Microphlebectomy is a procedure where the skin overlying varicose veins is anesthetized with local anesthesia and, through a series of tiny nicks in the skin, varicose veins are removed.

Varicose veins form as a result of reflux, which is the abnormal reversal of flow of blood in certain veins leading to congestion lower down in the leg.

Successful treatment of varicose veins involves addressing the reflux as well as the varicose veins. Reflux is treated best with ablation. The varicose veins are then removed using microphlebectomy.

At AVA, microphlebectomies are performed in conjunction with ablations. The entire procedure takes about 45 minutes. You walk in, have it done under local anesthesia, and walk out and drive home. You should be back to normal activities and exercise that day. Use of a compression stocking for about a week afterwards and a few days of Motrin or Advil following the procedure is typical.