Here's What to Expect During Your Microphlebectomy Procedure

Varicose veins are a common condition affecting millions in the United States. These enlarged, twisted veins can cause discomfort, pain, and aesthetic issues. Whether your concerns are medical or cosmetic, treatments performed by a vascular surgeon offer an excellent solution for problematic veins.

Board-certified vascular surgeon Dr. Gary Nackman at NJ Vein Care and Aesthetics provides comprehensive vein treatment and aesthetic services to New Jersey residents from offices in Oradell and Clifton. Known as one of America’s top vascular surgeons, Dr. Nackman customizes varicose vein remedies to suit your needs.

Read more about microphlebectomy and what to expect during the procedure.

What is microphlebectomy?

Microphlebectomy, also known as ambulatory phlebectomy or stab avulsion, is a minimally invasive procedure that removes varicose veins through tiny puncture incisions in the skin.

Once your provider removes the damaged vein, the cosmetic issues and physical symptoms resolve as your body reroutes blood to a nearby healthy vein.

What can I expect during microphlebectomy?

We perform microphlebectomy in-office at NJ Vein Care and Aesthetics Center or a local surgical center. Local anesthesia helps prevent discomfort during the procedure, which generally takes less than an hour, and the incisions are small enough that they don’t require sutures.

Dr. Nackman first numbs the treatment area with a local anesthetic. He then uses a 1 mm needle to access the targeted vein. Using advanced imaging to ensure precision and minimize trauma to surrounding tissue, Dr. Nackman removes the vein through the small punctures.

Dr. Nackman provides detailed aftercare instructions and discusses post-procedure expectations before you undergo microphlebectomy.

For instance, depending on the size, location, and number of veins treated, you may benefit from using a compression wrap for several days to improve circulation and aid healing. Generally, results are immediate, and most people return to routine activities within one to two days.

Which vein treatment is best?

Varicose vein treatment at NJ Vein Care and Aesthetics Center starts with a thorough evaluation, including a painless diagnostic ultrasound to create a roadmap of your leg veins. This in-office study also helps identify faulty vein valves, the underlying cause of varicose veins.

Based on evaluation results, Dr. Nackman develops individualized treatment plans depending on your medical or cosmetic needs. For instance, your strategy may include minimally invasive radiofrequency ablation (Venefit®) or injectable foam (Varithena®) to close the damaged vein(s).

Otherwise, Dr. Nackman may recommend microphlebectomy for small to midsize varicose veins near the surface. Or, he may recommend minimally invasive microphlebectomy to remove residual varicose veins once the main veins are closed with other therapies. 

Schedule an evaluation with Dr. Nackman today for more information about the medical and cosmetic benefits of microphlebectomy for varicose veins. Call our Oradell or Clifton, New Jersey office, or request an appointment online.