Disadvantages of removing varicose veins: what to know before treatment

Varicose veins are a common issue, especially among women over 40. For those experiencing discomfort or bothered by the appearance of their veins, removal treatments may seem like the obvious solution. But as with any medical procedure, there are also disadvantages of removing varicose veins. In this article, we outline the potential downsides so you can make an informed decision.

Why people choose varicose vein removal

Many individuals opt for varicose vein treatment due to pain, swelling or a heavy sensation in the legs. Cosmetic concerns also play a role. Today’s techniques, like endovenous laser therapy or foam sclerotherapy, are considered safe and effective. However, there are still important things to consider before proceeding.

Possible side effects and complications

Although rare, some side effects and complications can occur. These may include bruising, swelling, or temporary numbness in the treated area. A few patients experience inflammation of the vein or surrounding tissue.

In very rare cases, a blood clot (deep vein thrombosis) may occur, particularly in patients with higher risk factors. That’s why a proper evaluation beforehand is essential. At UK Vein Care, we always perform an ultrasound scan to determine the most suitable and safe treatment for each individual.

Varicose veins can return

One disadvantage many people aren’t aware of is the possibility that varicose veins may return. While the treated vein is closed or removed, this does not mean new varicose veins can’t develop in the future.

That’s because varicose veins are often caused by chronic venous insufficiency—an underlying condition that can lead to new issues over time. We explore this in more detail in our in-depth article about the causes and treatment of varicose veins.

Recovery time and temporary limitations

While most treatments are outpatient procedures and patients can often go home the same day, some downtime is still required. Support stockings may be necessary for several weeks, and strenuous exercise or prolonged standing might be discouraged during early recovery.

Expecting to immediately return to full activity could lead to disappointment. It’s important to have realistic expectations about the recovery process.

Not everyone is eligible for treatment

Not every patient is a candidate for all types of varicose vein treatment. For example, veins that are too twisted or too close to the skin may not be suitable for laser treatments. Other factors, such as pregnancy, certain medications, or underlying health conditions, can also influence treatment recommendations.

In our article on leg cramps, we also discuss other possible causes of leg symptoms, which may not be related to varicose veins. A thorough diagnosis is therefore key.

Cosmetic treatments bring other considerations

If you’re mainly considering treatment for aesthetic reasons, think carefully about cost, effectiveness, and potential disappointment. Small spider veins or thread veins don’t always respond as well to treatment. And in many cases, cosmetic procedures are not covered by the NHS or private insurance.

What does the research say?

According to StatPearls (2023), endovenous treatments are generally safe and effective, but recurrence rates of varicose veins have been reported in 20–30% of patients within a few years​. This highlights the importance of long-term follow-up and managing expectations beyond the initial success.

In summary: Weighing up the pros and cons

Removing varicose veins can bring relief and improve appearance, but it’s worth considering the disadvantages: possible side effects, recovery time, recurrence, and cosmetic limitations. At UK Vein Care, we take time to assess each patient’s condition and guide them in choosing whether treatment is the right step now—or if waiting or monitoring might be more appropriate.

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