Your physician has determined you need a micro-phlebectomy to eliminate the large bulging varicose veins. This can be done at the same time as the endoluminal ablation but is frequently staged because sometimes these veins will get smaller after the ablation. They typically do not go completely away and therefore, the phlebectomy will give you the best cosmetic result.
The area will be marked with a pen while you are standing. The area will be numbed using a very dilute solution called tumescent with a series of very small needle sticks to inject the medication. Once you are numb, very small incisions (2mm) are made and the bulging veins are gently removed. The incisions are so small that stitches are not required. You will be wrapped in a special wrap that can be removed the next day. Compression stockings will be worn for 2 weeks. Little to no discomfort is expected after the procedure. Normal activities can be resumed in 2 days.