Dr. wants to remove large leg vein with Ambulatory Phlebectomy.

Had treatments recently to internal veins. My doctor wants to remove large leg vein with Ambulatory Phlebectomy, but I'm not having problems with the vein or pain. Is it necessary?

Answers from doctors (4)


More About Doctor David Green, MD

Published on Feb 15, 2022

These superficial varicose veins represent no risk to your health and treatment is not necessary, especially if you are asymptomatic.

Ambulatory phlebectomy will result in scars (usually - hopefully - small) and segments of the varicose veins are almost always left behind. You should request that these veins be treated by sclerotherapy - if done properly, all segments of the varicose veins can be targeted and will disappear without any scarring. If your physician is unwilling to do sclerotherapy, you should seek out a vein specialist who has expertise in treating large varicose veins by sclerotherapy.

Answered by David Green, MD (View Profile)

These superficial varicose veins represent no risk to your health and treatment is not necessary, especially if you are asymptomatic.

Ambulatory phlebectomy will result in scars (usually - hopefully - small) and segments of the varicose veins are almost always left behind. You should request that these veins be treated by sclerotherapy - if done properly, all segments of the varicose veins can be targeted and will disappear without any scarring. If your physician is unwilling to do sclerotherapy, you should seek out a vein specialist who has expertise in treating large varicose veins by sclerotherapy.

Published on Jul 11, 2012


Modern Vein & Laser Center

Published on Feb 08, 2017

If there is no pain in the varicose veins, no need to remove them. Cosmetically, it is the patient's decision.

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Answered by Modern Vein & Laser Center

If there is no pain in the varicose veins, no need to remove them. Cosmetically, it is the patient's decision.

Published on Jul 11, 2012


General Vascular Surgery Group

Published on Nov 29, 2016

It is likely not mandatory

//imgs-origin.edoctors.com/imageresizer/image/user_uploads/58x58_85-1/doctors/922_1408044082.jpg
Answered by General Vascular Surgery Group

It is likely not mandatory

Published on Jul 11, 2012


Vanish Vein and Laser Center

Published on Jun 01, 2015

Varicose veins are due to malfunctioning valves of the saphenous system. If you have had this treated by a closure procedure then the next step would be to removed the larger varicose veins. If they are not bothering you then you could leave them alone.

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Answered by Vanish Vein and Laser Center

Varicose veins are due to malfunctioning valves of the saphenous system. If you have had this treated by a closure procedure then the next step would be to removed the larger varicose veins. If they are not bothering you then you could leave them alone.

Published on Jul 11, 2012


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