Segmental Vein Stripping and Microphlebectomy

Say Goodbye to Bulging Veins: Your Guide to Segmental Vein Stripping and Microphlebectomy

Key Points

Segmental vein stripping and microphlebectomy effectively remove problematic varicose veins
These procedures are minimally invasive with shorter recovery times than traditional vein stripping
Most patients experience immediate cosmetic improvement and symptom relief
Procedures are typically performed under local anesthesia on an outpatient basis
Dr. Scott Ziporin at Ascent Vascular specializes in advanced varicose vein treatments
Recovery usually takes 1-2 weeks with most patients returning to normal activities quickly
Long-term success rates are excellent when performed by experienced vascular surgeons

If you've been dealing with bulging, ropy varicose veins that make you self-conscious about wearing shorts or that ache after a long day on your feet, you've probably done some research on treatment options. And if you're reading this, you've likely come across terms like "segmental vein stripping" and "microphlebectomy."

These might sound intimidating, but here's the truth: they're actually some of the most effective ways to permanently get rid of problematic varicose veins. Let's break down what these procedures are, what to expect, and whether they might be right for you.

Understanding Varicose Veins: Why They Happen

Before we dive into the treatment, let's talk about what's actually going on with those bulging veins.

Varicose veins develop when the valves inside your veins stop working properly. Normally, these tiny valves act like one-way doors, keeping blood flowing toward your heart. When they fail, blood pools in the vein, causing it to swell, twist, and bulge under your skin.

Common symptoms include:

Visible, rope-like veins on your legs
Aching or heaviness in your legs
Swelling in your ankles and feet
Throbbing or cramping in your legs
Itching around the affected veins
Skin discoloration near the veins
Symptoms that worsen after standing or sitting for long periods

If you're experiencing any of these symptoms, Ascent Vascular specializes in treating various vein condition s with advanced, minimally invasive techniques.

What Is Segmental Vein Stripping?

Let's start with the basics. Segmental vein stripping is a surgical procedure that removes a diseased section of a vein through small incisions. Notice we said "section," not the entire vein—this is an important distinction from older "full vein stripping" techniques.

How It's Different from Traditional Vein Stripping

Traditional vein stripping (which was common decades ago) involved removing the entire saphenous vein from groin to ankle. It was effective but quite invasive, painful, and required significant recovery time.

Segmental vein stripping is much more targeted. Your vascular surgeon removes only the problematic segments of vein, leaving healthy portions intact. This means:

Smaller incisions
Less tissue trauma
Faster recovery
Reduced post-procedure discomfort
Better cosmetic outcomes

When Is Segmental Vein Stripping Recommended?

This procedure works best for:

Larger varicose veins that don't respond to less invasive treatments
Veins that are too twisted or tortuous for catheter-based procedures
Superficial veins close to the skin surface
Recurrent varicose veins after previous treatments
Cases where the main trunk of the saphenous vein is diseased

Dr. Scott Ziporin at Ascent Vascular will evaluate your specific situation using advanced ultrasound imaging to determine if segmental vein stripping is your best option.

What Is Microphlebectomy?

Now let's talk about microphlebectomy (also called ambulatory phlebectomy or "mini-phlebectomy"). This is a complementary procedure often performed alongside segmental vein stripping.

The Basics

Microphlebectomy involves removing varicose veins through tiny punctures in the skin—we're talking just 2-3 millimeters, about the size of a pencil tip. Through these tiny openings, your surgeon uses a special hook to grasp and remove the problematic vein segments.

The best part? These incisions are so small they typically don't even require stitches. They heal on their own and leave minimal scarring.

What Makes It "Micro"?

Everything about this procedure is designed to be minimally invasive:

Tiny incisions: No large cuts or stitches needed
Local anesthesia: You're awake and comfortable during the procedure
Immediate results: Veins are gone as soon as the procedure is done
Quick recovery: Most people return to normal activities within days
Minimal scarring: Incisions fade to barely noticeable marks

Ideal Candidates for Microphlebectomy

This technique works wonderfully for:

Branch varicose veins (the smaller offshoots from main veins)
Clustered varicose veins
Veins in areas where other treatments might not work well
Cosmetically bothersome veins that cause physical symptoms
Patients who want immediate, permanent removal

The Combined Approach: Why These Procedures Work So Well Together

Here's where things get interesting. Many patients benefit from having both segmental vein stripping and microphlebectomy performed during the same treatment session.

