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Ambulatory Phlebectomy

Removing the Surface Veins: Ambulatory Phlebectomy

If you have the typical big blue bulging veins on the surface and you want them gone, we can treat them at the same time as the Ablation, if needed. This is called Ambulatory Phlebectomy and is also performed in the office.

How do we do it? After the EVLA procedure, the bulging veins are marked with a special pen. Next, we will inject numbing medication around the bulging veins. This part of the procedure may be slightly uncomfortable, but following this, you will be completely numb and not feel a thing. Then we will remove the bulging vein through a small poke mark in the skin. We grab onto them with a crochet-like instrument and actually pull them out. This will be done through tiny incisions the size of a small freckle that does not need any stitches or staples.

After the phlebectomy is over, the poke marks are covered with ‘butterflies’ if needed and the leg is wrapped with a soft dressing. A compression hose will cover the entire bandage and will stay in place for two days. After two days, you will remove the dressing at home and take a shower. You must leave the butterflies in place for a week, and continue to wear the compression hose during the day for the next week. At one week postoperatively there will be residual bruising, but you will begin to see a vast change in the appearance of your leg. You will find yourself asking, “Why did I wait so long to have something done?”

After a couple of weeks, the bruising will have cleared. The small incision wounds will have healed, and they will continue to lighten and become less visible with time.

Remember, though, varicose veins can be an ongoing problem. The body is always trying to repair itself by creating new veins. It is very important for us to follow you yearly with an ultrasound exam. This will help us locate any new veins that might be developing so we can treat them with injections otherwise called Ultrasound Guided Sclerotherapy before they become worse.

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