Microphlebectomy (ambulatory phlebectomy) is a minimally invasive outpatient procedure to remove visibly protruding varicose veins.

Performed in our office under local anesthesia, Dr. Olson creates very small incisions in the leg, often less than ¼ inch, for the removal of medium to large size veins. This safe and relatively painless procedure allows blood to be rerouted to nearby healthy veins and generally stitches are not required. There is minimal pain with a microphlebectomy. Patients typically experience better circulation and are able to drive home and return to work within 24 hours.

How does microphlebectomy work?

While there is no required preoperative lab work, an ultrasound may be performed to ensure veins deeper in the leg are working correctly. Dr. Olson first identifies and marks the damaged veins for removal. Next, he injects a local anesthetic into the area surrounding the vein. A 2–3 mm incision is made where he removes the bulging vein with a small tool. The procedure takes between 30 to 60 minutes, depending on the number of veins removed. Stitches are not required and patients may shower 36 hours after surgery.

What to expect post procedure

After the procedure you can walk immediately and return to work the following day, although avoid exercise and heavy lifting for two to three weeks. Compression stockings should be worn during walking hours for three to seven days to minimize bruising and swelling of treated areas. Walking is recommended to increase blood flow and reduce the risk of blood clots. The incision area typically heals within twelve weeks after the procedure.