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    Ambulatory Phlebectomy

    The Procedure | The Benefits | After the Procedure | FAQs | Before & After Photos

    The Procedure

    Ambulatory phlebectomy micro-extraction is a medical procedure that allows for the removal of large surface varicose veins through very small incisions that require no stitches. Unlike traditional vein ligation and stripping, it can be performed in a doctor's office.

    During the procedure, the physician makes micro-incisions or needle punctures as small as 1mm in diameter in your leg. He or she then uses a phlebectomy hook to extract the varicose vein through the micro-incision or needle puncture. With this procedure, a compression bandage is worn for 2 weeks. This minimizes swelling and discomfort and allows for proper healing.


    The Benefits

    The benefits to ambulatory phlebectomy include:

    • Walk-in, walk-out treatment
    • Office procedure
    • Minimally invasive (micro-incisions or pinholes only)
    • Local anesthesia
    • No stitches or scars
    • No downtime
    • Excellent cosmetic results

    After the Procedure

    After the varicose vein is removed, your leg is wrapped with an ace bandage and you’re asked to walk around the doctor’s office before going home. Just before you leave the office, the ace bandage is removed and replaced with a support stocking that you’ll need to wear for 2 weeks following the procedure.

    Most patients experience little to no discomfort and generally don’t even need pain medication. In fact, you may stand and walk right after treatment, then return to work the next day. Strenuous activity is limited for 2 weeks, however. The results of this procedure have been excellent, both from a cosmetic and patient satisfaction point-of-view.


    How does the procedure actually work?
    Skin incisions or needle punctures as small as 1mm in diameter are used to access and extract the varicose vein with a phlebectomy hook. The hook is inserted into a micro-incision in the leg, and a section of the vein is hooked, then removed, through the incision. After the procedure, a compression bandage is worn for 1 week. This minimizes swelling and discomfort and allows for proper healing.

    What is the recovery and post-operative care like after an ambulatory phlebectomy?
    You can go back to work and return to normal daily activity 24 hours after treatment. You will be asked to keep your leg elevated and stay off your feet for the first day. You’ll also need to wear a support stocking for 2 weeks following the procedure.

    What are the side effects of ambulatory phlebectomy?
    Compared to traditional vein stripping, this technique leaves virtually no scarring and has no side effects. Also, because it’s an in-office, minimally invasive procedure performed under local anesthesia, you’ll experience very little downtime. Skin pigmentation at the site of the treated varicose vein may occur but is usually temporary.

    How successful is ambulatory phlebectomy?
    The long-term results of ambulatory phlebectomy are excellent when the procedure is performed for the appropriate medical reasons.

    Before and After Photos

    Before & After Photos: Ambulatory Phlebectomy




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