Ambulatory phlebectomy is an outpatient procedure that removes leg veins through tiny, slit-like incisions in the skin. The procedure involves four different steps:

  • outlining or marking the veins to be treated;
  • injecting local anesthesia into the skin;
  • surgical removal of the bulging veins, segment by segment, through small incisions, and
  • wearing compression stockings for one week or more after surgery.

Ambulatory phlebectomy is most commonly performed to remove large bulging varicose veins, although smaller veins can be removed as well. Dr. Tonnessen will perform an analysis using duplex ultrasound technology to identify the source of problematic veins prior to beginning the surgery.

Ambulatory phlebectomy is performed under local anesthesia so that patients do not feel pain during the procedure. After surgery, patients should experience little to no discomfort. Wearing the compression stockings as directed is important to achieve the best results from the procedure.

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What to Expect After Treatment

Bruising and swelling is normal, but temporary. Patients can walk immediately after surgery and carry on normal daily activities other than exercise or heavy lifting. Patients must follow the activity restrictions and wear the compression stockings as directed by Dr. Tonnessen. Since this procedure involves physically removing the veins, they do not return. Depending on familial medical history, new varicose veins may form later over time.

The incisions should heal normally and do not require stitches. Over time, about six to twelve months, the incision site will generally fade.

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