Microphlebectomy

Microphlebectomy of Varicose Veins

After treating the saphenous veins via radiofrequency ablation or VenaSeal, most varicosities tend to flatten out and are not as visible as they were before treatment. In some cases, these varicosities are fed by other branches of veins and need to be treated individually. Heart of Dixie Vein and Vascular Center can treat these varicosities in our office with a minor procedure known as phlebectomy or microphlebectomy.

Microphlebectomy is the removal of varicose veins through tiny incisions on the leg. No stitches are necessary. This procedure is minimally invasive, leaving no scarring, and uses local anesthetic only. You can discuss insurance coverage with the Heart of Dixie Vein and Vascular team.

How does microphlebectomy work?

Phlebectomy is a very small micro-incision used to get large, superficial varicose veins to no longer be visible on the surface of the skin. These are tiny incisions that don’t require stitches, just a steri-strip over the area.

Your doctor will first anesthetize the skin, your doctor will make incisions near the problematic vein. A very small hook enters through the incision then gently removes the vein.

How long is the procedure?

The procedure for microphlebectomy is relatively short. Our experienced team at Heart of Dixie Vein and Vascular Center will quickly and expertly take care of your treatment. Expect to have the procedure take 30 minutes to an hour.

How safe is the procedure?

Microphlebectomy is considered a safe and effective procedure for treating varicose veins. All procedures have associated risks, but there are relatively few connected with microphlebectomy. The smaller incisions reduce microphlebectomy risks because they are less likely to lead to infection. The veins that will be removed are veins that are not currently helping your blood flow to properly circulate.

What are the side effects of microphlebectomy?

Side effects may include bruising, swelling, discoloration, scar, slow healing, pain, allergic reactions to the anesthetic, infection, or numbness in the treated area. However, persistence of any of these symptoms is rare. If you experience increased swelling, it will typically fade or resolve after 3–4 weeks.

Do I have to wear compression stockings after the treatment?

Compression socks prevent swelling and reinforce proper blood flow. After the procedure, your veins readjust and redirect the flow of blood to healthy veins. Because of this, wearing compression stockings is recommended after the microphlebectomy procedure for 5–7 days.

What does recovery look like?

Typically, you’ll be back to your regular routine within the first few days post-procedure. Because the incisions are so small, the tissue heals much faster. However, you’ll want to avoid strenuous exercise and swimming for several weeks after the procedure.

Microphlebectomy FAQs

Microphlebectomy side effects may include bruising, swelling, discoloration, scar, slow healing, pain, allergic reactions to the anesthetic, infection, or numbness in the treated area. However, persistence of any of these symptoms is rare. If you experience increased swelling, it should fade or resolve after 3–4 weeks.

Compression socks prevent swelling and reinforce proper blood flow. After the procedure, your veins readjust and redirect the flow of blood to healthy veins. Because of this, we recommend wearing compression stockings after the microphlebectomy procedure for 5–7 days.

Typically, you’ll be back to your regular routine within the first few days post-procedure. Because the incisions are so small, the tissue heals much faster. However, you’ll want to avoid strenuous exercise and swimming for 1–2 weeks after the procedure.

You may be asked to follow a walking schedule for a short time each day to keep the blood in your legs flowing correctly. Our team will set a follow-up appointment with you to consider your progress and further treatment if necessary.

No. The veins removed as part of the microphlebectomy procedure are not needed by your body. The blood that would have traveled through these small veins near the surface is rerouted to larger veins deeper in the body with no negative effects.

Not usually. The procedure incisions are so tiny that any scarring of the skin is often minimal or non-existent.

You may feel a pinprick, stinging, and/or burning when we administer anesthetic, but beyond that, you’ll be numb and will not feel any part of the procedure. We also offer lighter sedation options and laughing gas for a more comfortable experience.

Why come to Heart of Dixie for microphlebectomy?

When you have varicose veins that interfere with your daily living, you deserve to improve your quality of life with help from Heart of Dixie Vein and Vascular Center. Our friendly staff is professional, considerate, and dedicated to your well-being. We’ll provide you with comprehensive care for your current vein conditions and prevent others from occurring in the future.

We have a wealth of experience and will personalize your treatment to maximize your comfort. Your experience should be as comfortable as possible in your return to healthy legs, and we can help you through every step of the way. If you are considering microphlebectomy to treat your varicose veins, contact us today. We’d be happy to discuss your microphlebectomy candidacy and other possible treatment options to get you onto the road to a happier and healthier life.

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