Should I get Microphlebectomy and Endovenous Ablation to ensure my varicose veins do not come back?

I have multiple large superficial veins on my legs. Should I get microphlebectomy to get rid of the veins themselves, and then ELA so they don't come back? Or will ELA be enough that I wont need microphlebectomy?

Answers from doctors (5)


Vanish Vein and Laser Center

Published on Sep 13, 2010

The first issue to be addressed is the source of your veins. If you have reflux then this should be treated with ablation. Varicose veins can then be treated by microphlebectomies or sclerotherapy. Sometimes veins will decrease in size following ablation but this is not the routine. There is no procedure that will guarantee that some veins will not recur especially with spiders.

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Answered by Vanish Vein and Laser Center

The first issue to be addressed is the source of your veins. If you have reflux then this should be treated with ablation. Varicose veins can then be treated by microphlebectomies or sclerotherapy. Sometimes veins will decrease in size following ablation but this is not the routine. There is no procedure that will guarantee that some veins will not recur especially with spiders.

Published on Jul 11, 2012


Angelo N. Makris MD

Published on Nov 24, 2009

If you have documented superficial venous insufficiency by ultrasound, then I would recommend ablation. Microphlebectomy is not always necessary after an ablation. I make the recommendation for microphlebectomy based on the size of the varicosities.

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Answered by Angelo N. Makris MD

If you have documented superficial venous insufficiency by ultrasound, then I would recommend ablation. Microphlebectomy is not always necessary after an ablation. I make the recommendation for microphlebectomy based on the size of the varicosities.

Published on Jul 11, 2012


VeinSolutions - Edina

Published on Nov 24, 2009

We recommend our patients do both. The ablation treats the source of the problem and the phlebectomies remove the unsightly veins that are visible on the surface.

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Answered by VeinSolutions - Edina

We recommend our patients do both. The ablation treats the source of the problem and the phlebectomies remove the unsightly veins that are visible on the surface.

Published on Jul 11, 2012


Heart and Vein Center

Published on Nov 23, 2009

For most patients the best course of action is to start with EVLT (laser) and then phlebectomy. It is possible that by doing laser alone some of the large varicosities diminish in size, very unusual that will "dissapear".

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Answered by Heart and Vein Center

For most patients the best course of action is to start with EVLT (laser) and then phlebectomy. It is possible that by doing laser alone some of the large varicosities diminish in size, very unusual that will "dissapear".

Published on Jul 11, 2012


General Vascular Surgery Group

Published on Nov 23, 2009

It really depends on your varicose veins. I generally feel it is essential to deal with the underlying cause of the veins and that is done with the ablation procedure. I usually do microphblectomies at the same time but many practitioners stage the procedures and only do the MPs as needed later.

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Answered by General Vascular Surgery Group

It really depends on your varicose veins. I generally feel it is essential to deal with the underlying cause of the veins and that is done with the ablation procedure. I usually do microphblectomies at the same time but many practitioners stage the procedures and only do the MPs as needed later.

Published on Jul 11, 2012


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