Varicose Vein Treatment Using Ambulatory Phlebectomy

What is Ambulatory Phlebectomy?

This varicose vein treatment is an in-office procedure. Ambulatory phlebectomy takes around 1 hour to perform. Before the procedure, an ultrasound will map the diseased vein. Local anesthesia is injected to the area around veins to be removed. the Doctor makes several, 2-3 millimeter incisions along the length of the treatment area, and using a special hook, removes the diseased veins. After the vein is removed, steri-strips are placed over the incisions.

Following the procedure, compressions are placed over the dressings and will be worn for 24hrs. At this point, we have you come back to the office for a bandage change. Incisions must be kept clean and dry for at least a week.

With the exception of heavy lifting, you can resume your daily activities.

How does Ambulatory Phlebectomy Help Get Rid of Varicose Veins?

Ambulatory phlebectomy is an outpatient procedure with minimal downtime. The Physican removes insignificant varicose veins that get swollen, become unsightly, and cause cramps and pain.

This procedure is less invasive and is known to produce the best cosmetic results in most patients. More and more people who are candidates for varicose vein treatment prefer this method because it has less surgical risks and has a shorter recovery period.

This procedure is done in a doctor’s office. Your doctor makes small cuts in your skin to remove small varicose veins that are close to your skin’s surface using forceps. During the process, you are awake, and your doctor will numb the area around the involved veins. Patients go home the same day of the procedure.

You will be positioned standing up to more readily identify the varicose veins you want to get rid of. Your doctor marks the veins that will be removed, using a surgical marker. Then you will be repositioned lying down so that your leg can be cleansed with an antiseptic solution. After cleansing, local anesthesia will be injected around the affected veins. The local anesthesia not only numbs the area, but it also helps pull the veins away from the tissue that is next to them. It also shrinks the surrounding capillaries, which are tiny blood vessels that move blood from the arteries into the veins. This compression of the capillaries helps to reduce bleeding after the procedure.

Once the treatment area is numb, tiny incisions or punctures with large gauge needles are made over the veins. These openings are so small that so small that they will not require stitches. The veins are then pulled out in sections through these incisions, using special hooks. Sometimes the incisions may be closed using thin adhesive strips.

When all of the varicose veins are gone, absorbent pads are placed on the leg, and the leg is snuggly wrapped in a compression bandage. The bandage is to be in place for 24 to 48 hours. You will need to be driven home after the procedure. If you have extensive varicosities, you may require two or three of these sessions.

It is essential to your recovery that you walk around as soon as possible after the procedure, and to walk often. Walking helps to drain excess fluid and decrease the risk of blood clots. In one to two days after the procedure, your doctor will remove the bandage and assess the incisions. After the bandage is off, you will need to wear compression stockings from one to two weeks. Many patients can return to work once they are wearing the stockings.

Since blood vessels have a high collapsibility degree, even large vessels can be extracted through these incisions. Most patients don’t experience any discomfort after the procedure. Thus, there is no need for additional pain medication. This procedure may take about an hour or less.


The recovery time after ambulatory phlebectomy is minimal. The incisions are so tiny that they hardly require no sutures, and scarring rarely occurs. Since the technique uses local anesthesia, there is no downtime. Thus, you can get up and move after the procedure. Typically, you can get back to your normal daily activities after 24 hours. You will wear compression stockings for one week to enhance circulation and minimize discomfort. After the procedure, you are advised to exercise regularly to decrease the risk of blood clots and promote vascular flow. Since the vessels are removed surgically, you will see some of the results immediately, and the risk of the problem recurring is minimal.

Conditions that Ambulatory Phlebectomy Treats

Most often, ambulatory phlebectomy is used to treat surface varicose veins. Since blood vessels have a collapsible nature, even large vessels can be removed through small incisions using this technique. This is why the procedure only takes about an hour.

Candidates for Ambulatory Phlebectomy

To determine your suitability for ambulatory phlebectomy, your doctor will request a full medical history and carry out additional diagnostic tests. Ambulatory phlebectomy is usually an option when radio frequency ablation and sclerotherapy are not appropriate or viable. However, sometimes ambulatory phlebectomy is done in conjunction with any of these vein therapies. However, this procedure is not recommended for individuals who are unable to wear compression stockings or walk on their own.


No medical procedure is without risk, including vein removal. Risks include:

  • Bruising and swelling – this is normal when the skin is cut
  • Inflammation – this is caused by small sections of vein in the skin
  • Skin numbness – this is caused by the damage to the sensory nerves
  • Allergy – possible allergic reaction to local anesthesia
  • Allergic complications – like breathing and heart problems in some patients
  • Bleeding or clots – blood clots may form when veins are exposed
  • Pain or numbness – it is the most common side effect
  • Temporary discoloration or change in skin appearance – happens very rarely, but not impossible

Please discuss with your doctor all the potential risks and make sure you are comfortable with the treatment you have chosen before you proceed.

Success Rate

The success rate for varicose treatment is a high 70 to 90 percent, and long-term results show to be excellent. However, because of weak valves, patients may develop varicosities in other veins. Using support hose regularly may help prevent their recurrence.

Big varicose veins often cause embarrassment, especially to women due to their unattractive appearance. In addition, these unwanted veins even cause pain and discomfort in the legs as well. This is why most women seek relief through vein removal treatment, making vein removal one of the most sought after cosmetic practices today. Ambulatory phlebectomy is a safe surgical technique that will help you get rid of unsightly blood vessels with minimal discomfort and little to no downtime. If you are affected by such problems, call us today. 435-673-2301