Ambulatory Phlebectomy | Physicians Vein Clinics Physicians Vein Clinics

For some patients, ambulatory phlebectomy is the best option for removing bulging veins close to the skin’s surface. This in-office treatment allows you to go home the same day, with symptoms that resolve quickly.

If you’re already scheduled for an ambulatory phlebectomy at one of our vein clinic centers, preparation before the procedure is key to a successful outcome. Here at Physicians Vein Clinics, patient education is one of our priorities. Continue reading to learn how to fully prepare for an ambulatory phlebectomy. You can also give us a call at 888-782-8346 to find out more.

What is Ambulatory Phlebectomy?

Ambulatory phlebectomy is a minimally invasive method performed in our office that removes varicose veins that are lying just beneath the surface of the leg. It is a common and effective vein treatment.

Phlebectomy is best for bulging varicose veins that are close to the surface of the skin. Because the affected vein is removed from the body entirely during the procedure, all of the associated symptoms are eliminated immediately.

Benefits of Ambulatory Phlebectomy

General anesthesia isn’t needed, which reduces risk and recovery time
We use a very small 1.5mm punch to access the veins; no incisions required
No stitches required and minimal to no scarring
Quick recovery time
Immediate relief from symptoms
Low recurrence rate because the vein is removed rather than closed or treated in place

How to Prepare for Ambulatory Phlebectomy

On the day of the procedure, eat a full breakfast or lunch. Fasting is not required.
Bring your compression stockings to the procedure. You will need them immediately after treatment and in the weeks that will follow. You might want to try on your stockings before the procedure and check if it fits you well.
Bring comfortable shoes for walking.
Avoid using lotion on your legs 2 days before and 2 days after each phlebectomy session.
If you are taking blood thinners, discuss the possibility of temporarily stopping them with your doctor.
You can continue other medications as normal unless otherwise stated by your provider. Be sure to discuss all of your medications with your doctor.

What Happens During an Ambulatory Phlebectomy

To fully understand the rationale behind each step in the preparation process, you might want to find out what happens during the procedure.

This procedure involves removing unsightly veins through tiny incisions in your skin. The slits are so small that they don’t need any stitches. Because veins are very collapsible, even large veins can be removed through tiny incisions.

The procedure is performed under a local anesthetic and most patients don’t experience any pain. It’s very common for patients to go home within an hour of the procedure and return to work the same day.

What Happens After Ambulatory Phlebectomy

After your ambulatory phlebectomy, you will wear your prescription-grade compression stockings to help the area heal and to reduce swelling. We use stockings that are at least 20-30mmHg graduated compression or higher. Stockings are generally worn during the day and removed at night.

You can walk and do other light activities right away, though we will recommend avoiding heavy exercise. You may experience bruising and soreness in the treated leg along with some expected swelling, all of which return to normal in time. You can use Ibuprofen or Tylenol to help with any discomfort. Do not immerse your legs in water for at least one week. This includes baths, swimming, hot tubs, lakes and more.

Ambulatory Phlebectomy at Physicians Vein Clinics

If varicose veins are causing discomfort or affecting your daily life, ambulatory phlebectomy may be an effective treatment option. At Physicians Vein Clinics, our vein specialists use advanced diagnostic and treatment technologies, paired with compassionate, patient-centered care, to deliver reliable outcomes.

To learn whether ambulatory phlebectomy is right for you, schedule your consultation by calling or request a free screening. We look forward to helping you take the next step toward healthier, more comfortable legs.

Request a Free Screening Call 888-782-8346

Will I need someone to drive me home after the procedure?

You will not need a driver to drive you home after an ambulatory phlebectomy at Physicians Vein Clinics. The procedure is minimally invasive, performed in our office and done under local anesthesia.

Will varicose veins come back after ambulatory phlebectomy?

The veins that are removed during ambulatory phlebectomy will not be a problem for you anymore. However, it is always possible to develop new varicose veins in other areas. This is why we recommend continuing to focus on healthy habits like regular exercise and wearing compression stockings as recommended.

Is ambulatory phlebectomy covered by insurance?

Ambulatory phlebectomy is often covered by insurance when it is considered medically necessary. Coverage will depend on your insurance plan, but companies often require that you complete a certain amount of conservative therapy first.

When will I see my final results?

You will experience immediate relief after ambulatory phlebectomy. However, because of any swelling or bruising, it can be a few weeks before you see your full results.

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