Microphlebectomy for Varicose Veins

Available In Pittsburgh, PA or Columbus, OH


What is Microphlebectomy for Varicose Veins?

Microphlebectomy varicose vein treatment is performed when varicose veins near the surface of the skin are too large to treat with sclerotherapy or are too small to correct with laser surgery vein treatments.

The benefits of Microphlebectomy treatments include:

  • In-office treatment for superficial varicose veins
  • Performed under local anesthesia
  • Minimally invasive treatment
  • No stitches
  • Little to no scarring
  • No downtime

In Pittsburgh, Microphlebectomy treatments are performed in our state-licensed, AAAHC-accredited surgery center by board-certified cardiologist, Jerome Itzkoff, MD.

In Columbus, Microphlebectomy treatments are performed in our AAAHC-accredited surgery center by our board-certified surgeon specializing in vascular insufficiencies, Marios Panayides, MD, FACS.

Treatment Information

Microphlebectomy vein treatment, sometimes referred to as an ambulatory phlebectomy, is a minimally invasive way to remove damaged superficial varicose veins. During the vein treatment, tiny micro-punctures are made to allow for the gentle extraction of varicose veins and larger reticular veins using a microphlebectomy instrument, which resembles a small hook. Incisions are often so small that no sutures are necessary.

Microphlebectomy offers excellent results alone or in conjunction with varicose vein laser surgery or sclerotherapy

Recovery from Microphlebectomy Treatment

Following Microphlebectomy treatment, patients may experience:

  • Tenderness at the extraction site
  • Mild bruising
  • Minor swelling

It is recommended that for the first 24-hours following Microphlebectomy:

  • Legs should be elevated on and off
  • Exercise is avoided
  • Compression stockings are worn

After the first 24 hours, mild exercise can resume, however heavy lifting and vigorous exercise should be avoided for one or two weeks. It is recommended that the compression stockings be worn for at least two more weeks or longer, depending on the severity of the vein disorder.

Microphlebectomy and Insurance Coverage

Most insurance companies either fully or partially cover the costs associated with varicose vein treatments based on medical necessity. At the time of consultation, the prescribed treatment, associated costs and payment arrangements including insurance coverage will be discussed in detail. The following is a list of primary insurances accepted at The Skin Center Medical Spa for vein treatment:

  • Aetna
  • Anthem/BCBS
  • Cigna
  • Medical Mutual
  • Health America
  • Highmark/BCBS
  • Medicare
  • Tricare
  • United Health Care
  • UPMC

Are the results from Microphlebectomy treatment permanent*?

Microphlebectomy is considered a lasting varicose vein treatment, inasmuch as the varicose vein is being removed. However, Microphlebectomy does not prevent other varicose veins from developing. Therefore, additional treatments may be necessary if more veins appear.

Are there are any risks associated with Microphlebectomy treatments?

As with any medical procedure, there can be associated risks. However, typically Microphlebectomy treatments are well tolerated. Minor complications may include: Bruising, Swelling, Scarring, and Injection site infection. A comprehensive vein evaluation will be performed prior to the microphlebectomy treatment and individual risk factors will be discussed in detail. In Pittsburgh, microphlebectomy treatments are performed by board-certified cardiologist, Dr. Jerome Itzkoff. In Columbus, microphlebectomy treatments are performed by Dr. Marios Panayides, FACS.

Alternative Treatments


Facial Vein Treatment

Non-invasive light-based treatment for telangiectasia, reticular veins, rosacea and a full range of other benign lesions. Using Intense Pulsed Light (IPL) or the Cynosure® Apogee Elite Laser, unwanted facial veins are selectively targeted and eliminated while leaving the healthy surrounding skin undisturbed.


EVLT for Varicose Veins

Endovenous Laser Therapy (EVLT) has made the painful vein striping surgeries, often performed in a hospital setting, a procedure of the past.

Sclerotherapy Spider Vein Treatment

Sclerotherapy Spider Vein Treatment is the oldest, yet most common, treatment for spider veins and reticular veins.

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