Phlebectomy

Medically reviewed by Drugs.com. Last updated on May 4, 2025.

• Care notes
• Ambulatory
• Discharge
• Español

AMBULATORY CARE:

What you need to know about phlebectomy:

Phlebectomy is a procedure to remove varicose veins close to the surface of your skin.

How to prepare for phlebectomy:

• Your healthcare provider will tell you how to prepare. Arrange to have someone drive you home when you are discharged.
• Tell your provider about all medicines you currently take. Your provider will tell you if you need to stop any medicine for the procedure, and when to stop. Your provider will tell you which medicines to take or not take on the day of your procedure.
• Tell your provider about any allergies you have, including to local anesthesia.

What will happen during phlebectomy:

You will be given local anesthesia to numb the procedure area. With local anesthesia, you may still feel pressure or pushing, but you should not feel any pain. Your healthcare provider will make small punctures or incisions in the skin near the veins. Your provider will use clamps or a small hook to grab the vein and remove it. The incisions may be closed with skin adhesive glue or tape. Your provider will apply a pressure dressing to the area.

What to expect after phlebectomy:

You will be able to get up and walk around right after the procedure. You will be able to go home the same day. Keep the pressure dressing on as long as directed. Change the dressing as directed.

Risks of phlebectomy:

You may bleed or bruise more than expected or develop an infection. You may develop a blood clot. You may have a skin reaction such as a rash or ulcer.

Drugs used to treat this and similar conditions

Seek care immediately if:

• Your arm or leg feels warm, tender, and painful. It may look swollen and red.
• Your glue or tape comes apart.
• Blood soaks through your dressing.

Call your doctor if:

• You have new or worsening bruising near the procedure area.
• Your skin becomes red or itchy, or you develop sores near the procedure area.
• You have questions or concerns about your condition or care.

Medicines:

You may need any of the following:

• NSAIDs , such as ibuprofen, help decrease swelling, pain, and fever. NSAIDs can cause stomach bleeding or kidney problems in certain people. If you take blood thinner medicine, always ask your healthcare provider if NSAIDs are safe for you. Always read the medicine label and follow directions.
• Acetaminophen decreases pain and fever. It is available without a doctor's order. Ask how much to take and how often to take it. Follow directions. Read the labels of all other medicines you are using to see if they also contain acetaminophen, or ask your doctor or pharmacist. Acetaminophen can cause liver damage if not taken correctly.

Self-care:

• Wear pressure stockings as directed. The stockings are tight and put pressure on your legs. This improves blood flow and helps prevent clots. You may need to wear these for up to 2 weeks after your procedure.
• Exercise regularly to help increase your blood flow. Walking is a good low-impact exercise. Talk to your healthcare provider about the best exercise plan for you.
• Apply ice 24 hours after your procedure. Use an ice pack, or put crushed ice in a plastic bag. Cover the bag with a towel before placing it on your skin. Apply the ice to your procedure area for 15 to 20 minutes every hour or as directed. Ice helps prevent tissue damage and decreases swelling and pain.
• Elevate the procedure area above the level of your heart as often as you can. This will help decrease swelling and pain. Prop your arm or leg on pillows or blankets to keep it elevated comfortably.
• Care for the procedure area as directed. Do not get the area wet until your provider says it is okay. When it is okay to bathe, do not scrub the area. Gently pat the area dry. Do not put powders or lotions over your incision. Check the area every day for signs of infection, such as swelling, redness, or pus.
• Do not smoke. Nicotine and other chemicals in cigarettes and cigars can cause blood vessel damage and delay healing. Ask your provider for information if you currently smoke and need help to quit. E-cigarettes or smokeless tobacco still contain nicotine. Talk to your provider before you use these products.

Follow up with your doctor as directed:

You may need to return for tests to check the blood flow near the procedure area. Write down your questions so you remember to ask them during your visits.

© Copyright Merative 2025 Information is for End User's use only and may not be sold, redistributed or otherwise used for commercial purposes.

The above information is an educational aid only. It is not intended as medical advice for individual conditions or treatments. Talk to your doctor, nurse or pharmacist before following any medical regimen to see if it is safe and effective for you.

Further information

Always consult your healthcare provider to ensure the information displayed on this page applies to your personal circumstances.

Medical Disclaimer