Phlebectomy Procedure IN THE GREATER EDMONTON AREA

If you're dealing with bulging varicose veins in the Greater Edmonton Area, a phlebectomy might be the effective, minimally invasive solution you’ve been looking for. At Advanced Hair & Skin Surgery, we offer state-of-the-art vein care, including ambulatory phlebectomy, to help restore confidence. Our clinic combines medical expertise with patient-centred care to deliver safe, lasting outcomes.

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What Is Ambulatory Phlebectomy?

Ambulatory phlebectomy—also known as mini phlebectomy or multiple phlebectomy—is a minor surgical procedure used to remove visible varicose veins close to the surface of the skin. It involves making tiny punctures, where the affected veins are removed, typically from the legs. Unlike more invasive vein treatments, ambulatory phlebectomy is performed under local anaesthesia, requires no stitches, and allows patients to walk out of the clinic shortly after the procedure.

When Is Ambulatory Phlebectomy Appropriate?

This treatment is ideal for veins that are too large for sclerotherapy but not deep enough to require endovenous laser ablation (EVLA) or other internal procedures. It may also be used in combination with other treatments to achieve optimal results. If you're unsure whether you're a candidate, a consultation at our Greater Edmonton-area clinic will determine the best treatment path for your vein health.

Benefits of the Phlebectomy Procedure

Patients often choose ambulatory phlebectomy for its quick recovery and long-term relief. Benefits include:

Minimal Downtime: Most patients return to light activity within a day.
Excellent Cosmetic Results: No large incisions or stitches means minimal scarring.
High Success Rate: Physically removing the veins often prevents recurrence in the treated area.
Improved Leg Comfort: Many experience immediate relief from heaviness, swelling, or itching.
Outpatient Procedure: Performed right in our clinic with local anaesthesia—no hospital stay required.

Procedure Overview

The ambulatory phlebectomy procedure is straightforward, efficient, and typically completed in less than an hour. The punctures are so small they don’t require stitches and heal with little to no visible scarring.

Marking the Veins: With the patient standing, the affected veins are mapped and marked.
Local Anaesthesia: A numbing agent is applied around the treatment area.
Micro-Incisions: Tiny punctures are made using a surgical needle or small blade.
Vein Removal: A special hook is used to gently extract the vein segments through the incisions.
Compression Stockings: A Compression Stocking will be placed on the leg directly after the procedure

Preparing for a Phlebectomy

There is a certain amount of preparation necessary prior to your phlebectomy. To ensure optimal results, we recommend the following before your procedure:

Wear loose-fitting clothes on the day of your appointment.
Avoid applying lotion to your legs beforehand.
Arrange transportation if you’re feeling anxious or unsure about driving post-procedure.
Provide a full list of medications and supplements so we can advise you on any that may need to be paused.
During your consultation, we’ll review all preparation guidelines with you in detail.

Post-Procedure Recovery

Ambulatory phlebectomy recovery is typically quick and low-maintenance. Here’s what to expect after the procedure:

Walking is encouraged immediately after the procedure to promote circulation.
Compression stockings should be worn for 1–2 weeks to reduce swelling and improve healing.
Bruising and mild tenderness are common but usually resolve within days.

Avoid heavy lifting or strenuous exercise for the first week.
Most patients resume normal daily activities the next day and report noticeable cosmetic improvement quikcly.
Be sure to follow all aftercare instructions and attend your follow-up appointment for best results.

Frequently Asked Questions

Many of our patients have questions about ambulatory phlebectomy before and after photos or how the procedure is performed. Browse our FAQ and reach out if you have any additional questions.

Bruising and swelling is normal and temporary. You can walk immediately after surgery and carry on normal daily activities except for strenuous exercise and heavy lifting. You must follow the activity restrictions and wear the compression stockings as directed by your doctor. Your varicose vein is physically removed and therefore will not come back. However, depending on other factors such as family and personal history, new varicose veins may develop over time.

Consult With an Expert

Choosing the right treatment for your varicose veins starts with a proper diagnosis. At Advanced Hair & Skin Surgery, we take time to evaluate your symptoms, perform necessary imaging, and recommend a personalised treatment plan. If ambulatory phlebectomy is appropriate, you can count on our experience to guide you through each step with precision and care. Book your consultation today at our Greater Edmonton Area clinic and explore the benefits with a trusted vein care team.

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Frequently Asked Questions

Patients who are allergic to the local anesthesia, who are not able to walk on their own and who cannot wear the compression stockings (arterial circulation problems) are not candidates for this procedure. Any active infection or rash in the treated areas needs to resolve before the surgery.

Temporary bruising and swelling of the treated area is typical and is minimized with compression stockings. The small punctures heal well without sutures and after six to 12 months, they are practically imperceptible. (Note: In darker skinned patients, the incision sites may be darker-colored before fading). Although every attempt is made to remove the entire varicose vein, there may be small segments that remain in the skin. These fragments may become inflamed and irritated causing the condition thrombophlebitis. The residual vein may feel like a hard cord and may be tender. Over-the-counter medications, compression stockings and time usually resolve the condition. Rarely, a sensory nerve may be injured and skin numbness results. The skin numbness usually affects a small area only. Movement or leg function should not be affected.

Bruising and swelling is normal and temporary. You can walk immediately after surgery and carry on normal daily activities except for exercise and heavy lifting. You must follow the activity restrictions and wear the compression stockings as directed by your doctor. Your varicose veins are physically removed and therefore should not come back. However, depending on other factors such as family and personal history, new varicose veins may develop over time.