Think of it like this: segmental vein stripping takes care of the larger "trunk" veins (the main problem), while microphlebectomy removes the smaller "branch" veins (the visible symptoms). Together, they provide comprehensive treatment that addresses both the underlying cause and the cosmetic concerns.

Benefits of Combined Treatment

Complete correction: Addresses all problematic veins in one session
Better cosmetic results: No veins left behind
Single recovery period: Heal from everything at once
Cost-effective: One procedure instead of multiple treatments
Long-lasting results: Treats the root cause and visible symptoms

The experienced team at Ascent Vascular will create a customized treatment plan based on your unique vein anatomy and goals.

What to Expect: The Procedure Step-by-Step

Let's walk through what actually happens during these procedures so you know exactly what you're signing up for.

Before the Procedure

Initial Consultation

You'll meet with Dr. Ziporin to discuss your symptoms, medical history, and goals. This is your chance to ask all your questions and understand your options.

Vein Mapping

Using advanced ultrasound technology, Dr. Ziporin will create a detailed map of your veins. This shows exactly which veins are problematic and helps plan the most effective treatment approach.

Pre-Procedure Instructions

You'll receive specific guidelines about:

Medications to avoid (like blood thinners)
When to stop eating and drinking before the procedure
What to wear (loose, comfortable clothing)
Whether you need someone to drive you home

During the Procedure

Anesthesia

Most segmental vein stripping and microphlebectomy procedures are performed under local anesthesia with mild sedation. You'll be awake but comfortable and won't feel pain during the procedure.

Marking the Veins

With you standing up (when veins are most visible), Dr. Ziporin will mark the problematic veins with a surgical pen. This roadmap guides the procedure.

The Stripping Process

For segmental vein stripping:

Small incisions are made at the beginning and end of the diseased vein segment
A special wire or stripper is threaded through the vein
The problematic segment is gently pulled out
Incisions are closed with a few stitches or surgical tape

The Microphlebectomy Process

For microphlebectomy:

Tiny punctures are made along the marked veins
A specialized hook is inserted through each puncture
The vein is grasped and gently removed in small sections
No stitches needed—punctures close on their own

Duration

The entire procedure typically takes 1-2 hours, depending on how many veins need treatment.

After the Procedure

Immediate Recovery

You'll rest briefly in the recovery area
Compression bandages will be applied to your legs
You'll walk around a bit before leaving (yes, really!)
Someone else drives you home

First Few Days

Keep your legs elevated when possible
Wear compression stockings as directed
Take short walks throughout the day (this is important!)
Avoid strenuous exercise and heavy lifting
Take over-the-counter pain medication as needed

First Few Weeks

Gradually increase activity levels
Continue wearing compression stockings during the day
Attend follow-up appointments
Watch for any signs of complications

Recovery: What's Realistic?

Let's be honest about recovery—it's not always sunshine and rainbows, but it's generally much easier than most people expect.

Timeline

Days 1-3: Early Recovery

Mild to moderate discomfort (manageable with over-the-counter pain meds)
Bruising and swelling are normal
Light activities and short walks encouraged
Most people feel well enough to work from home

Days 4-7: Turning the Corner

Discomfort decreases significantly
Many patients return to desk jobs
Can resume light exercise like walking
Bruising may look worse before it looks better (normal!)

Weeks 2-4: Getting Back to Normal

Most restrictions lifted
Can resume most normal activities
Compression stockings still recommended during activity
Visible improvements in appearance

Months 1-3: Final Results

Bruising completely resolved
Swelling gone
Scars fade to thin lines
Full cosmetic results visible

What Helps Recovery Go Smoothly

Do's:

Walk regularly (even short distances)
Elevate your legs when resting
Wear compression stockings as directed
Stay hydrated
Keep incision sites clean and dry
Attend all follow-up appointments

Don'ts:

Don't sit or stand still for long periods
Don't skip compression stockings
Don't do high-impact exercise too soon
Don't take hot baths or use hot tubs for a few weeks
Don't ignore signs of infection or complications

Potential Risks and Complications

Every medical procedure has risks, and it's important to understand them. The good news? Serious complications are rare when these procedures are performed by experienced vascular surgeons like Dr. Ziporin.

