Microphlebectomy for prominent blue temple veins?

How does microphlebectomy work? How long is the procedure? and what are the risks? and how does it compair to ND Yag Laser?

Doctor Answers 4

About Microphlebectomy

Microphlebectomy is best for veins that cannot be treated by transcutaneous (through the skin) laser. It involves the physical removal of the vein. There are a variety of tools that can be used for microphlebectomy, and some involve incisions of 1mm, some larger, but typically none larger than 3mm.

A 1mm incision typically heals with no obvious scar, especially on the face, which in general heals better than most areas of the body because of an abundant blood supply.

To truly identify which would be best for you, a consultation, or at the very least, a high resolution photo would be needed.

A good rule of thumb, is a vein you can feel, is better for MP, a spider vein, or a threadlike vein, is better treated by injection or laser.

New York General Surgeon
5.0 out of 5 stars 4 reviews

Microphlebectomy for Temple Veins

Microphlebectomy uses tiny puncture wounds and micro instruments are used to tie off the edges of the veins that are prominent and the prominent veins removed. It is associated with bruising and in the temple area should heal very nicely with great cosmetic outcomes. These are not covered by medical insurance and expect to pay $1500 to $2000 for this type of procedure. 

Hratch Karamanoukian, MD, FACS
Buffalo Phlebologist
4.8 out of 5 stars 41 reviews

Microphlebectomy for temple veins...

Microphlebectomy involves removing small veins through a tiny incision (1-2 mm).  The advantages of this treatment include the fact that the veins are physically removed and permanently gone, the procedure only takes about 5-10 minutes, and the downtime is minimal.  Disadvantages include a relatively high rate of temporary bruising and although very small, you may still have a scar.  I my experience, Arnica seems to cut down on the bruising and there are several topical medications as well as laser therapies that can help minimize the appearance of scars.  We tend to use laser therapy for smaller veins on the face such as telangiectasias, otherwise known as spider veins.  

Tif Siragusa, MD
Nashville Vascular Surgeon
3.8 out of 5 stars 4 reviews

Microphlebectomies work.

Microphlebectomies involves making 2mm incisions under local anesthesia to remove the veins. It works well and requires one treatment but the trade off is one or more small scars. The procedure time depends on the amount of veins removed. There will also be associated bruising with this. Laser can remove the veins but it will take several treatments over multiple weeks and there is no guarantee that the laser will dissolve the veins. Laser can also cause bruising. You should speak with your treating physician for more advice.

John Landi, MD
Naples General Surgeon
5.0 out of 5 stars 5 reviews

These answers are for educational purposes and should not be relied upon as a substitute for medical advice you may receive from your physician. If you have a medical emergency, please call 911. These answers do not constitute or initiate a patient/doctor relationship.