What is microphlebectomy?
Microphlebectomy, also called ‘stab phlebectomy,’ is an outpatient medical procedure that is used to treat painful, unattractive varicose veins that are located close to the skin’s surface. The procedure is ideal for treating veins that are too large to treat with sclerotherapy and too small to safely and successfully treat with laser procedures.

How does microphlebectomy work?
Microphlebectomy uses a series of tiny incisions – each one about the size of the tip of a ballpoint pen - to remove portions of the vein which is malfunctioning, causing pain and unsightly bulging. By removing certain sections of the vein, the areas of the vein which are not removed will “clot off,” eliminating the bulging, purplish areas for good.

What are the advantages of microphlebectomy over other similar procedures?

Microphlebectomy offers several benefits over other procedures. Generally speaking, microphlebectomy:
• Is minimally invasive
• Requires only local anesthesia
• May be used in combination with sclerotherapy for treatment of deeper veins
• Requires little-to-no downtime, allowing most men and women to resume normal activities right after their procedure

Who is a candidate for microphlebectomy?
Any man or woman who has unsightly spider veins or varicose veins which are close to the skin’s surface is a potential candidate for the microphlebectomy procedure.

How is the procedure performed?
Your specialist will mark the area to be treated to determine where the tiny openings, or “stabs,” should be made. Then the area will be numbed with a local anesthetic. Once the area of the vein is numbed, your specialist will make a few tiny incisions along the length of the vein to be removed, inserting a tiny hook to “grab” the vein so that it may be removed. Once the procedure is completed, a dressing will be placed on the site. Most procedures take about 30-45 minutes to perform.

What is the recovery like?

Most individuals are able to return to their normal routines immediately following the procedure. Daily walking is recommended, although strenuous activities should be avoided for 5 to 7 days. Compression stockings or dressings are usually worn for a week after microphlebectomy.

What will my results be like?
Initials results will be visible soon after your procedure, and will become more evident once initial bruising resolves. Because only tiny incisions are made, there is virtually no scarring.

What are the risks?
There may be some temporary and mild discomfort or bruising for a day or two at the treatment site. A very few individuals may experience minor injury to the tiny nerves just beneath the surface of the skin which are located near the area where the vein was removed. These injured nerves usually heal with time.

Is the microphlebectomy procedure approved for use in the U.S.?
Yes, the microphlebectomy procedure has been approved for use on men and women in the United States.

Is the microphlebectomy procedure covered by insurance companies?
Unless it is part of a larger medical procedure addressing varicose veins that are causing medical problems, microphlebectomy is considered a cosmetic procedure and is not covered by insurance companies. Some specialists will offer in-house financing options to make the procedure more affordable for patients. Contact your local provider for more information.

Disclaimer: This information is intended only as an introduction to this procedure. This information should not be used to determine whether you will have the procedure performed nor does it guarantee results of your elective surgery. Further details regarding surgical standards and procedures should be discussed with your physician.

By Staff
Updated: August 13, 2009


» Featured Facility
Featured Microphlebectomy Specialist

Prairie Vein Clinic
Springfield , IL

The Prairie Vein Clinic is one of the specialized areas of services offered by Prairie Vascular Services. Prairie Vascular is the segment of Prairie Cardiovascular devoted to the care of patients with complicated vascular diseases. Prairie Vascular provides cutting edge, evidenced based care for patients through dedication to research, education, and future technologies.  Prairie’s physicians have trained at top medical institutions and come from around the world to practice, research and teach at Prairie Cardiovascular.  Whether a patient’s condition entails medical therapy or revascularization, our physicians will provide the patient and family members with a comprehensive assessment and treatment plan focused on restoring the patient’s quality of life.

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