Not all endovenous procedures require phlebotomies to achieve an excellent result. However, the treatment of the varicose veins themselves by removal is usually said to result in a better cosmetic outcome, and is thus optimal, particularly in procedures mandating local anaesthesia for truncal ablation. The alternative would be delayed treatment with ultrasound-guided foam sclerotherapy, though that would make the course of treatment longer, and may result in patchy skin discolouration.

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What is Phlebectomy

Phlebectomy, also known as micro phlebectomy or ambulatory phlebectomy, is a minimally invasive surgical procedure used to remove varicose veins close to the skin’s surface. This procedure is commonly performed to alleviate symptoms associated with varicose veins, such as pain, swelling, itching, and discomfort.

During a phlebectomy procedure, small incisions, typically less than 1/4 inch in length, are made along the path of the varicose veins. Special hooks or forceps are then used to gently grasp and remove the affected veins. Since the incisions are small, sutures are usually not required, and scarring is minimal.

Phlebectomy is often performed as an outpatient procedure in a doctor’s office or ambulatory surgical centre, and patients can usually resume normal activities within a few days. The procedure is known for its high success rate in reducing the appearance and symptoms of varicose veins, providing long-lasting relief for many patients.

It’s important to note that phlebectomy is typically recommended for larger varicose veins close to the skin’s surface, whereas other minimally invasive procedures like endovenous laser therapy or sclerotherapy may be more suitable for treating smaller veins or underlying venous insufficiency.

Overall, phlebectomy offers a safe and effective treatment option for individuals looking to address the discomfort and cosmetic concerns associated with varicose veins, improving both the appearance and quality of life for many patients. However, as with any medical procedure, it’s essential to consult with a qualified healthcare professional to determine the most appropriate treatment plan based on individual needs and medical history.

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Common Causes of Varicose Veins

Genetic Predisposition:

One of the most significant factors contributing to the development of varicose veins is a family history of the condition. If your parents or close relatives have had varicose veins, you are at a higher risk of developing them as well.


The risk of varicose veins tends to increase with age. Over time, wear and tear on the veins can lead to weakened vein walls and valves, which can result in the development of varicose veins.


Women are more commonly affected by varicose veins than men. This is partly due to hormonal changes during pregnancy, menstruation, and menopause, which can weaken vein walls and valves.


The pressure exerted on the veins in the pelvic area and lower limbs during pregnancy can lead to the development of varicose veins. Hormonal changes during pregnancy also contribute to the weakening of vein walls and valves.


Excess body weight places added pressure on the veins, particularly in the lower extremities. This can increase the risk of varicose veins developing.

Sedentary Lifestyle:

Lack of physical activity can impede healthy blood circulation and contribute to the formation of varicose veins. Regular exercise can help prevent or alleviate this condition.

Occupational Risks:

Certain occupations that require prolonged periods of standing or sitting can increase the risk of varicose veins. Examples include nurses, teachers, and office workers who spend long hours on their feet or at a desk.

Deep Vein Thrombosis (DVT):

A history of deep vein thrombosis, a condition characterized by blood clots in the deep veins, can damage vein valves and increase the risk of varicose veins.


Smoking is known to reduce blood circulation and negatively affect the health of veins, potentially contributing to the development of varicose veins.

Hormonal Changes:

Hormonal changes related to birth control pills or hormone replacement therapy can weaken vein walls and valves, increasing the risk of varicose veins.

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Symptoms of Varicose Veins

Visible, Twisted Veins:

Varicose veins typically appear as enlarged, twisted, and bulging veins, often with a bluish or purplish colour. They are most commonly found on the legs, but they can occur in other areas as well.

Aching or Throbbing Pain:

Many individuals with varicose veins experience discomfort in the affected area. This pain may range from a mild ache to more severe throbbing sensations, and it often worsens after prolonged periods of standing or sitting.

Swelling in the Legs and Ankles:

Varicose veins can cause swelling, particularly in the lower legs and ankles. This swelling is often more pronounced at the end of the day or after extended periods of inactivity.

Itchiness or Burning Sensations:

Some individuals may experience itching or burning sensations over the affected veins. This can lead to discomfort and a desire to scratch the area.

Leg Fatigue or Heaviness:

Varicose veins can make the legs feel tired or heavy, especially after extended periods of activity. This sensation can affect mobility and overall comfort.

How to Reduce the effects of Varicose Veins

Varicose veins can be bothersome and sometimes painful, but there are several steps individuals can take to reduce their effects and alleviate discomfort. Here are some effective strategies to manage varicose veins:

Regular Exercise:

Engaging in low-impact exercises such as walking, swimming, or cycling can improve blood circulation in the legs, reducing the pressure on veins and alleviating symptoms associated with varicose veins.

