Treatment for Varicose Veins
Minimally invasive procedure to remove bulging varicosities.
What Is Microphlebectomy?
Microphlebectomy is the surgical removal of medium and large sized bulging varicose veins. The blood that previously moved through that vein simply reroutes to another vein, so the patient experiences no negative effect in blood flow or circulation.
This minimally invasive procedure is performed in-office and requires only a local anesthetic. Generally, microphlebectomy is reserved to treat large, tortuous varicose veins. For smaller veins, Dr. Favata usually recommends EVLT or sclerotherapy.
What Happens During the Microphlebectomy Procedure?
Patients are encouraged to wear loose-fitting clothing and follow all of Dr. Favata’s pre-treatment instructions. The procedure typically takes less than an hour.
Dr. Favata begins by cleaning and sterilizing the skin around the affected vein. The patient then receives a local anesthetic to numb the area. Next, the doctor makes a very small incision – typically less than one-quarter inch. She then inserts a small instrument known as a vein hook and uses it to gently remove the varicose vein.
The incision required is so small that most patients do not require stitches. Instead, a small bandage typically suffices. Patients experience little to no scarring.
The area is then wrapped and compression applied. You should wait 24 hours before resuming normal activity. In addition, you should wear compression stockings and avoid strenuous exercise for at least two weeks.
When Is Microphlebectomy Recommended?
Microphlebectomy is typically recommended for patients with very large, bulging or tortuous varicose veins. It has a higher success rate than sclerotherapy – 90 percent versus 60-80 percent – as well as a lower varicose vein recurrence rate. You and your doctor should discuss your medical history to determine the best treatment option for your unique case.
Microphlebectomy is not recommended for patients who are pregnant or have an active blood clot or skin infection.
Are There Risks with Microphlebectomy?
Every type of varicose vein treatment carries a certain level of risk. With microphlebectomy, the main risks are infection and skin discoloration. Patients may also experience bleeding, bruising, numbness, or tingling. Most side effects disappear within a few days.