Yes, but they are tiny — 1–2 mm marks that fade significantly over months. They are usually nearly invisible at conversational distance after 6–12 months with sun protection and time.

Minor risks include bruising, transient skin numbness near treated veins, hyperpigmentation along the puncture sites, and rare cases of small skin nicks. Serious complications are very rare.

Walking begins immediately. Gentle gym and cycling resume in 3–5 days. Running and heavy lifting wait until 1 week. Hot baths and swimming are avoided until punctures are healed (about 7 days).

✦ Ambulatory Phlebectomy

Ambulatory Phlebectomy

Q: Is it done with EVLA or RFA?

Often yes — combined treatment in a single session addresses both the underlying reflux and visible bulging veins. This is more efficient and gives the most complete cosmetic result.

Bulging surface varicose veins are removed through tiny 1–2 mm incisions using specialised hooks — leaving near-invisible scars and no need for stitches.

30–60 min PROCEDURE

Day-Care HOSPITAL STAY

>95% SUCCESS RATE

1 Week RECOVERY

What is Ambulatory Phlebectomy?

Ambulatory phlebectomy is a minimally invasive technique for removing bulging surface varicose veins through tiny 1–2 mm punctures or incisions — too small to need sutures. Special hooks are used to grasp and extract segments of vein under local anaesthesia. The procedure is typically performed alongside EVLA, RFA, or UGFS that treats the underlying refluxing saphenous vein. Dr. Abhishek performs ambulatory phlebectomy at Lux Hospitals for excellent cosmetic results — bulging veins disappear immediately with minimal scarring.

How the Procedure Works

Vein Marking

Bulging varicose veins are marked with the patient standing for accurate localisation.

Local Anaesthesia

Tumescent local anaesthetic is infiltrated around each vein segment for painless extraction.

Tiny Punctures

1–2 mm punctures are made along the marked vein, spaced 2–3 cm apart for access.

Vein Extraction

A small hook is inserted to grasp and extract segments of the vein through the punctures.

Compression Dressing

Punctures heal without sutures; the leg is wrapped in compression bandage for 1 week.

Outcomes

30–60 minDURATION

Day-CareHOSPITAL STAY

>95%SUCCESS RATE

Who Needs This Treatment?

→Tiny 1–2 mm punctures with near-invisible scars
→Immediate cosmetic improvement — bulging veins removed in one sitting
→No sutures needed — punctures heal by secondary intention
→Performed under local anaesthesia as a day-care procedure
→Often combined with EVLA/RFA for complete vein treatment
→Quick return to work and normal activities within 1–2 days

Ambulatory phlebectomy is the perfect partner for endovenous treatment — once you've sealed the source, removing the visible bulging veins gives patients an immediate transformation that builds confidence in the result.

— Dr. Abhishek Katha, Consultant General & Advanced Laparoscopic Surgeon, Lux Hospitals, Hyderabad

Common Questions

Frequently Asked Questions

Will I have scars?+

Is it done with EVLA or RFA?+

What are the risks?+

When can I exercise?+

Not sure which treatment is right for you?

Book a consultation with Dr. Abhishek Katha and get a personalised treatment plan.

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