Phlebectomy (Micro-Phlebectomy)

Why Is It Done?

Surface varicose veins form when underlying valves in the superficial venous system are not functioning as they should. This causes blood to pool, leading to swollen, bulging veins.

Phlebectomy is recommended when:

• The visible veins are too large for injection treatments
• The veins cause cosmetic concerns
• Symptoms such as heaviness, aching, or itching are present
• Residual veins remain after thermal ablation (such as Radiofrequency Ablation)

When combined with treatments like RFA, phlebectomy provides a complete, long-lasting solution by addressing both the root cause and the visible result.

How the Procedure Works

Phlebectomy is performed under local anaesthetic, meaning you remain awake but the area is completely numb.

The steps include:

1. Mapping the veins with ultrasound to confirm their path and function.
2. Administering local anaesthetic to ensure comfort.
3. Making tiny micro-incisions along the course of the visible veins.
4. Removing the vein gently through these openings using specialised instruments.
5. Applying light compression dressings to support healing and reduce bruising.

The procedure typically takes 30–60 minutes, depending on the number of veins being removed.

Comfortable, Local Treatment With Rapid Recovery

Because only local anaesthetic is used, there is minimal downtime, and patients walk out of the clinic shortly after the treatment.

Most people return to normal activities immediately and notice a visible improvement in the appearance of their leg straight away, with bruising settling over the following days to weeks.

You may feel a light pulling or tugging sensation during the procedure, but pain is very well controlled with the local anaesthetic.

Aftercare and Recovery

To achieve the best possible results, we advise:

• Wearing your compression bandage or stocking as instructed
• Staying hydrated
• Walking regularly from the same day
• Avoiding strenuous activity for 1–2 weeks
• Taking mild pain relief if required

This helps reduce bruising and swelling while lowering the small risk of blood clots.

Patients at higher risk of DVT—such as those with a previous history, high BMI, or hormonal risk factors—may be offered short-term blood-thinning medication for additional safety.

Results You Can See

One of the biggest advantages of phlebectomy is the instant cosmetic improvement. The bulging veins are removed during the procedure, unlike injectables which require time to fade.

As bruising settles, the skin becomes smoother, clearer, and more even in contour. Most patients describe the result as both medically relieving and cosmetically transformative.

The removed veins do not grow back; however, new veins may develop over time depending on genetics and underlying venous health.

Combining Phlebectomy with Other Treatments

Phlebectomy often works best alongside Radiofrequency Ablation, which treats the deeper “feeding” vein responsible for the reflux. By addressing both the cause and the visible result, you receive the most durable and aesthetically pleasing outcome.