Ambulatory Phlebectomy for Varicose Veins
Ambulatory Phlebectomy is a minimally invasive surgical procedure used to remove bulging, surface-level varicose veins through tiny micro-incisions. At BASS Vein Center, our board-certified vein specialists perform this procedure in-office using local anesthesia, allowing patients to walk immediately after treatment and return to normal activities quickly. This treatment is especially effective for large, painful, or highly visible varicose veins that are close to the skin’s surface.
What Is Ambulatory Phlebectomy?
Ambulatory Phlebectomy removes diseased superficial veins through a series of small punctures that do not require stitches. Because the vein is physically removed, symptoms such as:
- Aching
- Heaviness
- Throbbing
- Tenderness
- Swelling
often improve immediately after treatment.
Although it is a surgical procedure, it is still minimally invasive, done entirely in the office, and does not require general anesthesia, hospitalization, or significant downtime.
Who Is a Candidate?
Ambulatory Phlebectomy is ideal for:
- Bulging varicose veins close to the skin
- Veins causing discomfort or cosmetic concern
- Patients who have already treated deeper vein reflux (e.g., with RFA/EVLT)
- Large branch veins not suitable for sclerotherapy
Your doctor will determine whether you need phlebectomy alone or in combination with another treatment.
Ultrasound Evaluation Before Treatment
Before scheduling an Ambulatory Phlebectomy, your provider will perform a thorough evaluation, which may include:
- A complete physical examination
- Duplex ultrasound to assess vein function
- Identification of underlying venous reflux (often the root cause)
This ensures that all sources of vein disease are properly diagnosed and that treatment is targeted and effective.
How the Procedure Works
Ambulatory Phlebectomy typically takes 45–60 minutes. Here’s what happens step by step:
- Relaxation medication may be provided.
- With you standing, the vein is mapped and marked to show its exact path.
- The leg is cleaned and prepared to prevent infection.
- Local anesthesia is injected to numb the treatment area.
- Several micro-incisions (2–3 mm) are made next to the vein.
- The vein is gently removed in small sections using specialized instruments.
- Incisions are covered with small dressings and the leg is wrapped in a compression bandage or stocking.
Most patients feel only pressure—not pain—during the procedure.
Recovery and Aftercare
Patients typically walk immediately after treatment and resume normal daily activities. For best healing:
- Avoid strenuous exercise or heavy lifting for 1 week
- Keep the treated area clean and dry for at least 5 days
- An antibiotic may be prescribed to prevent infection
- Ibuprofen may be used for mild pain or inflammation
- Bruising and small bumps under the skin are normal and improve over a few weeks
Full recovery usually occurs within 1–2 weeks, and the small incision marks fade over time.
Benefits of Ambulatory Phlebectomy
- Immediate relief of bulging varicose vein symptoms
- Minimally invasive with very small incisions
- No stitches required
- In-office procedure
- Fast procedure time and quick recovery
- Excellent cosmetic results
- Can be combined with other vein treatments when needed
Ambulatory Phlebectomy in the East Bay
BASS Vein Center provides expert surgical and minimally invasive vein care across the Northern California, including Walnut Creek, Pleasanton, Napa, and Brentwood.
If you’re experiencing painful or unsightly varicose veins, our specialists can help determine whether Ambulatory Phlebectomy is the right option for you.
Schedule a consultation today to learn more about your treatment options.