I had EVLT treatment twice and they came back again? Rope like veins from ankle to groin on left leg only.

Question

Bradley L. Ashpole, MD · Answer

When done correctly, the chance of a vein opening after EVLT is quite small.  It might be more likely that the diameter of the vein was large and the settings for treatment were too low and the vein never properly closed in the first place.  In many cases, EVLT alone is not a complete treatment.  If you can see the veins they are often tributary veins that would need to be treated with phlebectomy or sclerotherapy in addition to the EVLT.  I would recommend a repeat ultrasound which will also assess the tributary veins as well as the primary vein which was treated.

Jerimiah Mason, MD · Answer

if your procedure was done correctly the chance of the vein reopening is quite small. For you to have the type of varicose veins you described after 2 treatments is definitely not normal. I agree a second opinion and repeat ultrasound are in order.

Susan Fox, DO, RPVI · Answer

IF the EVLA is done correctly, those veins do not come back immediately.  You can get other veins over time and veins can recurr. I would recommend a new ultrasound to see what was closed and what is causing the problem or remains.  The EVLA procedure when done correctly is very successful and should not need to be redone immediately

Hugo Pin, MD · Answer

That is not normal. Maybe the procedure was done with too low settings on the laser. How long since you had the treatment? Is that new vein exactly in the same area that the previous ones? 
You should probably ask for a second opinion, have a doppler ultrasound and see what is going on. I had to re-treat a couple of patients, years after, for a new vein in a different area, but rarely for the exact same vein.

I had EVLT treatment twice and they came back again? Rope like veins from ankle to groin on left leg only.

Answers (4)

Answer: Recurrent varicose veins post EVLT

Answer: Recurrent varicose veins post EVLT

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Everything you need to know about EVLT

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I had EVLT treatment twice and they came back again? Rope like veins from ankle to groin on left leg only.

Answers (4)

Answer: Recurrent varicose veins post EVLT

Answer: Recurrent varicose veins post EVLT

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Recommended reading

Everything you need to know about EVLT

Our mission is to create a world where every investment in modern beauty is Worth It.