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Which Veins Are Best Treated with a Microphlebectomy?

Published on August 2, 2023

There are a wide variety of surgical and non-surgical ways to address bulging, unsightly varicose veins, including sclerotherapy and radiofrequency treatments. If you’re experiencing large, protruding veins on the skin surface that cause pain and discomfort, you may be wondering which treatment option is best. In these cases, microphlebectomy is considered to be an incredibly effective treatment option.

Dr. Raffi Dishakjian, a vein specialist and experienced phlebotomist, tailors his approach to holistically and properly accommodate each patient’s individual needs. Dr. Dishakjian offers several modalities for vein treatments and performs microphlebectomy for individuals who suffer from larger varicose veins that are close to the skin’s surface.

Microphlebectomy, also referred to as ambulatory phlebectomy, is a minimally invasive surgical procedure used to remove medium-to-large varicose veins. Unlike traditional vein stripping, which involves making large incisions, microphlebectomy employs tiny puncture-like incisions typically measuring only a few millimeters in length. These small incisions allow for the targeted removal of problematic veins, resulting in minimal post-surgical marks and a faster recovery.

Special Cases That Require Microphlebectomy

Superficial Veins After Saphenous Vein Reflux Treatment: Once the condition known as saphenous vein reflux has been treated, superficial veins may remain in the area. Microphlebectomy is an ideal treatment option for these veins.

Ankle and Foot Veins: Microphlebectomy is ideal for troublesome veins on the ankle and the dorsal side of the foot. Popular treatments like sclerotherapy are not typically utilized for these veins.

Recurrent Varicose Veins: Some individuals experience a recurrence of varicose veins following treatments such as sclerotherapy and endovenous ablation. Microphlebectomy can effectively address these persistent veins by directly removing them from the affected area.

Tortuous or Bulging Veins: Varicose veins that are tortuous (twisted) or bulging can be more challenging to treat using non-surgical methods. Microphlebectomy offers precise removal of these abnormal veins, promoting improved blood flow and alleviating associated symptoms.

Symptomatic Relief: Microphlebectomy can provide effective relief from symptoms associated with varicose veins, such as pain, discomfort, heaviness, and swelling. By physically removing the problematic veins, the procedure addresses the underlying cause, leading to improved circulation and symptom reduction.

Microphlebectomy vs. Other Vein Treatments

Aside from microphlebectomy, there are less invasive procedures such as laser- and radiofrequency-assisted procedures that can be equally effective in treating vascular problems.

However, the greatest advantage of this specific surgical technique is the physical removal of the enlarged problematic veins. It is also notably effective in treating complex vein patterns where radiofrequency ablation may not be as successful.

Unlike traditional vein stripping, microphlebectomy only requires small incisions, resulting in quicker recovery times. Patients can typically resume daily activities within a few days after the procedure, whereas vein stripping may require a longer recovery period.

The choice of procedure depends on factors such as vein size, vein location, and patient-specific considerations. Dr. Dishakjian takes these into serious consideration when developing bespoke vein treatment plans for patients. He will determine the most appropriate treatment option based on individual needs, ensuring optimal outcomes.

Contact Us to Learn More

Find out more about the benefits of microphlebectomy at Nu Vela Laser and Vein Center. Contact us to schedule your consultation today!

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