vein institute of pittsburgh

Varicose veins on legs. The structure of normal and varicose veins

Microphlebectomy –  is the minimally-invasive removal of unsightly varicose veins.

Have a varicose vein that you just can’t stand? In most cases simply removing it is the best option. This is known as a Microphlebectomy (“Micro” = small, “phleb” = vein, and “ectomy” = removal). This may sound severe, but in reality it’s exactly what’s needed to make the leg look and feel better.

Remember that varicose veins aren’t working properly. Mid to large-sized varicose veins actually do more harm than good. The valves within them aren’t working, which allows blood to flow back down the legs. This is why varicose veins sufferers often complain of heavy, aching legs.

1 Hour Office Procedure for Beautiful legs!

terry krysinski mdThis procedure takes about 1 hour and is usually done right in your doctor’s office. This is primarily because it’s so safe. The main reason for this is that being “put under” with general anesthesia isn’t necessary. This also means no overnight stay, or even observation time in most cases.

Local anesthetics similar to those used in a dentist’s office are used instead. Most patients report feelings of pressure put no pain. If patient anxiety is an issue, then medications can be prescribed to be taken before the procedure. Most describe the process as quick and easy when asked about it afterwards. They then usually go on to mention how great their legs look and feel.

Microphlebectomy – Little Risk!

A Microphlebectomy is minimally invasive, and carries almost no risk. Minor bruising is common, which will subside normally. There will likely be some temporary swelling and discomfort at the incision sites as well. This is short-lived and can be managed with over-the-counter medications such as Tylenol (acetaminophen) if needed. The chances of even minor complications such as infections is very low. In virtually all cases, the benefits of receiving this procedure outweigh the negligible risk.

Microphlebectomy Alternatives

The Microphlebectomy is generally regarded as a “good” procedure by surgeons. Related vein procedures such as RF ablation and the more recent “Vein Glue” treatment are, as well. So what makes a treatment “good” in the mind of a surgeon? It does exactly what it’s supposed to do with little or no collateral damage.These minimally-invasive procedures are in stark contrast to Vein Stripping. Most surgeons regard this procedure as potentially doing more harm than good. It is now rarely performed because it’s an outdated procedure.

Vein Stripping – Old Technology

Wexford Vein Dr Doctor

Varicose Vein Stripping , or Ligation and Surgery

Vein Stripping accomplishes somewhat different goals than the Microphlebectomy procedure. The safety of such modern, minimally-invasive treatments is best discussed in relation to Vein Stripping, however. Serious risks include infection and the formation of potentially life-threatening blood clots. Damage to surrounding blood vessels, nerves, and other structures is also possible. A lengthy hospital stay is usually required after the procedure, often 7 days or longer. Periods of downtime ranged from weeks to months. Today, tens of thousands of patients have extensive scarring from Vein Stripping procedures performed years or even decades ago.

Microphlebectomy Benefits

The Microphlebectomy offers many benefits to almost all patients, yet shares none of the drawbacks of older procedures. It’s almost all upside, in fact. The recovery period is limited to the time it takes for the small ¼ in access incisions to heal. Stitches aren’t required, so there’s no need for a return visit to have them removed. Patients can resume most normal, day-to-day activities like office work and driving immediately. Strenuous exercise like running and lifting weights can be started again in about 2 weeks.

The cosmetic results of a Microphlebectomy are immediate visible after any swelling and bruising have subsided. The relief of symptoms such as achiness can be felt at this point as well. Remember that the varicose vein(s) in question has been removed. It’s possible for patients to develop other vein problems later, but this isn’t a guarantee. The results of a Microphlebectomy are permanent, for all practical purposes.


Does the Microphlebectomy procedure work? 


Yes. The microphlebectomy procedure is extremely effective when performed on the right patients. The cosmetic results are almost always excellent and achiness is reduced or eliminated. It’s also a permanent solution.

This procedure works well on the vast majority of patients with larger problem veins. Smaller veins can (and should) be treated with injection-based Sclerotherapy instead. The choice is simple, since Sclerotherapy is even less invasive than a microphlebectomy and accomplishes the same goal. Both get rid of unwanted veins for good.

In other cases, deeper veins which aren’t visible on the surface are the underlying cause of the problem. These can be treated effectively as well using other minimally-invasive techniques. If present, it’s best to treat these first. All of these procedures will likely be offered by the same facility, i.e. a vein or vascular center.

Total removal of the faulty vein – best solution

This will improve the surrounding circulation as blood is re-routed to nearby healthy veins. There’s no risk of “running out of veins,” either. Each leg has literally miles of small to mid-sized veins which return blood back up the leg towards the heart.

Fortunately, this can be done quite easily by a vein specialist surgeon. The Microphlebectomy is a safe and minimally invasive way to remove these unwanted veins. Tiny incisions are all that’s needed to access the vein—these are typically less than ¼ in long. They rarely require stitches, and instead are dressed using special bandages called Steri-Strips or another type of “butterfly bandage.” These incredibly useful dressings hold the edges of the wounds together as they heal.

Restore Your Legs Appearance

Pittsburgh Vein InstituteThe goal of a Microphlebectomy is restoring the leg to its original appearance. The only result should be the absence of the ugly, bulging, and often painful varicose vein. Most importantly, visible scarring is usually absent.

Experienced surgeons are trained to make such micro-incisions so that the edges align perfectly and scarring doesn’t occur. Often the necessary incisions can be hidden using lines and other pre-existing marks on the skin. This is one of many reasons why it’s essential to select a surgeon with lots of experience. If any minimal scarring that does occur it tends to fade with time, often completely.

Is the procedure painful?

In general, patients report very little discomfort. Many compare the feeling of the initial injection of the local anesthetic as a pinch or similar to a bee sting. In the vast majority of cases, patients don’t feel anything after that except for maybe a little pressure. The veins are not very deep in the leg and therefore far from any major nerves. While technically a surgical procedure, microphlebectomy is considered minimally invasive. It is not normally painful nor is there any reason to be frightened. We take great pride in putting our patient’s comfort first.

Are stitches required?

Since the needle holes are so tiny, sutures or staples are not required after microphlebectomy. The possibility of scarring is minimal. If you carefully use sunscreen and other techniques to limit sun exposure to the treated area in the months following the procedure, the marks will fade even faster.

How successful are microphlebectomies?

The results of a microphlebectomy are overwhelmingly positive. Patients report a high level of satisfaction with very few instances of side-effects. By virtue of being a minimally invasive procedure that requires only local anesthesia many of the possible pitfalls are avoided. Additionally, the puncture holes are so small, that the infection risk is greatly reduced. Adding to microphlebectomies’ incredible success rate is the addition of an EVLA. After the damaged feeder vein is sealed off with a specialised laser, the varicose veins coming from it can more effectively be removed. When used together, microphlebectomy and EVLA offer a one two knockout punch to the varicose veins.

Does insurance cover any of the cost?

vein institute of pittsburgh

Clinic receptionist, medical team 

Those of us who suffer from varicose veins realize that they are not always simply a cosmetic worry. There are medical issues associated with them as well. For this reason health insurance may be able to help with treatment costs. Call the office today to set up your risk-free varicose vein evaluation at the Advanced Vein Center. Our dedicated healthcare insurance specialists, Nicole and Melissa, can check your benefits and preauthorize your procedure so you knowyou are covered- and there are no surprise bills! With our help, you can get ready to show off your legs next summer.


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