It is the combination of a venous closure technique along with sclerotherapy and/or micro-phlebectomy that will give you the best results for discomfort and improved cosmetic appearance.
After vein closure on both legs, will the appearance of my veins and spiderveins especially on my lower legs improve?
Doctor Answers 11
VNUS Closure is FDA approved to treat venous insufficiency and not varicose veins
VNUS Closure is FDA approved to treat venous insufficiency and not varicose veins, reticular veins or spider veins.
Additional procedures are likely to be needed to clear the burden of varicose and reticular and spider veins.
EVLT and spider veins
Once the vein closure is performed, tributary veins of the greater saphenous tend to disappear. I combine medical ablation of veins with future cosmetic spider vein injections to get optimal results.
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After closure procedures or EVLA procedures, the spider, reticular and varicose veins can get smaller but often require other treatments such as sclerotherapy, microphlebectomies or foam sclerotherapy procedures
Improvement of veins after closure
The vein size will get smaller after the closure procedure but to completely get rid of the spider or reticular veins you will need sclerotherapy.
I would recommend sclerotherapy of the spider veins to improve the appearance of your legs after vein closure. In my experience, patients had the best results with sclerotherapy after vein closures.
Improvement in veins after closure
The varicose and spider veins in the lower legs will not disappear after the Closure procedure (now called Venefit). Large varicose veins may appear less bulging but they will need to be treated separately with phlebectomy or sclerotherapy to get them to completely resolve. Spider veins also will need to be treated separately with injection or laser sclerotherapy.
Spider Veins after vein closures
It has been my experience that although varicose veins can reduce greatly after vein closure procedures, spider veins usually will still need to be treated with sclerotherapy. However, if you do not treat the underlying disease, the sclerotherapy does not give you optimal results.
You may notice some improvement in the spider veins after closure of incompetent saphenous veins, but they are unlikely to go away completely. I tell my patients to think of the veins like a balloon filled with water. Even if you empty out the water, the balloon gets smaller, but never goes back to its original size and shape. Now that you have corrected the cause of the spider veins, you will get better results with cosmetic treatment of them with sclerotherapy or laser (I prefer laser treatment for these)
Vein Closure and Veins
After a vein closure procedure the leaking (refluxing) valves of the treated veins should be resolved. Varicose veins may shrink somewhat but usually will need to be additionally treated either by removal through tiny incisions or sclerotherapy. Spider veins will not disappear from a closure procedure but will need further sclerotherapy to eradicate them.
These answers are for educational purposes and should not be relied upon as a substitute for medical advice you may receive from your physician. If you have a medical emergency, please call 911. These answers do not constitute or initiate a patient/doctor relationship.