Understanding Microphlebectomy

Sometimes, varicose veins are very close to the skin, and are best treated with microphlebectomy or removal of the veins. This is not the same as vein stripping where the whole vein is removed under anesthesia in the operating room. These types of veins can be injected, but the cosmetic results are sometimes not as good due to clotting of the veins close to the skin.

Microphlebectomy is performed in the office under local anesthesia. The veins are marked with the patient in an upright position, prior to lying down for the procedure. The skin over the veins is numbed with Lidocaine, and very tiny incisions are made, about 1 mm in size. The underlying vein is then hooked and removed. The small incisions are spaced approximately 5-10 cm apart, depending on the severity of the varicose veins. The incisions do not need stitches and are closed with butterfly bandages, or Steri-strips.

Risks of Microphlebectomy

There are very few possible complications to microphlebectomy, but these can include bleeding, bruising, blood clots, and reactions to the local anesthesia.

After the Microphlebectomy Procedure

Your activity level is as tolerated after the procedure, but we advise that you not perform strenuous activity for 1 to 2 days. You will have compression dressings on which can be removed in 2 days and you may take a shower as normal. It is a good idea to wear compression hose for another 1-2 weeks after the procedure to limit the bruising.

The cosmetic results are usually excellent. Bruising and slight staining is normal and will disappear after 3 to 6 weeks. Some of the veins may become dark, hard, and lumpy, but these will resolve within 1-3 months. Over the counter analgesics can be used for any discomfort as needed. Avoid direct sun exposure while in treatment. If you must be in the sun, use sunscreen (SPF 30) on your legs for the next 2-3 months to avoid a darkening of the skin where you have been treated.