What is microphlebectomy?

Microphlebectomy is a technique in which very small incisions are made in the skin and varicose veins are removed. Due to the extensive nature of vein problems, between 30% and 60% of treated individuals require a follow-up procedure to completely eliminate varicose veins. Microphlebectomy or sclerotherapy may be used to eliminate smaller veins after closure of large veins.¹


How does microphlebectomy work?

A tiny incision or puncture is made to access the vein

A hook instrument is used to expose the vein

The vein is severed and removed through the incision

Once healed, incision points are virtually undetectable


Is microphlebectomy clinically proven?

Clinical evidence supports the use of microphlebectomy as an add-on treatment for varicose veins to improve vein symptoms and quality of life.³⁻⁴

Patients may choose to receive microphlebectomy treatment during the same day as ClosureFAST or VenaSeal (combined therapy), or patients may choose to stage therapy and receive microphlebectomy later if needed (sequential therapy). Combined therapy tends to provide better short-term results; however, long-term results are similar between combined and sequential therapy.¹


Is a microphlebectomy procedure right for me?

If you’ve received treatment for varicose veins but still aren’t satisfied with your legs, microphlebectomy may help you get the most out of your vein treatment. For individuals that have not yet received vein treatment, microhplebectomy may be an important add-on therapy to sustain healthy legs. Give us a call at (972) 646-8346 to schedule a free consultation and learn more about your personalized treatment options.


Learn More

What is microphlebectomy and when is it the right vein treatment?

Vein removal surgery: no longer best option for varicose veins

Ultrasound-guided foam sclerotherapy vein treatment explained



[1] Hager, E. S., Ozvath, K. J., & Dillavou, E. D. (2017). Evidence summary of combined saphenous ablation and treatment of varicosities versus staged phlebectomy. Journal of Vascular Surgery: Venous and Lymphatic Disorders, 5(1), 134–137.

[2] Muller R. Traitement des varices par phlébectomie ambulatoire. Phlébologie 1966;19:277-9.

[3] El-Sheikha, J., Nandhra, S., Carradice, D., Wallace, T., Samuel, N., Smith, G. E., & Chetter, I. C. (2014). Clinical outcomes and quality of life 5 years after a randomized trial of concomitant or sequential phlebectomy following endovenous laser ablation for varicose veins. British Journal of Surgery, 101(9), 1093–1097.

[4] Lane, T. R. A., Kelleher, D., Shepherd, A. C., Franklin, I. J., & Davies, A. H. (2015). Ambulatory Varicosity avUlsion Later or Synchronized (AVULS). Annals of Surgery, 261(4), 654–661.


[A] Kaplan-Meir analysis; raw rate of complete closure was 96.8% (92/95 individuals studied with 13 lost to follow-up)

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