Common, Minor Side Effects

Bruising and swelling (expected and temporary)
Mild discomfort or soreness
Temporary numbness near incision sites
Skin discoloration that fades over time
Firmness along treated vein paths

Rare but Serious Complications

Infection (less than 1% of cases)
Deep vein thrombosis (blood clots in deeper veins)
Nerve damage causing permanent numbness
Scarring (though minimal with modern techniques)
Recurrence of varicose veins in treated areas

When to Call Your Doctor

Contact Ascent Vascular immediately if you experience:

Signs of infection (fever, increasing redness, warmth, or pus)
Severe pain not controlled by medication
Excessive swelling or swelling that worsens
Chest pain or difficulty breathing
Signs of blood clots (calf tenderness, warmth, redness)

Call (970) 926-1003 if you have any concerns during your recovery.

Results: What Can You Expect?

Now for the exciting part—the results!

Immediate Improvements

The moment the procedure is done, those bulging veins are gone. Seriously. You'll see immediate cosmetic improvement, even with bruising and swelling present.

Short-Term Results (Weeks 1-12)

Symptoms like aching, heaviness, and swelling decrease dramatically
Bruising fades
Incision sites heal and begin to fade
You can wear shorts and skirts confidently again
Physical activities become more comfortable

Long-Term Results (Months to Years)

Treated veins don't come back (they're permanently removed)
Scars fade to barely noticeable thin lines
Legs feel and look healthier
Improved quality of life
Reduced risk of complications from untreated varicose veins

Success Rates

When performed by experienced vascular surgeons, segmental vein stripping and microphlebectomy have excellent success rates:

90-95% of patients report significant symptom improvement
High patient satisfaction with cosmetic results
Low recurrence rates compared to other treatments
Durable, long-lasting outcomes

How These Procedures Compare to Other Varicose Vein Treatments

You might be wondering how segmental vein stripping and microphlebectomy stack up against other treatment options. Let's break it down.

Versus Endovenous Laser Treatment (EVLT)

EVLT uses laser energy to seal veins from the inside. It's less invasive than stripping but:

Works best for straight veins (not twisted ones)
May not be suitable for very large or superficial veins
Sometimes requires additional treatments for branch veins
Microphlebectomy often complements EVLT for complete results

Versus Radiofrequency Ablation (RFA)

RFA is similar to EVLT but uses radiofrequency energy. Again:

Best for main trunk veins
May not address all visible branch veins
Often combined with microphlebectomy for optimal results

Versus Sclerotherapy

Sclerotherapy involves injecting solution into veins to make them collapse:

Better suited for smaller spider veins and small varicose veins
May require multiple treatment sessions
Not as effective for larger, bulging varicose veins
Works well as a complementary treatment after stripping/microphlebectomy

The Bottom Line

Different techniques work best for different situations. Ascent Vascular offers comprehensive varicose vein treatments and will recommend the approach that's best for your specific case—sometimes that's a combination of methods.

Who's a Good Candidate?

Wondering if these procedures are right for you? Here's what makes someone a good candidate:

Ideal Candidates

Adults with symptomatic varicose veins
People with bulging, rope-like veins that don't respond to conservative treatment
Those who've tried compression stockings without adequate relief
Patients in good overall health
Non-smokers or those willing to quit temporarily
Realistic expectations about outcomes

Who Might Need Different Treatment

People with very small spider veins (sclerotherapy is better)
Those with active infections or skin conditions in the treatment area
Patients with serious heart or lung conditions
Pregnant women (wait until after delivery)
Those with deep vein thrombosis or clotting disorders

Medical Evaluation

Your consultation at Ascent Vascular includes:

Physical examination of your veins
Medical history review
Ultrasound evaluation
Discussion of your symptoms and goals
Personalized treatment recommendations

Cost and Insurance Coverage

Let's talk about the financial aspect—because we know this matters.

Does Insurance Cover These Procedures?

Good news: insurance often covers vein stripping and microphlebectomy when they're medically necessary. This typically means:

You have documented symptoms (pain, swelling, heaviness)
You've tried conservative treatment first (compression stockings)
The veins are causing or could cause health problems
A vascular surgeon deems the procedure medically necessary

If treatment is purely cosmetic (no symptoms, just appearance), insurance may not cover it.

What to Expect Cost-Wise

Costs vary based on:

Extent of treatment needed
Whether one or both legs require treatment
Your insurance coverage
Geographic location

The team at Ascent Vascular will work with you to:

Verify your insurance coverage
Explain out-of-pocket costs
Discuss payment options
Submit necessary pre-authorization paperwork

Investment in Your Health

Even if you have some out-of-pocket costs, consider what you're gaining:

Relief from daily discomfort
Improved mobility and activity levels
Better sleep (no more nighttime leg cramps)
Confidence to wear what you want
Prevention of potential complications
Long-term solution (not temporary fixes)

Life After Treatment: Preventing Future Varicose Veins

Here's something important: while segmental vein stripping and microphlebectomy remove existing problematic veins permanently, they don't prevent new varicose veins from developing in other areas.

