As a phlebologist, I have performed microphlebectomy on the feet but do so very cautiously and caution patients that the risk of numbness is much higher because there are sensory nerves in this area where injury could cause debilitating discomfort.
The area rubs on the shoes and any numbness or increased sensitivity (hypersensitivity) can be sensed with every step. I tell patients that it is normal to have veins on the feet and unless they are enlarged and there is involved skin changes over the top of the foot, I recommend that they be left alone. Otherwise, microphlebectomy is helpful.
Another option for those who are skinny and have minimal fat is to inject with radiesse or other fillers. I use Radiesse and it works very well for the hands and should be used selectively in the feet. Unless you are a foot model and make a living modeling your feet, I would leave these veins alone.
There are veins in the ankle areas which are very different that veins in the feet and ankle veins originate from perforator veins. Phlebologists should be agressive in treating these. This is a different topic altogether and should be thought of differently than veins on the top of the feet.
