Ambulatory Microphlebectomy

Ambulatory Microphlebectomy

Dr. Massoudi performs the microphlebectomy procedure in all of our offices in Beverly Hills, Encino, Glendale and Irvine in Southern California. A microphlebectomy is performed when a vein is too tortuous and bulgy for the endovenous laser treatment (EVLT) to work. Foam Sclerotherapy Under Ultrasound Guidance (FSUUG) may also be used in this case, but Dr. Massoudi may choose to perform a phlebectomy instead. His decision depends on the desired recovery and results of the patient, and of course, the nature of the vein itself. A phlebectomy is usually the preferred over sclerotherapy if the vein is particularly big and superficial. However, there are some cases where the doctor may ask the patient which treatment they prefer.
Preparatory Considerations For Micro Phlebectomy At Aluna Vein Centers by Dr. Massoudi:

Because this is an in-office procedure, it is very simple and doesn’t require very much preparation on your part. However, we have a few recommendations for you before coming in for a phlebectomy, and we will remind you of these when calling to confirm the appointment:
  • Please bring (don’t wear) your compression stockings. If you do not have stockings yet you may purchase them here.
  • We recommend that you shower beforehand in order to keep the bandages clean and dry for 24 hours following the procedure.
  • If you have an exercise routine, please plan accordingly because we will recommend no heavy lifting/vigorous exercise for two days following the procedure.
Aluna Vein Centers Micro Phlebectomy Procedure by Dr. Massoudi:

A micro phlebectomy is an outpatient procedure that removes large varicose veins through small incisions in the skin. The procedure involves 4 steps:
  • Medication: If necessary, a patient may be given a relaxation medication, or a mild anti-inflammatory agent.
  • Sterilization: The leg will be prepped and draped in a sterile fashion to minimize any risk of infection.
  • Vein Mapping: Using a special light or ultrasound the varicose veins are mapped out with a skin marker while the patient is standing.
Procedure:
  • A subcutaneous, local anesthetic is injected along the leg.
  • 2-3mm incisions are made along the leg of the defective vein.
  • A hook-like instrument is then used to simply remove the bulging veins.
Following:
  • Small, sterile, surgical tape called steri strips are placed over the entrance incision.
  • A prescription strength compression stocking is placed over the leg, and the leg is wrapped with a bandage to reinforce the pressure on the leg.
  • You will be instructed to walk for 20 minutes immediately after the procedure, and released to go home.
  • You will be able to drive, and resume your daily activities immediately if you choose not to take a medication to relax.
  • You will have ultrasound follow up appointments after 2 weeks and 1 month to assess the efficacy of the treatment, and to rule out any post procedure complications.
Post Instructions:
  • You may take off the top bandages and compression stockings after 24 hours in order to take a quick shower. The steri strips should not be removed. They will eventually fall off on their own.
  • The stockings must be put back on immediately (no need to apply bandages). They should be worn during the day for at least 2 months, and only taken off for hygienic purposes.
  • We recommend that you are up, walking, and performing daily activities as much as possible.
  • Arnica, a homeopathic supplement, is recommended for bruising and swelling (3-5 pellets under the tongue, 3-5 times per day). You can purchase this at our offices, or find it in health food store.
  • You may use Tylenol or Ibuprofen for pain.

Share by: