Mr Omar Tillo
Consultant Plastic Surgeon
Microphlebectomy is a method of removing varicose veins from the legs. This method is generally used for veins which are larger in size, and are not suitable to be removed through sclerotherapy. Often only veins which are smaller in size are able to be removed through sclerotherapy.
Microphlebectomy involves small incisions which allow the surgeon to remove the varicose vein from the leg. The incisions are so small they do not require stitches.
Microphlebectomy is considered an effective minimally invasive way to remove varicose veins, while also ensuring there is minimal downtime.
You will be considered a suitable candidate for microphlebectomy if you have large varicose veins on your legs which you are wishing to remove.
Prior to undergoing surgery, you will have a consultation with one of our surgeons. They will be able to assess which method will be the best way to remove your varicose veins. If your veins are smaller, you may be more suitable to have sclerotherapy.
The procedure will begin with the surgeon marking out the various points where they will make incisions. Next, your legs will be injected with a tumescent anaesthetic solution. This makes your legs numb and firm, ensuring you will feel no physical discomfort while the veins are being removed. It also separates the veins from the surrounding tissue and pushes the veins closer to the surface, making vein removal easier for the surgeon.
Next, the surgeon will make tiny incisions along the veins which are going to be removed. A phlebectomy hook is then used to hook into a section of the varicose vein, which is then removed through the incision. Removing the veins in sections minimises the risk of blood clots occurring and results in a faster recovery process.
The procedure will take less than one hour to complete.
Once the veins have been removed, the legs will be washed with a sterile solution and dressings will be applied to the incision sites. The dressings will be removed after one to two days.
In some cases, you will need to have multiple sessions to remove all of the veins. During your consultaiton, your surgeon will be able to advise you if this is the case for you.
You will be able to resume your usual daily routine straight away.
You may notice some bruising, swelling or redness at the incision sites, which may last for a few days.
You will need to wear compression stockings for the first few weeks following the procedure.
While you will be encouraged to rest after other cosmetic surgeries, after a microphlebectomy, you will be encouraged to walk around in order to avoid any blood clots occurring.
You will need to avoid sun exposure to the legs throughout the recovery period in order to avoid hyperpigmentation at the incision sites.
Microphlebectomy is a method which is used to remove large varicose veins from the legs.
Sclerotherapy involves injecting a substance into the veins which causes them to collapse. They subsequently turn into scar tissue and are absorbed by the body. Meanwhile, microphlebectomy involves the surgeon making small incisions over the veins and using a phlebectomy hook to remove sections of the vein.
Sclerotherapy is suitable for those who have smaller veins, while microphlebectomy is for those who have larger veins.
You will be suitable for this procedure if you have large varicose veins which you are wishing to remove.
If your veins are small, you may need to have sclerotherapy instead. During your initial consultation, your surgeon will be able to assess your legs and determine which method is appropriate for you.
This will vary from person to person. It will depend on how many vascular veins you have. If you have lots of large veins, you may require another procedure to remove them all.
This will depend on how many veins you have that are being removed. Microphlebectomy generally does not take longer than one hour to complete.
Unlike other procedures, you will be encouraged to walk around after the microphlebectomy. This will avoid any complications such as blood clots.