What is microphlebectomy?
Microphlebectomy is an outpatient procedure performed to remove spider and varicose veins through small, slit-like incisions in the skin. This minimally invasive treatment does not require sutures or general anesthesia and can easily be performed in the doctor’s office with minimal downtime. Microphlebectomy is often the recommended treatment for large surface varicose veins that cannot be effectively treated with sclerotherapy.
Because only the large surface varicose veins are removed, microphlebectomy is less invasive than surgical stripping and results in quicker healing, less pain, and a better cosmetic result. Recovery is more rapid, and a majority of patients do not need to interrupt regular activity after microphlebectomy. Microphlebectomy may be done at the same time as ablation or vein stripping.
What to Expect
Microphlebectomy is performed under local anesthesia on an outpatient basis, and can be completed in under an hour. Your doctor will first identify the veins to be treated to ensure precise removal and to help preserve the health of surrounding veins and tissue. Tiny incisions will be made in the targeted areas, and a surgical hook will be inserted to extract the damaged veins section by section. You shouldn’t experience any discomfort during the procedure.
After the Procedure
You will be able to walk and return to normal activities immediately after microphlebectomy. However, you should avoid strenuous activities for one to two weeks. To prevent blood clots, you will wear compression socks or bandages for several days or weeks following the procedure. The incisions do not require stitches and will heal on their own, and be barely visible after six to twelve months. You may experience mild skin pigmentation at the site of the varicose vein, but this usually goes away on its own after a few days.