Prevention Strategies

Stay Active

Regular exercise, especially walking, swimming, and cycling, keeps blood circulating properly and strengthens leg muscles that help pump blood back to your heart.

Maintain a Healthy Weight

Extra pounds put additional pressure on your veins. Maintaining a healthy weight reduces this stress.

Avoid Prolonged Sitting or Standing

If your job requires long periods of sitting or standing, take breaks to move around. When sitting, avoid crossing your legs.

Wear Compression Stockings

Your doctor may recommend wearing compression stockings during activities that stress your veins, like long flights or standing-intensive work.

Elevate Your Legs

When resting, prop your legs up above heart level when possible. This helps blood flow back toward your heart.

Stay Hydrated

Proper hydration keeps blood flowing smoothly and prevents sluggish circulation.

Long-Term Follow-Up

Regular check-ins with your vascular surgeon help:

Monitor for new vein problems
Catch issues early when they're easier to treat
Adjust prevention strategies as needed
Maintain optimal vascular health

Why Choose Ascent Vascular for Your Vein Treatment?

When it comes to vein procedures, experience and expertise matter. A lot.

Board-Certified Vascular Expertise

Dr. Scott Ziporin, MD, RPVI is a board-certified vascular surgeon and Registered Physician in Vascular Interpretation with specialized training in treating venous disease. This means:

Years of dedicated training beyond medical school
Extensive experience with complex vascular cases
Deep understanding of vein anatomy and physiology
Skills in both traditional and minimally invasive techniques
Advanced certification in vascular ultrasound interpretation

State-of-the-Art Technology

Ascent Vascular uses advanced ultrasound imaging to:

Accurately diagnose vein problems
Plan optimal treatment approaches
Guide procedures with precision
Monitor healing and results

Personalized Care

No two patients are exactly alike. The team at Ascent Vascular takes time to:

Understand your unique concerns and goals
Create customized treatment plans
Explain options in language you understand
Support you throughout your journey

Convenient Location

Located in Edwards, CO, Ascent Vascular serves the entire Vail Valley and Eagle County area. At 1140 Edwards Village Blvd. B204, Edwards, CO 81632, you'll find a modern, comfortable facility designed with patient care in mind.

Real Patient Experiences: What People Say

While we can't share specific patient stories without permission, we can tell you what many patients report after segmental vein stripping and microphlebectomy:

"I wish I'd done this sooner. The recovery was so much easier than I expected, and my legs feel amazing."

"I can finally wear shorts without feeling self-conscious. The procedure changed my life."

"The aching and heaviness in my legs are completely gone. I didn't realize how much it was affecting my daily activities."

"Dr. Ziporin and the team made me feel comfortable throughout the entire process. They answered all my questions and set realistic expectations."

Taking the First Step

If you've been living with uncomfortable, unsightly varicose veins, you don't have to anymore. Segmental vein stripping and microphlebectomy offer effective, lasting solutions that can dramatically improve both how your legs look and how they feel.

The hardest part is often just making that first call. But once you do, you're on your way to healthier, more comfortable legs.

What Happens Next?

Schedule a consultation: Call (970) 926-1003 or contact Ascent Vascular online
Complete your evaluation: Meet with Dr. Ziporin, undergo ultrasound imaging, and discuss treatment options
Make an informed decision: Take time to consider your options and ask any questions
Schedule your procedure: If you decide to move forward, we'll find a convenient time
Prepare for treatment: Follow pre-procedure instructions
Undergo your procedure: Trust in experienced hands
Recover and heal: Follow post-procedure guidelines
Enjoy your results: Show off those healthier legs!

FAQs About Segmental Vein Stripping and Microphlebectomy

How painful is the procedure?

Most patients report minimal pain during the procedure thanks to local anesthesia. Afterward, discomfort is typically mild to moderate and well-controlled with over-the-counter pain medication. Many people compare it to muscle soreness after a tough workout.

Will the veins come back after treatment?

The specific veins that are removed during segmental vein stripping and microphlebectomy are permanently gone. However, new varicose veins can potentially develop in other areas over time, especially if underlying risk factors aren't addressed. Following prevention strategies significantly reduces this risk.

