Minimally invasive treatment for larger varicose veins
We may recommend a procedure called ambulatory microphlebectomy if you have larger varicose veins that cannot be effectively treated using endovenous laser thermal ablation (EVLT) or sclerotherapy. This minimally invasive, in-office procedure takes about an hour and requires little or no down time. No general anesthetic is required, and there is very little risk of infection or other complications.
We mark the veins to be treated with a skin marker and wash the leg with a solution to kill any germs on the skin to prevent infection. We then numb the skin over the veins to be treated. We make tiny skin incisions (“nicks”) and use a small hook to locate the problem veins and bloodlessly pull it through the skin to remove the vein. We repeat this process for all problem veins. You may feel a slight pulling sensation during the procedure but shouldn’t have pain.
What Are The Results?
The small incisions are usually closed with paper tape without the need for stitches. You can usually return to work the next day. The small punctures heal rapidly. There is no scarring, and you can expect an excellent cosmetic result.