Ambulatory Phlebectomy

An ambulatory phlebectomy is an outpatient procedure to remove stubborn veins contributing to chronic venous insufficiency. It is usually performed after laser and foam sclerotherapy for any final veins that remain. There are many ways to treat veins and we can help determine the right treatment for you and your legs.

What is an ambulatory phlebectomy?

An ambulatory phlebectomy is a minimally invasive procedure which allows the removal of varicose veins through a small incision. It is sometimes called a microphlebectomy because of its minimally invasive approach that requires magnification to perform. It is generally performed on the last few remaining veins after laser ablation and foam sclerotherapy treatments.

Symptoms of veins that are candidates for an ambulatory phlebectomy include:

  • Varicose veins
  • Veins that bleed from time to time
  • Swelling
  • Pain
  • Skin changes such as rash or discoloration
  • Cramping/Restless Leg Syndrome
  • Leg ulceration

How is an ambulatory phlebectomy performed?

This procedure is performed in a medical office under local anesthesia. It is typically done on residual veins after laser ablation and foam sclerotherapy had been performed. A common area for these includes the foot where we often have annoying, protruding veins.

When you arrive at the office for this approximately 30 minutes appointment, you will change into a gown and shorts. We then carefully identify and mark the vein to be treated. This is based on symptoms and detailed map of your leg veins identified during the initial consultation and ultrasound examination. The area around the vein is numbed with local anesthesia. A tiny incision a few millimeters in length is made. The disease vein is carefully isolated and removed. The body is then able to direct blood flow to healthy veins and circulation is improved. The incision is then closed with either a small stitch or some Steri-Strips. We then wrapped the area and aid you in applying compression socks.

How much downtime is needed for this procedure?

There is usually no downtime after this procedure. It is an approximately 30 minute appointment and one can return to work immediately after. Some things to keep in mind about the procedure are:

  • We ask that you do not exercise for one day after the procedure
  • It’s important to wear compression socks while you are awake for one week after the procedure.
  • This is often the final procedure for a series of treatments including laser ablation and foam sclerotherapy on any remaining, small stubborn veins
  • We often see you approximate two to four weeks after your final procedure to ensure things have been a success and you are satisfied
  • Although pain is rare, you may take any kind of over-the-counter pain medicine

Does my insurance cover ambulatory phlebectomy or other vein treatments?

Our insurance experts are available to help you through your insurance plan to ensure adequate treatment when medically appropriate.

Why should I have my veins treated at Golden Coast Dermatology, Skin Cancer, and Vein Center?

We firmly believe in healing those who suffer from venous disease and falsely think it is only a cosmetic concern. We also have seen first hand the positive life changes of our patients who return after their procedures. They are able to return to enjoying activities like golf and running, sleep better without cramping, and wear shorts again with confidence.

Our surgeon, Dr. James Tidwell, was fellowship trained at Scripps Clinic in La Jolla, CA by Dr. Leland Housman one of the pioneers in the vascular surgery field by having performed more minimally invasive vein procedure than anyone else in the country. Dr. Tidwell is also board certified and recognized by the American Board of Venous and Lymphatic Medicine.

Call us today or make an appointment online to see how

our board certified and fellowship trained surgeon, Dr. James Tidwell,

can help you in your legs get back their healthy function and appearance.

Scroll to Top