How soon can I return to work?

This depends on your job. Desk jobs: many patients return within 3-5 days. Standing or physical jobs: you might need 1-2 weeks. Dr. Ziporin will provide personalized guidance based on your occupation and recovery progress.

Will I have visible scars?

Microphlebectomy incisions are so small they typically heal with minimal scarring—often just tiny dots that fade significantly over time. Segmental vein stripping incisions are also small and are placed strategically to minimize visibility. Most patients find scars barely noticeable after a few months.

Can both legs be treated at the same time?

Sometimes, yes. However, many surgeons prefer treating one leg at a time to make recovery easier. You'll be able to use your untreated leg more freely during recovery. Dr. Ziporin will recommend the best approach for your situation.

How long do I need to wear compression stockings?

Typically, you'll wear compression bandages for the first day or two, then transition to compression stockings for 1-4 weeks. The exact duration depends on the extent of your procedure and how you're healing. Consistent wear during the recommended period significantly improves results.

Is the procedure covered by insurance?

Many insurance plans cover varicose vein treatment when it's medically necessary (causing symptoms and affecting your quality of life). Ascent Vascular will verify your coverage and help with pre-authorization. Purely cosmetic treatment may not be covered.

What if I'm on blood thinners?

You'll need to discuss this with Dr. Ziporin. Some blood thinners may need to be temporarily stopped before the procedure, while others can be safely continued. Never stop blood thinners without consulting both your vascular surgeon and the doctor who prescribed them.

FAQs About Ascent Vascular

Where is Ascent Vascular located?

We're conveniently located at 1140 Edwards Village Blvd. B204, Edwards, CO 81632. We serve patients throughout the Vail Valley, Eagle County, and surrounding mountain communities.

What other vascular conditions does Ascent Vascular treat?

Beyond varicose veins, Ascent Vascular treats a wide range of vascular conditions including peripheral artery disease, spider veins, venous ulcers, deep vein thrombosis, and more. We provide comprehensive vascular care for all your needs.

Does Ascent Vascular offer other varicose vein treatments besides vein stripping?

Absolutely! We offer a full spectrum of vein treatments including endovenous laser therapy, radiofrequency ablation, sclerotherapy, and conservative management. Dr. Ziporin will recommend the best approach for your specific situation.

How do I schedule a consultation?

Simply call (970) 926-1003 or fill out the contact form on our website. Our friendly staff will help you find a convenient appointment time and answer any preliminary questions.

Does Ascent Vascular have on-site ultrasound capabilities?

Yes! Our state-of-the-art ultrasound lab allows us to perform comprehensive vein evaluations right in our office. This means more accurate diagnoses, better treatment planning, and greater convenience for you.

What should I bring to my first appointment?

Bring your insurance card, a list of current medications, any relevant medical records, and a list of questions you want to ask. Wear comfortable, loose-fitting shorts or pants that can be easily rolled up to allow examination of your legs.

Your Healthier Legs Are Waiting

Living with varicose veins doesn't just affect how your legs look—it impacts your comfort, your activity level, your confidence, and your overall quality of life. You deserve better.

Segmental vein stripping and microphlebectomy offer proven, effective solutions with excellent long-term results. Combined with the expertise of a board-certified vascular surgeon and modern techniques, you can achieve the healthy, comfortable legs you've been hoping for.

Ready to take the next step? Contact Ascent Vascular today to schedule your consultation. Call (970) 926-1003 or visit us at 1140 Edwards Village Blvd. B204, Edwards, CO 81632.

Dr. Ziporin and the entire Ascent Vascular team look forward to helping you achieve the results you're looking for. Your journey to healthier legs starts with a simple phone call.

Don't let another summer pass by hiding your legs. Take control of your vascular health today.

Ascent Vascular provides expert vascular care in Edwards, CO, serving the Vail Valley and Eagle County. Dr. Scott Ziporin, MD, RPVI specializes in minimally invasive treatments for varicose veins and other vascular conditions. Call (970) 926-1003 to schedule your consultation.

Disclaimer: The information provided on this blog is for general informational purposes only and is not intended as, and should not be considered, medical advice. All information, content, and material available on this blog are for general informational purposes only. Readers are advised to consult with a qualified healthcare professional for medical advice, diagnosis, or treatment. The author and the blog disclaim any liability for the decisions you make based on the information provided. Always seek the advice of your physician or other qualified health provider with any questions you may have regarding a medical condition.

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