When the size and pressure of blood in a vein is too great for sclerotherapy, the mini-phlebectomy procedure bridges the gap between sclerotherapy and more invasive procedures.
Mini-phlebectomy, also called ambulatory, micro, or stab avulsion phlebectomy, is an in-office surgical technique performed under local anesthesia. The procedure involves removing the faulty vein or perforator through minute incisions that require no stitches and leave no scars. A patient that opts for mini-phlebectomy can walk out of the office and participate in normal daily activities immediately after the procedure. Mini-phlebectomy is often performed in conjunction with Endolaser and other techniques.