I still have several bruises, five weeks after a microphlebectomy. Is that normal?

It's been five weeks since my microphlebectomy on my leg and there are still many red bruise-type areas, that are very sensitive. Is this normal? And when will they disappear?

Answers from doctors (10)


Advanced Laser Vein Care

Published on Mar 17, 2015

This situation is more prone to happen when the veins have been present for a long time and have undergone several episodes of low-grade inflammation. This makes the wall of the vein densely adherent to the skin and technically difficult to remove. Sometimes aspiration under ultrasound guidance can be helpful in removing the remaining entrapped blood in the vein segments. Good post-op graduated compression stockings can help reduce inflammation.

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Answered by Advanced Laser Vein Care

This situation is more prone to happen when the veins have been present for a long time and have undergone several episodes of low-grade inflammation. This makes the wall of the vein densely adherent to the skin and technically difficult to remove. Sometimes aspiration under ultrasound guidance can be helpful in removing the remaining entrapped blood in the vein segments. Good post-op graduated compression stockings can help reduce inflammation.

Published on Jul 11, 2012


The Sheen Vein Institute

Published on Mar 17, 2015

Your phlebectomy wounds should be much better five weeks out. I would check with the doc who did the procedure to make sure there is not any underlying complications from the procedure. This is partly why I prefer the nonsurgical method of treating your ropey veins. No scars, limited discomfort and no potential long-term complications from stripping or tearing a vein(s) out of a patient's leg. There is really no reason to cut anyone anymore for vein treatments.

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Answered by The Sheen Vein Institute

Your phlebectomy wounds should be much better five weeks out. I would check with the doc who did the procedure to make sure there is not any underlying complications from the procedure. This is partly why I prefer the nonsurgical method of treating your ropey veins. No scars, limited discomfort and no potential long-term complications from stripping or tearing a vein(s) out of a patient's leg. There is really no reason to cut anyone anymore for vein treatments.

Published on Jul 11, 2012


Vein Specialties of St. Louis

Published on Mar 17, 2015

Healing is individual. I recommend to massage the area with arnica cream with a little pressure. Use the tip of your fingers if there are bumps. Be patient as healing takes time.

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Answered by Vein Specialties of St. Louis

Healing is individual. I recommend to massage the area with arnica cream with a little pressure. Use the tip of your fingers if there are bumps. Be patient as healing takes time.

Published on Jul 11, 2012


Advanced Vein Center

Published on Mar 17, 2015

They are usually not sensitive but can take several months to completely fade.

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Answered by Advanced Vein Center

They are usually not sensitive but can take several months to completely fade.

Published on Jul 11, 2012


Texas Vein And Cosmetic Specialists

Published on Mar 17, 2015

The bruising and tenderness usually persists for about 2-4 weeks post phlebectomy. I usually see patients a day or two after the procedure and then again at 4-6 weeks. You should be due for a follow-up visit. This would be a good opportunity for you to be examined by your surgeon and to discuss your concerns.

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Answered by Texas Vein And Cosmetic Specialists

The bruising and tenderness usually persists for about 2-4 weeks post phlebectomy. I usually see patients a day or two after the procedure and then again at 4-6 weeks. You should be due for a follow-up visit. This would be a good opportunity for you to be examined by your surgeon and to discuss your concerns.

Published on Jul 11, 2012


Vanish Vein and Laser Center

Published on Mar 17, 2015

Bruising is normal post microphlebectomy and if you have trapped blood below the small incision sites, you can have prolonged bruising and discomfort. Try applying wet warm compresses to the areas and follow up with your treating physician.

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Answered by Vanish Vein and Laser Center

Bruising is normal post microphlebectomy and if you have trapped blood below the small incision sites, you can have prolonged bruising and discomfort. Try applying wet warm compresses to the areas and follow up with your treating physician.

Published on Jul 11, 2012


California Vascular & Vein Center

Published on Mar 17, 2015

Sometimes bruises are seen for a long period of time.

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Answered by California Vascular & Vein Center

Sometimes bruises are seen for a long period of time.

Published on Jul 11, 2012


The Vein Clinic

Published on Mar 17, 2015

They are probably not typical bruises, but stains under the skin that will last for a while. They can take months to resolve, but eventually should all go away.

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Answered by The Vein Clinic

They are probably not typical bruises, but stains under the skin that will last for a while. They can take months to resolve, but eventually should all go away.

Published on Jul 11, 2012


NE Laser Vein Institute LLC

Published on Mar 17, 2015

Yes, it is normal. It takes a few weeks for the leg to heal.

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Answered by NE Laser Vein Institute LLC

Yes, it is normal. It takes a few weeks for the leg to heal.

Published on Jul 11, 2012


More About Doctor East Tremont Vascular

Published on Mar 17, 2015

Yes and no. If you had extensive telangiectasia with areas of venous lakes then yes it will take time and will most likely leave stripling or pigmented markings in place of the spider veins.

On the other hand, I have noticed that such areas can herald the formation of neovascularization, especially if you press the area and you notice blanching.

Answered by East Tremont Vascular (View Profile)

Yes and no. If you had extensive telangiectasia with areas of venous lakes then yes it will take time and will most likely leave stripling or pigmented markings in place of the spider veins.

On the other hand, I have noticed that such areas can herald the formation of neovascularization, especially if you press the area and you notice blanching.

Published on Jul 11, 2012


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