Is it necessary to have a phlebectomy on feet or ankles or is it just for cosmetic purposes? I have no pain in my feet.

I have already had laser abulation in both legs and chemical ambulation in one. I would rather not have any more procedures. I still have bulging veins in my feet and on my ankles, but I am wondering if he is recommending a phlebotomy for cosmetic purpose or is there any medical need. Thank You!

Doctor Answers 7

Feet varicose veins

In general, there is minimal indication to treat varicose veins which do not cause any symptoms. Varicose veins carry a 1% lifetime risk of 'clotting'; usually seen in large twisty leg and thigh varicose veins. A good physical examination and review of your current symptoms should guide your doctor as to what the next step is. 

Laguna Hills Vascular Surgeon

Treating varicose veins in Los Angeles

Once root veins are addressed, it is important to treat smaller tributary veins. A combination of laser, sclerotherapy, and surgery can help address the smaller veins. 


Dr. Karamanoukian

Los Angeles vein expert

Raffy Karamanoukian, MD, FACS
Los Angeles Plastic Surgeon
4.8 out of 5 stars 94 reviews

Ankle varices

Once the venous insufficiency is closed off in the legs and the source of the problem is corrected, the veins in the feet and ankles should improve with time.  That being said, if these veins are large and bulging, they do not need to be treated if they are not symptomatic.  If your feet swell, ache, throb or bother you, then I would recommend removal. If they are asymptomatic, then leave them alone.  I would give it several months to see if they improve.  It is not abnormal to have the veins improve over several months. 

Susan Fox, DO
Hollywood Phlebologist
5.0 out of 5 stars 5 reviews

Varicose Veins on the feet

If you have had the underlying "feeder vein" taken care of (which it sounds like you have), then these will likely shrink. It is not absolutely necessary to have these removed. They will shrink over time. Remember, they didn't show up overnight...they will take time to become smaller. They may never get back to their "normal size". However, they should become less noticeable. 

Manu B. Aggarwal, MD
Lima Phlebologist

Foot veins

I think you answered your own question.  With no symptoms and only appearance it would be for cosmetic reasons. Ambulatiry phlebrctomy is a great choice but keep in mind there is a chance of potential nerve injury especially around the ankle and top of foot. Foam sclerotherapy is another option but may require several treatment sessions to get the results you would like 

Ivan Brooks, MD
Beverly Hills Physician
5.0 out of 5 stars 11 reviews

Foot veins

If these veins are not causing you any discomfort or contributing to swelling in your ankles or feet, I would suggest leaving them alone.

Lisa Perez, MD
Atlanta Physician
5.0 out of 5 stars 2 reviews

Foot veins

Foot vein treatment is usually a cosmetic procedure.  If there are clots in the foot veins then evacuating them may be considered not cosmetic but this would be a rare occurrence .

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.