Ambulatory Phlebectomy in San Clemente / Orange County

Ambulatory phlebectomy is a procedure that is performed by San Clemente cosmetic surgeon Dr. Tim Roham under local anesthesia in an outpatient setting. Dr. Roham is able to remove large, bulging veins from the legs through small needle punctures using special vein hooks. Before performing an ambulatory phlebotomy Dr. Roham does a thorough venous duplex ultrasound study to map the diseased varicose vein anatomy and its associated connections to see if other veins need to be treated by other methods such as Endovenous laser treatment (EVLT) or sclerotherapy. Ambulatory Phlebectomy may be performed as a single procedure or may be combined with EVLT and sclerotherapy to give the best result.

See more before and after Ambulatory phlebotomy photos.

How is the procedure performed?
Once the patient is identified as a candidate for ambulatory Phlebectomy, the diseased vein is marked in the standing position and then patient is laid on the procedure table and remarked again. Next local tumescent anesthesia is injected using a small needle around the vein in order to create full anesthesia as well as shrink any blood vessels and prevent bleeding. Next the skin over the vein is pierced every 2-3 centimeters with a small needle and the vein is hooked and removed through the needle puncture. Since there are no incisions made on the skin there are is no stitching necessary and the needle puncture usually heal without any perceptible scars. After the treatment some bruising and swelling is common and compression stockings are worn for one week to help decrease a lot of these symptoms. After ambulatory Phlebectomy, Dr. Roham recommends all patients to return to normal daily activities and to walk at least 30 minutes continuous daily.