What is Microphlebectomy for Varicose Veins?

Microphlebectomy for varicose veins is a procedure done at your vascular surgeon’s office to remove large & visible surface varicose veins. The treatment can be used for veins too large or tortuous to be treated with Endovenous Laser Ablation (EVLT) or sclerotherapy.

How does Microphlebectomy work?

Prior to the procedure, local anesthesia is injected into the area to be treated. Then, very small incisions are made along the varicose veins and the veins are pulled out through the skin using a small hook similar to a crochet hook.

What are the medical conditions that Microphlebectomy treats?

Microphlebectomy treats varicose veins that are located just below the surface of the skin.

Are there any side effects of Microphlebectomy?

Possible side effects of microphlebectomy include:

  • bruising of the skin
  • inflammation
  • local discomfort
  • infection
  • allergic reaction
  • hematoma – a small collection of old blood where the problem vein was removed.

What does the procedure feel like when it is being performed?

Since the procedure is done under local anesthesia, you may experience very minimal to no discomfort during the treatment. Typically, the treatment is tolerated extremely well by patients.

Is Microphlebectomy covered by insurance?

Microphlebectomy is covered by insurance after pre-approval is obtained. Our insurance co-coordinator will work with both you and your insurance company to obtain approval. Sometimes photographs of the veins must be sent to the insurance company to obtain approval. If we cannot secure approval for the procedure our staff will work with you to determine if there are other treatment options available to treat your problem.

How much does a consultation and the treatment cost?

Consultations for varicose veins are covered by insurance companies. If pre-approval is obtained the microphlebectomy will be covered by insurance. Our insurance coordinator will work closely with you to determine ahead to time whether any co-pay or deductible applies.

Does the doctor do the procedure?

Your vascular surgeon performs the procedure with the assistance of a registered nurse.

What type of anesthesia is used for the Microphlebectomy?

Local anesthesia is used to minimize any discomfort to the patient during the procedure.

How many sessions will I need?

Problem veins are usually removed in one session per leg as long as the venous disease is not excessive. In cases where the the number of abnormal veins is excessive, the vascular surgeon is limited by the amount of local anesthesia that he or she can administer at one time. Microphlebectomy can be used in combination with other procedures to treat problem veins.

Where will the procedure be performed?

The procedure will be performed in your vascular surgeon’s office.

If I need the procedure, how long will I have to wait for it to be performed?

You will have to wait one day to two weeks depending upon how long it takes to obtain approval from your insurance company.

What should I do after I have had the Microphlebectomy treatment?

After the treatment, light walking is encouraged to begin the recovery process. You cannot run or perform any vigorous activity, including yoga immediately following the procedure. You must avoid any strenuous exercise typically for two to three days depending on your comfort and your surgeon’s recommendations. You cannot use hot tubs, saunas, or steam rooms for one week following the procedure. You will be required to wear some form of compression for one week after your treatment.

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