This technique differs dramatically from vein stripping and should not be confused with that procedure. It is best used when there is a great deal of surface involvement in the form of bulging veins. This procedure involves removing the bulging surface veins through small punctures under local anesthesia in the office. This technique is often combined with ultrasound guided sclerotherpy about 2 weeks after phlebectomy in order to close the deep feeding veins so that varicosities will not return. It is also an excellent way to deal with any bulging surface veins after EVLT.

Advantages:
• Permanent removal of the veins with excellent long term results
• Excellent cosmetic results with minimal staining or scarring
• Minimal discomfort
• Quick recovery and instant results

Disadvantages:
• More involved than injections alone
• Does not deal with the hidden veins so is often used in combination with EVLT or Ultrasound guided sclerotherapy
• Compression stockings must be worn for one week after the procedure

Summary:
This is a excellent treatment choice for patients with all size varicose veins. It is the best technique when there is moderate to significant involvement of larger varicose veins that can be seen protruding on the surface of the leg.


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