Varicose veins are an embarrassing and often painful condition that affects millions of men and women as a result of heredity, pregnancy and hormones. These affected veins can appear on the leg as a raised, tangled and unattractive web under the surface of the skin. Women are most often affected by this process and as a result may be embarrassed to wear shorts or show their legs.
Radiofrequency Ablation (RFA) is an advanced procedure that can be used to treat larger varicose veins. Treatment with Radiofrequency for venous insufficiency is usually performed under local anesthesia on an outpatient basis. During the procedure, you will feel a small stick of a needle in order to numb the area. Through that numbed area, a small needle is inserted into the vein followed by a small guide wire, and a radiofrequency catheter. Once that is in place, you will experience a few needle sticks and some pressure while the numbing medicine is placed around your vein. Once you are numb, the fiber is activated while slowly pulled out. The energy from the device causes the vessel wall to be permanently closed allowing blood to flow in the proper direction. The vein is not removed from the body. Over time, your body will absorb the closed vein and it disappears. This procedure improves the circulation in the leg by ensuring that blood is traveling in the correct direction.
Most patients see effective, long-lasting results from this procedure. However, the number of treatments required varies depending upon the severity of the condition, and patients with larger veins typically require additional sessions.
Microphlebectomy is a minimally invasive procedure used to treat varicose veins that are too large to treat with sclerotherapy and too small for laser ablation. Also known as “stab phlebectomy,” microphlebectomy uses tiny punctures to remove damaged veins and divert blood flow to healthy veins. This can relieve the painful symptoms and unsightly appearance associated with varicose veins.
Microphlebectomy is performed under local anesthesia in your doctor’s office. There is little to no downtime after this procedure, with most patients able to return to work and other normal activities the very same day. However, strenuous activities should be avoided for a week. After the microphlebectomy procedure, patients are usually required to wear compression garments for about a week to help minimize swelling and bleeding. There are virtually no scars left after this procedure because of the tiny incisions used.
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