Ambulatory Phlebectomy

What is ambulatory phlebectomy?

Ambulatory phlebectomy is an outpatient procedure developed by dermatologic surgeons that removes superficial veins through small, slit-like incisions in the skin.

 

Before and after endovenous laser ablation

Photo courtesy of Mitchel Goldman

Before and after endovenous laser ablation

Photo courtesy of Mitchel Goldman

Before and after radiesse to hands - 1 syringe

Photo courtesy of D Friedmann, MD

When is Ambulatory Phlebectomy appropriate?

Who is not a candidate for an Ambulatory Phlebectomy?

The procedure is not recommended for patients unable to walk on their own or wear compression stockings.

What should first be done before considering Ambulatory Phlebectomy?

Before the procedure, an ASDS dermatologist will usually review the patient’s medical history and conduct a physical exam. This is the time for the doctor and patient to discuss expectations, potential risks and outcomes of the procedure. Your doctor will evaluate such factors as:

  • Are the varicose veins the main problem, or are they connected to other veins that may need to be treated first?
  • Are there clots in the superficial or deep veins that may need to be addressed?
  • Are other procedures needed in addition to ambulatory phlebectomy?

Before and 3 months after neck liposuction with 1064-1320 nm laser assisted lipolysis

Photo courtesy of D Friedmann, MD​

Before and after - IPL to chest

Photo courtesy of Mitchel Goldman

Before and after - IPL - face solar lentigenes melasma, brown spots

Photo courtesy of Mitchel Goldman

What can I expect after having had an Ambulatory Phlebectomy?

Patients can walk immediately after surgery and carry on normal daily activities. Patients must wear the graduated compression stockings as directed by their dermatologist. Temporary bruising and swelling in the treatment area is normal. Pain is generally minimal as long as graduated compression stockings are worn.

What are the potential complications of Ambulatory Phlebectomy?

  • Temporary bruising and swelling.
  • Inflammation caused by small segments of vein that remain in the skin.
  • Skin numbness caused by injury to adjoining sensory nerves.
  • Allergic reaction to local anesthesia.

Before (left) and after (right) radiesse to hands - 1 syringe

Photo courtesy of D Friedmann, MD

Keratosis treated with PDT with IPL, blue light and red light-2

Photo courtesy of Mitchel Goldman

Before and after - IPL: face, rosacea, solar lentigenes, and photodamage

Photo courtesy of Mitchel Goldman