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If you are looking for an effective way to treat your varicose veins, microphlebectomy may be the solution you have been looking for. Dr. Raffi Dishakjian is a phlebotomist and dedicated varicose vein doctor that is dedicated to providing all of our patients with excellent results from their microphlebectomy in Los Angeles.

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What Is Microphlebectomy?

Microphlebectomy Procedure Los AngelesMicrophlebectomy, also called ambulatory microphlebectomy or phlebectomy, is a procedure that removes varicose veins through incisions in your skin. The procedure uses a phlebectomy hook, similar in shape to a crochet hook. This is the most important instrument for microphlebectomy.

How Does Microphlebectomy Work?

Microphlebectomy works by removing varicose veins using a phlebectomy hook. Very small incisions will be created on the skin to allow the hook to get to the targeted vein. After getting the vein, it will be pulled out through the incision to remove it permanently.

Is Microphlebectomy Effective and Reliable?

Microphlebectomy is highly effective for removing larger, bulging varicose veins that may not be suitable for less invasive treatments like sclerotherapy. This procedure allows for the direct removal of the veins, resulting in immediate relief from symptoms such as pain, swelling, and fatigue in the legs.

It’s also a reliable procedure because of its widespread use and the predictable outcomes it provides. It is considered a safe procedure with a low risk of complications.

When to Consider Microphlebectomy?

You should consider a microphlebectomy if you have varicose veins. Varicose veins must be removed to avoid developing blood clots.

These blood clots cause individuals to feel pain, swelling, and redness in the legs. These symptoms also worsen over time.

What Issues Can be Treated with Microphlebectomy?

Microphlebectomy has been successfully used to treat varicose veins of all sizes at almost all parts of the body except saphenofemoral or saphenopopliteal junctions.

Accordingly, microphlebectomy is usually performed to remove the very superficial veins that remain after treating saphenous vein reflux with surgery, or endovenous thermal ablation techniques, such as EVLT or Venefit.

It is also the treatment of choice for the veins that appear on the dorsal aspect of the foot and around the ankles because venous surgery and Sclerotherapy are only suitable for special cases in that region.

Even though microphlebectomy is a very time-consuming procedure, it is widely used in many countries because capital investment is the least with this technique. Results are also lasting and the cosmetic outcome is excellent, especially for the very superficial varicose veins.

As with other vein treatment techniques, ambulatory microphlebectomy is most effective when the sources of reflux are identified and eliminated before removing any superficial vein.


“For many years, doctors told me the only way to remove my bulging, painful varicose veins was by performing surgery. But I didn’t want to go under the knife – with its risks, long downtime, and pain! As a massage therapist, I needed to be back to work quickly. At Nu Vela Vein Center, Dr. Dishakijan suggested foam sclerotherapy as a much safer, easier solution. It only took a few minutes, and the results were amazing! Within two days, the aching and heaviness that I had felt for 15 years disappeared. My legs already look a lot better in just two weeks. I’m finally looking forward to wearing shorts this summer”

by Karen R.

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The Microphlebectomy Procedure

Varicose Vein Removal Los AngelesMicrophlebectomy is performed under local anesthesia in an outpatient office setting. Before starting the procedure, the patient is inspected in a standing position and the targeted varicose vein is traced on the skin with an indelible pen.

After the patient lies down, local anesthesia is injected into the skin all along the varicose vein. The area is disinfected, and the hook is inserted into the very tiny puncture. This puncture is just above the vein with a 1 mm dermal punch. The needle size can also depend on the size of the vein to be removed.

During vein extraction, the varicose veins are hooked and gently pulled out with the aid of a clamp until the vein breaks. The incision is then covered with a mildly absorbing dressing and a new incision is made 2 to 4 inches away from the previous one.

Stitches are not needed. Finally, the treated leg is bandaged and a compression stocking is placed over the bandage.

Recovering from Your Microphlebectomy

When the procedure is over, the patient is asked to walk around the office before leaving. Patients will then be asked to wear compression stockings for at least five days. They must also avoid direct sun exposure to the legs for a couple of weeks to minimize scarring. Regular activities can be resumed immediately after the procedure.

Potential Complications of Microphlebectomy

The incidence of complications following microphlebectomy is low. Scars at the incision sites would hardly be noticeable after a few months. However, scars may be visible when the vein removed has required a relatively large incision and the patient has exposed the area to the sun in the first couple of weeks following the procedure.

Wound necrosis, unsightly scars, and infection do not occur, but the occurrence of hematomas is common. Rare complications of microphlebectomy include the appearance of spider veins near the sites of incisions, pigmentation, blister formation, and temporary or permanent nerve damage.

The Cost of Microphlebectomy

During your consultation with Dr. Dishakjian, he can answer any questions you have about the cost of your microphlebectomy in Los Angeles and let you know about the payment options and financing options we offer.

Why Choose Dr. Dishakjian for Your Microphlebectomy?

Dr. Raffi Dishakjian is dedicated to vein removal surgery with a specialization in phlebectomy. He founded Nu Vela Laser and Vein Center to help patients get access to the most advanced varicose vein treatments in Los Angeles.

He is one of the first varicose vein doctors in San Fernando Valley to offer the VeneFit procedure, EVLT or Endovenous Laser Treatment, and foam sclerotherapy. Being at the forefront of vein therapy is his passion to provide gold-standard care to his patients.

Frequently Asked Questions

What Is the Success Rate of Microphlebectomy?

Microphlebectomy has a success rate of 90%. When performed by board-certified surgeons, you can count on experiencing a safe and effective procedure with remarkable results.

What to Expect After a Microphlebectomy?

Unlike other procedures, microphlebectomy allows patients to resume daily activities after the procedure. However, strenuous activities like running should be resumed in two weeks.

The incision sites must be protected from the sun for ten days after the procedure. Compression socks or bandages must be worn as directed to prevent blood clots.

How Long Does a Microphlebectomy Procedure Last?

Most microphlebectomy procedures last for 30 to 60 minutes. However, the duration of the procedure will depend on the severity of the varicose veins.

Do Varicose Veins Grow Back After Phlebectomy?

Varicose veins will not grow back in the treated areas after microphlebectomy. The procedure results are permanent, although it cannot control varicose veins developing in other areas.

Contact Our Office Today

If you are interested in microphlebectomy in Los Angeles and would like to know if you are a good candidate for the procedure, contact Nu Vela Laser and Vein Center today to schedule a consultation for your microphlebectomy in Los Angeles.

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