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Microphlebectomy, or ambulatory phlebectomy, is a minimally invasive procedure to remove superficial varicose veins and their side branches through tiny, slit-like incisions on the skin. It is an outpatient procedure that is performed under local anesthesia and requires little to no preparation. Microphlebectomy is the choice of treatment for varicose veins that are too large for sclerotherapy, but too small for endovenous laser ablation (EVLA).

How is the procedure done?

Aside from reviewing your medical history, a varicose vein doctor will first use ultrasound to visualize the form and location of the veins, then mark them using a special pen. The treatment site will then be thoroughly cleaned and sterilized, then covered with a surgical drape.

Local anesthesia is applied around the varicose veins. Once the skin is numb, 2-3mm incisions are made using a scalpel through which a phlebectomy hook or vein retractor is inserted to grasp and extract the veins. Stitches should not be required following the procedure; instead, small bandages can be used to cover the small incisions.

Varicose veins removal through microphlebectomy usually takes 30 minutes to an hour. While you may be required to wear compression stockings for 2-3 weeks and avoid strenuous exercise for 2 weeks following the procedure, you can resume regular activities and go back to work after 24 hours.

What are its benefits?

Microphlebectomy is a minimally invasive procedure to effectively remove superficial varicose veins. It has several benefits, including:

  • 90% success rate
  • 2% recurrence rate after 1 year of treatment
  • brief outpatient procedure that can be done in our office or clinic
  • no large incisions, resulting in less pain and scarring
  • no long recovery period or downtime

Microphlebectomy is also found to promote blood circulation, provide relief for symptoms like mild pain and heaviness, and improve the appearance of the legs.

Are there any risks?

Like other varicose veins removal techniques, microphlebectomy carries risks, which include:

  • temporary bruising and swelling around the treatment site
  • numbing and tingling caused by injury to a nearby nerve
  • increased risk for infection
  • allergic reaction to anesthesia

If you experience severe pain and bleeding, contact your varicose vein doctor immediately.

Who are qualified to undergo the procedure?

Microphlebectomy is recommended for those who want to remove varicose veins to improve the appearance of the affected body part and relieve symptoms like aching and discomfort. Healthwise, the procedure is not advised if you:

  • cannot walk on your own
  • cannot wear compression stockings
  • have blood clotting disorders
  • have skin infections

Only your varicose vein doctor can tell whether you are a good candidate for microphlebectomy or not.

Dr. Paul of Montemayor Laser & Advanced Vein Care specializes in numerous vein treatments such as sclerotherapy, endovenous thermal ablation (EVTA) and microphlebectomy. Call (02) 8706-0507 for inquiries and appointments.