This is the gold standard micro surgical technique used for cosmetic removal of large surface varicose veins. With this procedure, the most superior cosmetic results are attained, typically leaving the procedure site virtually scar-free.

In the presence of significant "leakiness / reflux" of the saphenous or other vein, Endo Venous Laser treatment is performed at the same time, or prior to Micro Phlebectomy. For this reason, the surgeon must be highly skilled in doing both procedures to attain the best possible results in one sitting.

Patients with the larger painful bulging veins are excellent candidates. Micro Phlebectomy is highly successful and predictable procedure and generally only require one treatment to achieve successful removal of the target vein(s).
It is done safely in the office under local anesthesia with no need for hospitalization.
Tiny incisions / stabs 1 - 2 mm are made at the affected site through which the unwanted veins are gently extracted with specially made micro hooks. Incisions are so small that sutures are not needed. Actually incisions are made with a needle (18gauge) not with a knife. The large scars of traditional vein surgery are replaced with pinpoint scars if any.

Before Micro Phlebectomy	Post Micro Phlebectomy (No Scars)

There is minimal discomfort associated with Micro phlebectomy. Most patients return to normal activities within 24 hours.
Following Micro Phlebectomy treatment, there is occasional bruising, redness and puffiness to the skin, with some tingling discomfort that usually disappears in 24-72 hours. Rarely, some patients develop a significant amount of bruising over the treated leg veins that fades away over longer period of time.

Before Treatment	2 Years after Endo Laser & Micro Phlebectomy