Maintain a Healthy Weight:

Excess weight can put added pressure on veins, exacerbating the symptoms of varicose veins. Maintaining a healthy weight through a balanced diet and regular exercise can help alleviate this pressure and reduce the risk of developing new varicose veins.

Elevate Your Legs:

Elevating the legs above heart level for short periods throughout the day can help improve blood flow from the legs back to the heart, reducing swelling and discomfort associated with varicose veins.

Avoid Prolonged Standing or Sitting:

Long periods of standing or sitting can worsen symptoms of varicose veins. If your job requires prolonged sitting or standing, try to take breaks and move around periodically to improve circulation.

Wear Compression Stockings:

Compression stockings can help improve blood flow in the legs by applying pressure to the veins, reducing swelling and discomfort. They are available in various compression levels and can be worn throughout the day as recommended by your healthcare provider.

Healthy Diet:

A diet rich in high-fibre foods, fruits, and vegetables can promote overall cardiovascular health and help maintain healthy blood circulation, which can reduce the risk of varicose veins.

Avoid Tight Clothing:

Tight clothing, especially around the waist, groin, and legs, can restrict blood flow and exacerbate symptoms of varicose veins. Opt for loose-fitting clothing to promote better circulation.

Stay Hydrated:

Drinking an adequate amount of water throughout the day can help maintain healthy blood viscosity and promote better circulation, reducing the risk of developing varicose veins.

Seek Medical Evaluation:

If you are experiencing severe or persistent symptoms of varicose veins, such as pain, swelling, or skin changes, it’s important to consult with a healthcare professional. They can recommend appropriate treatment options tailored to your specific needs and medical history.

By incorporating these lifestyle changes and self-care practices into your daily routine, you can effectively manage the effects of varicose veins and improve your overall leg health and well-being.

Non-Invasive Surgery for Varicose Veins

What are Some of the Benefits of non-invasive Surgery?

Non-invasive surgery is an approach to medical treatment that has many benefits over more invasive surgical procedures. One of the most significant benefits is the minimal to no pain or discomfort experienced by patients. This is a major advantage for those who may be hesitant to undergo surgery due to the fear of pain or discomfort. Another benefit is that non-invasive surgery often does not require a hospital stay, which can save patients time and money. Additionally, the recovery and downtime associated with non-invasive surgery are typically minimal, which is another major advantage. Unlike traditional surgical procedures, non-invasive surgery does not require incisions, stitches, or scars, which can be a major concern for patients. Finally, non-invasive surgery poses little risk of complications, which can provide patients with peace of mind and confidence in their treatment. All of these benefits make non-invasive surgery an attractive option for many patients looking to undergo medical treatment.

The Surgical Procedures We Offer:

Ambulatory Procedures:

Ambulatory refers to a surgical procedure that allows the person to go home the same day, this allows for no downtime and quick and easy surgery. Allowing you to go home means that you can get back to your life quicker and safer. With these procedures no overnight stay is needed, so there’s no need to book an entire day of work.

Local Anaesthesia

All procedures are carried out under local anaesthesia. This guarantees a virtually painless experience, and pain relief for the immediate post-procedural phase. Simple proprietary analgesics may be required afterwards whilst at home. This ensures that your surgery is painless and safe, eliminating discomfort is a big part of why we do what we do.

Truncal Ablations

This refers to the treatment of the larger underlying veins from which visible varicose veins arise. These may not be appreciated by the patients until the leg is scanned, but they must be treated to achieve a satisfactory overall result. They are treated by endothermal ablation, endovenous adhesive techniques, mechanochemical ablation, and occasionally by foam sclerotherapy, depending on the scan appearances and client preferences.

Endoluminal Thermal Procedures

Both endovenous laser ablation and radiofrequency ablation are available to achieve endoluminal thermal closure of reverse-flowing venous trunks which lead to varicose veins.

Single Puncture non-Tumescent Techniques

Currently, there are two such procedures, both available at the Benville Vein Practice: Mechano-chemical ablation (MOCA) and Endoluminal Bio-Adhesive Closure (VenaSeal). Both require just one single local anaesthetic jab at the access puncture site only and are otherwise (virtually) painless.


This refers to the removal of visible varicose veins through tiny 1mm incisions under local anaesthesia. This is an important step to achieve the best cosmetic effect possible, though is not necessary in all cases. The tiny incisions heal rapidly and become invisible.

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