situation and treated if necessary. I would suggest consulting with your vein surgeon about these factors.

Published on Jul 11, 2012

It is not uncommon to have veins present in the lower leg. You would probably need ambulatory phlebectomy to remove these veins.

Published on Jul 11, 2012

Veins left after a vein procedure could be there for many reasons. Some may require microphlebectomies or sclerotherapy. You should discuss these remaining veins with your treating physician.

Published on Jul 11, 2012

You need a followup appointment.

Published on Jul 11, 2012