How does a phlebectomy or microphlebectomy procedure work?

Phlebectomy, or microphlebectomy, is a minimally invasive surgical procedure used to remove varicose veins. During the procedure, small incisions are made in the skin, typically around 1-2 millimetres in size, to access and extract the affected veins. The veins are carefully removed using specialised tools. It is performed under local anaesthetic injections to simply numb the skin, as opposed to general anaesthetic used in more major varicose vein surgery.

The benefit of phlebectomy or microphlebectomy is its effectiveness in treating visible varicose veins, particularly those that are large or protruding. The procedure typically results in minimal scarring and a relatively quick recovery time. Patients can usually resume normal activities within a few days, although some may experience mild discomfort, bruising, or swelling in the treated area.

Phlebectomy is often performed in conjunction with other vein treatments, such as radiofrequency ablation (RFA) or VenaSeal™, to achieve optimal results and comprehensive vein care.

Before: Before the procedure, you’ll have a consultation with a consultant vascular surgeon to identify the best treatment option, or options, for your particular condition. On the day of the procedure, you’ll be taken to our minor operating room and asked to lie on a bed. The nurse will then clean your leg and attach some sterile drapes.

During: The procedure is performed under local anaesthetic, which numbs the area where the incisions will be made. You’ll remain awake and alert throughout the procedure, but you should feel little to no discomfort. Small incisions, usually about 1-2 millimetres in size, are made in the skin near the affected veins. Using specialised instruments, the doctor will gently remove the varicose veins through these tiny incisions. The procedure is guided by visual inspection and sometimes ultrasound imaging to ensure accuracy. Once the veins are removed, the incisions typically are so small they do not need a stitch and a simple plaster is applied. A compression stocking is then applied to help reduce discomfort and swelling.

After: After the procedure, you may experience mild discomfort, bruising, or swelling, but these symptoms generally resolve within a few days. You’ll be able to walk immediately after the procedure and can usually resume normal activities within a day or two. You will need to wear compression stockings for a week or two and we will see you back in the clinic when you are healed to check on the final outcome.

Ultimately, the choice between phlebectomy and foam sclerotherapy depends on factors such as the size and location of the varicose veins, your overall health, anatomy and your treatment goals.

All of these factors are analysed as part of your initial consultation with our expert vascular surgeon to determine the best course of treatment for you as an individual. The first step is to fill in our online consultation form and from there, our team will be able to arrange an initial consultation and ultrasound scan and we can work together to create a treatment plan that is tailored to your needs.