Ambulatory Phlebectomy

What is an Ambulatory Phlebectomy?

An Ambulatory Phlebectomy is an outpatient procedure in which bulging varicose veins are removed through tiny incisions in the skin. This procedure is often done as an adjunct to endovenous ablation, which close and seal the deeper veins that are the root cause of this type of venous disease.  


Dr. Javier will examine your varicose veins, and, taking into consideration your medical history, general state of health and your family history, he will determine which treatments will be most effective for you. You may benefit from a combination of two treatments, such as endovenous ablation and ambulatory phlebectomy. Dr. Javier will discuss your options and together you will decide on an effective treatment plan that maximizes results and minimizes downtime.  

How does an Ambulatory Phlebectomy Work?

Dr. Julian will personally mark the veins of the patient while the patient is in a standing position. This is done because the veins will deflate when the patient is lying down and his legs are parallel to the ground. After the administration of local anesthesia, small incisions are made in the skin using a surgical blade. A small hook inserted through the incision is then used to grasp and extract the bulging veins. Because the incisions are so small, scarring is minimal.


Post-surgery, your legs will be bandaged to cover the incisions. There will be no stitches. You will also be fitted for compression stockings, which will help the blood flow properly in your legs, improving healing. Patients typically experience mild swelling in the treated area along with mild bruising and inflammation. Dr. Javier will prescribe medicine to manage any pain or discomfort. He will also explain how to care for wounds and any effects you may encounter.

With Dr. Julian Javier, you can rest assured that you’re in great hands. Contact us today to schedule a consultation to determine the best course of action for your varicose veins.