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Is there much scarring from ambulatory phlebectomy?

This question was asked in Ulmer, South Carolina and has 14 answer(s) as of 05/23/2013.
I have poor circulation in the legs and I have heard that ambulatory phlebectomy treatment can be a good option, but I have also heard that there can be a lot of scarring from it. Is this true? Why?


Doctors Answers (14)

With ambulatory phlebectomies there is very little scarring. Typically in my practice and most patient is a scars are barely visible within 6 months after the procedure. In some patients are very large varicosities the scars are little bigger but typically turn white and are difficult to see.

The incisions with ambulatory are very small. The incisions are approximately the size of a grain of rice and do not require stitches. As a result, this minimizes the risk of scarring.

I perform phlebectomies with tiny micro punctures that leave minimal to no scarring. The smaller the puncture, the less the scarring will be. More often than not my patients have no scarring at all.

An ambulatory phlebectomy physical removes varicose veins through incisions along the side of the vein. In the past, these incisions were often 1/2 inch or longer and would easily leave visible scaring. In our office, we preform micro-phlebectomies using 1mm incisions along the side of an anesthetized varicose vein through which the vein is removed. The incision is so small that it does not require suture, and the incision sites are typically not visible at 1 month following the procedure. This technique also avoids the potential for skin staining from trapped blood that can occur with sclerotherapy of larger veins.

Stab Phlebectomy is done as a stab and not an incision in the skin. Again, done properly, when it heals it should look like a freckle. It is important that prior to any Phlebectomy a thorough exam of the venous system in the leg should be done to rule out reflux in the leg. Doing a Phlebectomy with reflux will be a waste of time and can be accompanied by increased blood loss.

Most patients who undergo microphlebectomy have a number of 2-3 mm long white scars within 6 months after the procedure.

Ambulatory phlebectomy involves removing sections of varicose veins through tiny incisions made in the leg. The size of the incisions determine the degree of scarring that may follow, so the smaller the incision the less noticeable the scar. The incisions are typically made with a number 11 blade scalpel that has a very pointy tip which allows the surgeon to make a very small incision. The larger varicose veins may require a slightly larger incision to be able to pull them out. There are several things that can be done to minimize scarring such as using steri-strips and avoiding direct sun exposure to your legs for a couple of weeks after the surgery.

You will always have some scarring any time a cut is made to pull out veins. Nowadays, we can do micro incisions with the tip of a blade or an opthalmic scalpel. These cuts are very small and can usually heal without sutures. It can leave little to no scarring depending on how it is done and how well you heal.

The incisions I make whenever I perform 'MicroPhlebectomy' measure 2mm. You will have a hard time identifying these scars a few months after the procedure. Phlebectomy is an excellent method of having your varicose veins removed.

There should be very little scarring from ambulatory phlebectomy. I preform this procedure in my office under local anesthesia and make my incisions with a 1 mm punch. This leaves a 1 mm incision which I do not stitch shut. When this heals it should leave a scar that is barley noticeable.

If performed correctly, there should be minimal scarring. However, sclerotherapy and endovenous laser may be an alternate and effective option.

Many physicians perform ambulatory phlebectomy with minimal incisions. I use needle punctures, which heal to an almost invisible spot. The "poor circulation" that you have may impact healing, however, so you must speak with the physician who is going to do the procedure in order to get the most accurate assessment. He or she will be able to tell more after you are examined.

Ambulatory phlebectomy (AP) is a very good way to treat bulging varicose veins. The size and appearance of the small incisions is dependent upon the skill of the surgeon and your body's response to the incisions. A top notch surgeon will make tiny nicks in the skin, less than an 1/8 inch, that need no sutures to close. To minimize the body's scar formation to these small incisions, I recommend a product called BioCornium, which is liquid silicon that seals the nicks and creates an environment to minimize scar formation. In the majority of my patients, the tiny nicks are almost imperceptible after several months. Also, it is important to use sun screen on the legs for several months after an AP, as the skin around the incisions will be prone to develop more melanin (dark skin pigmentation).

Using microphlebectomy techniques rarely leaves scarring that is unacceptable. This should not be a problem in the hands of a trained surgeon.

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