Varicose veins are not just a cosmetic concern–they can cause pain, swelling, and heaviness in the legs, impacting daily life. For patients looking for an effective, minimally invasive solution, microphlebectomy offers a highly successful treatment that physically removes bulging varicose veins without the need for major surgery. At Vascular Surgery Associates in Los Angeles & Santa Monica, our board-certified vascular specialists perform microphlebectomy using advanced techniques to restore leg health and improve circulation.
What Is Microphlebectomy? A Precise Treatment for Varicose Veins
Microphlebectomy, also known as ambulatory phlebectomy, is a minimally invasive procedure that removes varicose veins through tiny incisions. Unlike traditional vein stripping, microphlebectomy requires no large incisions or sutures, leading to a shorter recovery time and superior cosmetic results.
This treatment is particularly beneficial for patients with:
- Moderate to large varicose veins that bulge beneath the skin
- Veins that cause aching, throbbing, or swelling
- Visible veins that do not respond to compression therapy
- Veins that remain after sclerotherapy or endovenous ablation
By directly removing problematic veins, microphlebectomy eliminates the root cause of discomfort and improves both appearance and circulation.
How the Microphlebectomy Procedure Works
Microphlebectomy is performed in-office or in an outpatient setting using local anesthesia. The procedure involves:
- Marking the affected veins to guide precise removal
- Administering a local anesthetic to numb the treatment area
- Creating tiny, pinhole-sized incisions (2-3 mm) along the vein’s path
- Using specialized instruments to gently remove the diseased vein
- Applying compression bandages to aid healing and reduce swelling
Because the incisions are so small, stitches are not needed, and most patients return to normal activities within 24-48 hours.
Why Choose Microphlebectomy for Varicose Veins?
Microphlebectomy offers several advantages over traditional vein removal methods:
Minimally invasive
Requires only small punctures with no need for sutures
Immediate relief from symptoms
Reduces discomfort, heaviness, and swelling
No general anesthesia
Performed under local anesthesia for a safer experience
Fast recovery
Most patients resume daily activities within one to two days
Long-lasting results
Removes diseased veins permanently, preventing recurrence
Better cosmetic outcome
No large scars, ensuring smoother skin appearance
For patients with large, symptomatic varicose veins, microphlebectomy is often combined with other vein treatments, such as endovenous laser therapy (EVLT) or sclerotherapy, to achieve the best results.
Who Is a Good Candidate for Microphlebectomy?
Microphlebectomy is ideal for patients with:
- Bulging varicose veins that cause pain or swelling
- Veins that have not responded to other treatments
- Healthy circulation in deeper veins (determined through vascular ultrasound)
- A desire for a minimally invasive solution with excellent cosmetic results
Patients with severe vein disease or deep venous insufficiency may need additional treatments for optimal results.
Recovery & Aftercare: What to Expect
After the procedure, patients typically experience mild bruising and swelling, which resolves within a few weeks. To enhance healing and maximize results, patients should:
- Wear compression stockings for 1-2 weeks to support circulation
- Avoid heavy lifting and intense exercise for at least 7-10 days
- Walk regularly to encourage blood flow and prevent clot formation
- Keep legs elevated to minimize swelling and discomfort
The majority of patients return to work and daily activities within 24-48 hours, making microphlebectomy an efficient, effective, and convenient treatment option.
Why Trust Vascular Surgery Associates for Vein Care?
At Vascular Surgery Associates, our team of leading vascular specialists in Los Angeles & Santa Monica offers:
- Expertise in minimally invasive vein treatments
- Comprehensive vein evaluations using state-of-the-art imaging
- Personalized treatment plans tailored to each patient’s needs
- A commitment to improving both medical outcomes and cosmetic appearance
We specialize in restoring healthy circulation and eliminating discomfort, providing cutting-edge care in a comfortable setting.

Dedicated to Excellence in Vascular Care Since 1963
Vascular Surgery Associates (VSA) has established itself as a cornerstone of vascular health in Southern California, combining decades of experience with cutting-edge treatment methods. Founded by visionary surgeons in 1963, our practice has grown from pioneering beginnings into one of the busiest and most respected vascular surgery groups in the Western United States.
Experience the Benefits of Microphlebectomy in Los Angeles & Santa Monica
If you struggle with painful, unsightly varicose veins, microphlebectomy may be the solution you need. At Vascular Surgery Associates, we provide advanced vein removal treatments designed to enhance leg health and appearance with minimal downtime.
Contact us today to schedule a consultation with our expert vascular specialists and take the first step toward healthier, vein-free legs.