One month after EVLT, a superficial vein is still bulging. Will it go away with time?

I had EVLT one month ago on my GSV, and still there is some bulging of another superficial vein. This bulging seems to be somewhat better but still visible. Will this bulging go away completely, or will I need a follow-up microphlebectomy? Is 1 month long enough to know this? This is the same vein that was visibly bulging before (some improvement visually), though it is not the one treated.

Answers from doctors (2)


Vanish Vein and Laser Center

Published on Feb 15, 2016

The bulging vein can be evaluated with an ultrasound or vein light. If it is open with blood in it, then it can be treated by either sclerotherapy or microphlebectomy. If it is a clotted vein, then it can be evacuated. Usually, if the vein is present one month post-closure procedure, then it will not resolve on its own.

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Answered by Vanish Vein and Laser Center

The bulging vein can be evaluated with an ultrasound or vein light. If it is open with blood in it, then it can be treated by either sclerotherapy or microphlebectomy. If it is a clotted vein, then it can be evacuated. Usually, if the vein is present one month post-closure procedure, then it will not resolve on its own.

Published on Jul 11, 2012


Smith Vein Institute, LLC

Published on Feb 06, 2016

The bulging typically improves in the short-term, because the venous pressure is reduced from the ablation. However, with time, as long as the vessel remains open, it will likely worsen. It can be treated with phlebectomy and/or sclerotherapy. The decision of how best to treat it usually depends on its size, extent, and the physician's own unique skill set and expertise.

//imgs-origin.edoctors.com/imageresizer/image/user_uploads/58x58_85-1/doctors/1132_1499985841.jpg
Answered by Smith Vein Institute, LLC

The bulging typically improves in the short-term, because the venous pressure is reduced from the ablation. However, with time, as long as the vessel remains open, it will likely worsen. It can be treated with phlebectomy and/or sclerotherapy. The decision of how best to treat it usually depends on its size, extent, and the physician's own unique skill set and expertise.

Published on Jul 11, 2012


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