Ms. Belinda Sam (49 years old), residing in Australia, visited Dr. Vein Clinic during her trip to Vietnam seeking definitive care for her lower limb condition. For years, she had noticed bulging veins along her right calf that gradually became larger, more pronounced, and increasingly visible. The presence of these prominent varicose vein clusters caused ongoing aesthetic concern and discomfort, making her feel self-conscious when wearing everyday outfits and prompting her to pursue specialized vascular treatment.
Clinical Assessment: Stage C2 Chronic Venous Insufficiency
During the clinical consultation and Doppler ultrasound examination, the vascular specialist detected significant pathological reflux in the right great saphenous vein (GSV) lasting over 5 seconds. The official diagnosis was Chronic Venous Insufficiency – Clinical Stage C2. This prolonged reflux confirmed that the internal vein valves had failed, causing blood to pool backward under elevated pressure. This continuous venous hypertension forced the surface tributaries to dilate into the prominent varicose vein clusters observed on her right lower leg.
Targeted Treatment Strategy: Combined EVLA and Muller Microphlebectomy
To eliminate the root cause of the reflux and restore a smooth skin surface, the medical team executed a minimally invasive, dual-modality procedure on her right leg:
Endovenous Laser Ablation (EVLA): A fine laser fiber was guided under ultrasound directly into the diseased great saphenous trunk. Thermal energy sealed the incompetent vein shut from within, instantly halting the severe reflux lasting over 5 seconds and relieving internal pressure.
Muller Microphlebectomy: To remove the tortuous surface varicosities, the specialist made micro-incisions (1–2 mm) along the prominent varicose vein clusters on the right calf. The bulging veins were gently extracted under local anesthesia, flattening the skin surface immediately without requiring stitches or leaving conspicuous scars.
Key Advantages: The outpatient procedure was gentle, precise, and required no prolonged downtime, allowing international patients like Belinda to resume normal mobility immediately.
Results: Smooth, Healthy Legs and Restored Confidence
Following her procedure at Dr. Vein, Belinda Sam was delighted with the immediate visual and physical improvement. The prominent varicose vein clusters on her right calf were completely gone, leaving her leg smooth, even-toned, and feeling significantly lighter. Relieved to have resolved the condition before returning to Australia, she received detailed aftercare guidance from the specialist: wearing class 1 compression stockings during prolonged standing or sitting, avoiding squatting or crossing legs, maintaining a balanced diet rich in vegetables and fruits, and performing gentle ankle exercises to preserve long-term vascular wellness.
