Varicose veins removed or thigh lift first after 100 lb weight loss? (Photo)

Question

I have had varicose vein removal twice in the last 20 years and it's time again to do it. I've had both laser and sclerotherapy. Plus sclerotherapy on the spider veins. Which do I have first?

Raffy Karamanoukian, MD, FACS · Answer

I perform both of these procedures. I would suggest EVLT first to improve your circulation, followed by the thigh lift. Best, Dr. KaramanoukianLos Angeles

Hratch Karamanoukian, MD, FACS · Answer

REVAS is recurrent veins after surgery and requires expertise from a vein specialist.H Karamanoukian MD FACS
certified vein specialist from ABVLM

John Landi, MD · Answer

Varicose and spider veins can be a recurrent problem.  Since you have had treatment twice, you need a full venous evaluation with a venous ultrasound to identify the underlying anatomy and find the reason for the recurring veins.  Usually there is a refluxing (malfunctioning) valve or valves which are the source of the veins.  This is a very common problem.  See a vein specialist.

Scott Powell, MD - Account Suspended · Answer

First, I would find a qualified vein expert who specializes in veins.  If you have not had a detailed ultrasound to evaluate your veins, the full problem is not being addressed.  Often the bulging varicose veins and spider veins result from pressures in the underlying superficial or even deep veins.  Without fixing this problem first, you will keep needing more vein treatments in the future.  Look for someone with good experience, and who does vein ablation, either RFA or EVLT.Next, I would recommend fixing the veins first before doing the thigh lift.  It will probably reduce swelling and bruising during the lift, as well as reduce wound healing issues.  I have not had your specific issue before, but I do have several orthopedic surgeons refer patients to have their veins evaluated prior to doing knee replacement surgery.  They find that they often have less swelling and better recovery in their patients if they get the venous issues corrected first.

Varicose veins removed or thigh lift first after 100 lb weight loss? (Photo)

Answers (4)

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