An ambulatory phlebectomy involves removing a varicose vein by making small incisions in your skin and pulling it out. The procedure was first performed over 2,400 years ago by Hippocrates, the father of clinical medicine. An ambulatory phlebectomy is an excellent option for treating large varicose veins that bulge on the surface of your skin. It’s rarely used on smaller spider veins.
While varicose veins are impossible to prevent completely, experts advise exercise, diet and looser clothing choices to reduce their severity. If varicose veins have become a problem for you, the Medex Diagnostic and Treatment Center in Queens, NY has vein specialists on staff. They treat your varicose veins with this minimally invasive procedure, making surgery unnecessary.
Varicose veins develop when blood pools in your veins. Within your body’s circulatory system, your arteries carry oxygen-rich blood throughout your body. Your veins transport blood back to your heart for re-oxygenation. It’s a process that takes just 45 seconds to complete, thanks in part to a series of valves that maintain this flow.
As you age, those valves may fail, allowing blood to seep backward and pool in your veins. This condition weakens the vein walls, causing them to bulge. When they bulge enough, they become visible on your skin’s surface. Although most common in the legs, varicose veins can appear in other parts of your body. Untreated, these problem veins can develop into serious health concerns, like blood clots and ulcers.
Anyone can develop varicose veins, but some individuals are more susceptible than others. You’re more at risk if you:
Your primary care physician at Medex diagnoses your varicose vein condition by reviewing your medical history and conducting a thorough physical exam. During the exam, you may be asked to walk, so your doctor can observe your legs. If necessary, your Medex specialist may use an ultrasound to verify your bulging veins’ location and depth.
You’re a potential candidate for an ambulatory phlebectomy if your varicose veins bulge above your skin’s surface. Even if that’s the only symptoms you’re experiencing. Severe or nagging pain is another good reason to seek the procedure since it ends pain by extracting the problem vein.
Not everyone should undergo an ambulatory phlebectomy. If you’re unable to walk or wear compression stockings, you’re not a good candidate. If you have underlying medical conditions that may hamper the success of the procedure, another option, such as sclerotherapy, may be a better fit for you.
First, your vein specialist at the Medex Diagnostic and Treatment Center marks the problem veins with a felt-tip marker. After you lie down comfortably with the vein exposed, your doctor disinfects and numbs the area to be treated with local anesthesia. Not only does anesthesia reduce discomfort, but it also minimizes postoperative bleeding.
Your Queens specialist then makes tiny incisions or needle pokes in specific places along your damaged vein. Using special vein hooks, your doctor then pulls it out, section by section. The blood redirects to flow through nearby healthy veins. Once all the targeted veins are removed, your doctor places absorbent bandages over the area and wraps a compression bandage around the entire area.
After a successful procedure, you can return to work and other regular activities within a day or two. Your doctor may require that you wear a compression stocking for the first 24 to 48 hours. The stocking:
During your recovery, other recommendations facilitate your recovery and prevent blood clots. These include:
Your doctor may prescribe other treatments to increase the success of your procedure. Long-term exercising, weight control, and elevating your legs prevent recurrences. If you’re suffering from varicose veins in Queens, contact the Medex Diagnostic and Treatment Center for medical remedies to this potentially serious problem.
What is ambulatory phlebectomy?
Ambulatory phlebectomy is a minimally invasive procedure used to remove bulging varicose veins through tiny skin incisions. It’s performed under local anesthesia and typically doesn’t require stitches or hospital stays.
Who is a candidate for ambulatory phlebectomy?
This procedure is ideal for patients with large, superficial varicose veins that cause discomfort or cosmetic concern. A vein specialist can determine eligibility after an exam and ultrasound.
Is ambulatory phlebectomy painful?
The procedure is performed under local anesthesia, so patients typically feel minimal discomfort. Mild bruising, swelling, or soreness may occur temporarily after treatment.
How long does ambulatory phlebectomy take?
Depending on the number and size of veins being treated, the procedure usually takes between 30 minutes to one hour and is done as an outpatient service.
What is the recovery time for ambulatory phlebectomy?
Most patients return to normal activities within 24 to 48 hours. You may need to wear compression stockings and avoid strenuous exercise for a few days.
Are the results of ambulatory phlebectomy permanent?
Yes, the treated veins are permanently removed. However, new varicose veins can form over time, especially if underlying venous insufficiency isn’t addressed.
Will I have scars after ambulatory phlebectomy?
The incisions are very small—often less than 2mm—so scarring is minimal to none. In most cases, marks fade over time and are barely noticeable.
Is ambulatory phlebectomy covered by insurance?
If the procedure is deemed medically necessary due to pain, swelling, or other symptoms, most insurance plans—including Medicare—may cover it. Cosmetic-only treatments are typically not covered.
What are the risks or side effects of ambulatory phlebectomy?
The procedure is very safe. Possible side effects include temporary bruising, numbness, skin discoloration, or minor infection, but complications are rare.
Can ambulatory phlebectomy be combined with other vein treatments?
Yes. It is often combined with procedures like endovenous laser therapy (EVLT) or sclerotherapy for comprehensive vein care.
Why choose Medex Diagnostic and Treatment Center for ambulatory phlebectomy in Queens, NY?
Medex provides top-tier vascular care with skilled vein specialists, advanced equipment, and a patient-centered approach. Our multi-specialty team ensures safe, effective, and personalized treatment plans.
How do I schedule an ambulatory phlebectomy consultation at Medex in Queens?
Booking is easy. Call our office directly or visit medexdtc.com to schedule your vein consultation. Walk-ins and same-day appointments may also be available.