What Is Microphlebectomy?

Microphlebectomy (also known as “mini phlebectomy” or “ambulatory phlebectomy”) is the removal of varicose veins through tiny incisions in the skin. The incisions are smaller than the size of a freckle, resulting in quick healing and no unsightly scars. This procedure is often performed with other vein treatments such as laser therapy (EVLT) and sclerotherapy for several reasons: to reduce inflammation from trapped blood, to decrease the likelihood those varicose veins will come back, and to lower the number of subsequent vein treatments needed.

How is microphlebectomy performed?
Microphlebectomy is performed by first applying a local anesthetic to the treatment area. Next, the target veins are removed with a pencil-sized tool that looks like a tiny crochet hook. Finally, a dressing is applied to the treatment area and the leg wrapped with an elastic bandage.
What Are The Side Effects of treatment?
Like sclerotherapy, microphlebectomy is a low-risk procedure. The most common side effect of treatment is some bruising and soreness in the treatment area that responds well to cool compresses, Tylenol and ibuprofen. Tingling, numbness and other symptoms related to nerve irritation after the procedure are very rare.  Skin infection is also rare.
What Happens at My Follow Up Appointments?

At the follow-up appointments, we examine the treatment area to make sure the skin is healing well. We also use ultrasound to confirm successful treatment of the veins and the absence of any complication.

Should you have any concerns about the appearance or feel of your legs after any vein treatment, a medical professional is available to assist you 24 hours a day.


With all vein treatments, photographs are taken of your legs before and after your vein procedure to be stored in your medical record. At your follow-up office visits, we’re happy to show you the photographs so you can see the visible difference your treatments have made!




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