Ambulatory Phlebectomy Treatment

Ambulatory Phlebectomy is a good treatment option for varicose veins, for people who are not good candidates for sclerotherapy. It’s a surgery to remove the protruding varicose veins.

Your Treatment Experience

Ambulatory Phlebectomy is an outpatient surgical procedure that takes about one hour. Before the surgery, we have you stand so we can mark the veins that protrude. We numb the area, then make a tiny incision by each varicose vein and surgically remove the bulging part.

Typically, the incisions are small enough they don’t require sutures, just small bandages. You may experience some mild bruising or swelling for up to 48 hours afterward. We will give you ace wraps or compression socks to make recovery more comfortable. You should see full results in 4-6 weeks, and you should be able to resume normal activity in 1-2 days.

Expected Results

The procedure leaves smooth legs with minimal scaring. It is possible for new varicose veins to appear, and the procedure may need to be repeated once after the initial treatment.

Features of Ambulatory Phlebectomy Treatment

Ambulatory phlebectomy, also known as microphlebectomy, is a minimally invasive surgical technique designed to remove varicose veins from the surface of the legs. This procedure is best suited for larger, bulging varicose veins and offers an effective solution for both cosmetic and health-related concerns associated with these veins. By directly extracting the problematic veins, ambulatory phlebectomy can alleviate symptoms like pain, swelling, and fatigue, while also improving the appearance of the legs.


Ambulatory phlebectomy is performed under local anesthesia, which numbs the treatment area but allows the patient to remain awake. This method reduces risks associated with general anesthesia and promotes a quicker recovery.

Outpatient Procedure

The treatment is carried out in a doctor's office or a clinic, and patients can go home the same day. The procedure typically lasts between one to two hours, depending on the number of veins being treated.

Small Incisions

The technique involves making small incisions or punctures (about 2-3 mm) over the vein to be removed. These incisions are so small that they usually do not require stitches and heal with minimal scarring.

Immediate Results

The physical removal of varicose veins leads to immediate visible improvements. Unlike treatments that close the vein and wait for it to be reabsorbed, phlebectomy removes the vein altogether.

Comprehensive Approach

Ambulatory phlebectomy can be combined with other vein treatment methods, such as sclerotherapy or endovenous laser therapy, to address both the surface and underlying vein issues, offering a comprehensive treatment strategy.

Benefits of Ambulatory Phlebectomy Treatment

This procedure effectively removes unsightly varicose veins, leading to clearer and smoother skin. Many patients experience a significant boost in confidence and satisfaction with the appearance of their legs post-procedure.

By removing the problematic veins, ambulatory phlebectomy can significantly reduce symptoms associated with varicose veins, including aching, throbbing, itching, and leg heaviness. This improvement can enhance the overall quality of life and increase comfort during daily activities.

Ambulatory phlebectomy is known for its safety, with a low risk of complications. The most common side effects are minor and may include bruising, swelling, and temporary skin numbness near the treated areas.

Patients typically resume normal activities within a few days, although strenuous exercise may be discouraged for a short period. The quick recovery is facilitated by the minimally invasive nature of the procedure and the use of local anesthesia.

The removal of veins provides permanent results for the treated areas. While it does not prevent new varicose veins from forming, the immediate areas treated will not suffer from the same vein reappearing.

Ambulatory phlebectomy offers an effective and efficient solution for the removal of varicose veins, combining cosmetic benefits with significant symptom relief. Its minimally invasive nature, coupled with the potential for quick recovery and lasting results, makes it a favorable option for many patients.

Dr. Krikorian provides a free consultation to determine if ambulatory phlebectomy is the most suitable option based on your individual  condition and health profile. Our personalized approach ensures the best outcomes and patient satisfaction with the procedure.

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Ambulatory Phlebectomy Treatment

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Because we’re highly specialized, with seven treatment locations in the St. Louis area, we’re able to schedule your exam and treatment much sooner than other facilities. Call us at 314-849-0923 or complete this contact form to get started.

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