What is Micro-Phlebectomy?
This procedure is intended to remove larger bulging varicose veins near the skin surface. First we mark the patient in the standing position to make sure we identify all bulging veins. Local anesthesia (usually lidocaine) is used to numb the skin overlying the varicose vein and then we make tiny incisions in the skin remove the varicose veins. (see photos below). Since the veins are compressed with the local anesthetic, and their blood supply is disrupted, there is little bleeding afterwards.
Micro-phlebectomy is done in the comfort of our office, involves minimal scarring, and downtime. Often this procedure is performed in conjunction with additional procedures such as vein ablation, ultrasound-guided foam sclerotherapy or sclerotherapy.
Pre-op Vein Markings
Mild bruising and swelling can be expected post-procedure.
In addition, retained fragments of veins can cause lumps or bumps under the skin which can be tender and inflamed. These bumps should resolve over time and ultrasound-guided sclerotherapy may be needed for any residual tributaries that are left patent. Compression garments are needed for 2-3 weeks post procedure. Results are often excellent and patients can return to exercising within 3-4 weeks.