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Varicose veins treatment from a patient's point of view

I am one of the registered nurses at Palm Clinic and recently had a Laser treatment of my veins Endovenous Laser Ablation (EVLA). Here is my experience.

Preparation

The first thing was my blood pressure was taken and I was asked if I had any allergies etc. and if I was on any medications. After the Doctor explained the procedure I signed the consent form.

I changed into a theatre gown, hat, shoes and g-string! (This was so my own undies would not get wet when they washed my legs down with skin prep).

varicose veins diagram

 

Then it was through to the warm theatre – the theatre has to be warm to help the veins stay nice and big so they are easier to get into. When we are nervous or cold, our veins shrink.

My varicose veins treatment with ultrasound guided sclerotherapy

As doctors we often perform procedures on our patients but do not know how it feels to be the recipient!

Having had relatively minor, symptom free varicose veins and spider veins for years, I was waiting until they became sufficiently troublesome to warrant treatment.

Sclerotherapy image

More recently, swelling and aching at the end of the day followed by restless legs waking me at night led to further investigation at Palm Clinic using ultrasound. This revealed venous incompetence (leaky valves) in thigh and calf veins.

All my leg veins were thoroughly checked and a diagram or venous map was drawn to detail veins needing treatment.

What are varicose veins and how should they be treated?

Veins are the blood vessels that take the blood from your feet and legs back to the heart, ready for another cycle around the body. This means the blood in your leg veins should flow upwards.  

When your veins don’t work properly, they let blood flow backwards down the leg. This can cause you to have heavy, achy, tired or swollen legs, which feel worse when standing still. You get relief when you elevate your legs, as the bloods flows up the leg, back to the heart, under the influence of gravity. 

Varicose veins pain

If poorly functioning veins go untreated for too long, the skin on the legs can start to suffer. The first signs of this are itching or eczema of the skin, followed by brown pigmentation and eventually a leg ulcer.  

People with longstanding varicose veins can develop lipodermatosclerosis. This is a fancy term for hardened woody skin of the lower legs. 

Why do veins fail?

There are a few theories as to why your veins ‘fail’.  

The truth about dermal fillers and lip enhancement

Great lips have always been in style. For centuries, multiple generations of women have invested significant time and money into achieving great lips.

This can range from lip balms for hydration to lipsticks in a multitude of colours to tattooed lip liner for a permanent solution and finally to dermal fillers, the complete package that can address all lip concerns. 

Lip enhancement

Lip trends have come and gone over the years and cosmetic practitioners are aware that lips come in many different shapes and sizes. There is however a general aesthetic of lips that most people find attractive and principles of proportions that we aim to achieve. 

Is liposuction the right procedure for me?

As a liposuction surgeon I find there is a lot of confusion about who would benefit from liposuction.

Essentially the answer is quite simple: anyone with body contour issues is suitable!

Most people have one or more areas of the body that are susceptible to attracting fat. When we are born we have a finite number of fat cells which remain with us for life. 

When we put on weight each individual fat cell enlarges and when we take off weight each individual fat cell shrinks. However your body will have areas, for example the abdomen or outer thighs, where the fat cells have a greater preference for attracting fat. 

Therefore those areas will be the first to put on weight and the last area to lose the weight if you are on a diet.

Laser & UGS For Varicose Veins

Varicose Veins treated with Laser & UGS

These are the before and after treatment photographs of an active 36 year old man. He first noticed varicose veins aged 17, but they had become much worse in the previous five years. His symptoms were of aching and pain in both legs, but worse in his right leg and foot. There was swelling in both lower legs, ankles and feet.