VARICOSE VEIN PROCEDURE – PHLEBECTOMY.
Phlebectomy (also known as micro phlebectomy, Ambulatory Phlebectomy) is a technique to remove bulging varicose veins
Varicose veins are bulging, twisted blue vessels that can be seen and felt under the skin. They are larger than spider veins and associated with symptoms and complications – blood clots, rupture and bleeding, infections. The key difference between spider and varicose veins is that varicosities can be felt, palpated under the skin, when spider veins are not. The main treatment for them is Phlebectomy should be done always after full treatment of larger veins, with ablation.
HOW IS PHLEBECTOMY PERFORMED?
- Outpatient Procedure: Phlebectomy is done in the office, usually under light sedation, and doesn’t require hospitalization.
- Marking the Veins: Before the procedure, the doctor will mark the veins to be removed.
- Local Anesthesia: A small injection is given to numb the area. It may feel like a bee sting with a brief burning sensation.
- Removing the Veins: Tiny incisions (2-3 mm, the size of a pen tip) are made along the marked veins. The doctor uses a small hook (called a vein crochet) to gently remove the vein. Stitches are usually not needed, and no visible scars are left once healed.
Next, local anesthesia is given, felt as a bee sting and burning sensation. The physician will than make tiny incisions the size of a ballpoint pen tip (about 2-3 mm) and use a vein hook (vein crochet) to fully extract the vein. Stitches usually are not required are no visible scars are left, after full recovery.
What can I expect after Phlebectomy?
What to Expect After Phlebectomy
- Recovery: Mild bruising and swelling are normal and should improve within a few days. You might feel small bumps, numbness, or tingling in the treated area, which usually goes away after a few weeks.
- Pain Management: Taking ibuprofen (400 mg, twice a day) for 5 days can help reduce discomfort.
- Walking: It’s important to walk right after the procedure to help with healing.
- Compression Stockings: You will need to wear compression stockings for 7-10 days during the daytime to support the treated area.
- Restrictions: Avoid heavy lifting or intense exercise for 5 days after the procedure.
Potential Complications
Phlebectomy is generally safe, but minor complications like skin color changes, infection, pain, or the appearance of tiny red spider veins may occur. These are usually temporary.
Results
It takes about 3-4 months to see the full cosmetic results, and you may need more than one session to achieve the desired outcome.
