Ambulatory microphlebectomy is a moderately non-invasive method to remove surface varicose veins. This procedure is done in the physician’s office using tumescent local anesthesia and is typically done in conjunction with ELA or RFA for treatment of the primary problematic source vein. Multiple nicks in the skin above the surface of the varicose vein allow the physician access to “hook” and effectively remove the vein. These nicks heal with minimal cosmetic evidence and produce immediate cosmetic results. Pain is mild to moderate and a mild sedative can be prescribed for the day of the procedure. After the treatment is completed, a bandage wrap is applied to the leg and the patient is instructed to wear a compression stocking for a short period of time. There is a possibility of bruising, but compression therapy, elevation of the leg, and mild exercise lessen this side effect.


What results can be expected?

With the evaluation and treatment methods available today, spider and varicose veins can be treated at a level of effectiveness and patient safety previously unattainable, although, a 100% resolution of all visual veins is considered unrealistic by medical experts. Regardless of which treatment method is used, success largely depends on careful assessment of the problem by a knowledgeable and trained physician, a comprehensive treatment plan, and ultimately the compliance of the patient. There are many underlying causes of varicose and spider veins, therefore, successful treatment of a particular vein problem does not necessarily prevent the occurrence of new venous concerns. An open relationship with your vein specialist where you can communicate your results and concerns of your vein issues, is key in the long-term success of your venous treatments.