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Ambulatory MicroPhlebectomy

Are varicose veins causing you physical discomfort or making you feel self-conscious about your appearance? Ambulatory phlebectomy offers a minimally invasive solution for removing large, bulging varicose veins close to the skin’s surface. At Vein Care Center, Dr. Manu B. Aggarwal provides expert phlebectomy procedures to help patients from Lima, Celina and the surrounding areas achieve smoother legs and relief from painful symptoms.

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What Is Ambulatory Phlebectomy?

Ambulatory phlebectomy is a specialized, minimally invasive procedure designed to remove large, protruding varicose veins through tiny incisions in the skin. Unlike more extensive vein-stripping surgeries of the past, this modern technique allows for the targeted removal of problematic veins while preserving surrounding tissue.

Dr. Aggarwal performs this outpatient procedure using local anesthesia, allowing you to walk in and walk out the same day—hence the term “ambulatory.” Through a series of tiny punctures typically measuring just 1-3mm, damaged veins are carefully removed section by section using specialized surgical hooks and forceps.

Ambulatory phlebectomy permanently removes the targeted veins, redirecting blood flow to healthier vessels for improved circulation. This focused approach minimizes tissue trauma while delivering excellent cosmetic and therapeutic results.

The procedure effectively addresses:

  • Large, bulging varicose veins visible beneath the skin
  • Painful or uncomfortable veins near the surface
  • Veins that haven’t responded well to other treatments
  • Tortuous veins with multiple twists and turns

Benefits of Ambulatory Phlebectomy at Vein Care Center

When you choose Vein Care Center for your ambulatory phlebectomy procedure, you’ll receive treatment from Dr. Aggarwal, a board-certified physician with specialized training in venous disorders. 

Our approach focuses on delivering multiple benefits:

  • Immediate Visible Results: Unlike some treatments that require weeks to show improvement, phlebectomy provides immediate visible results as problematic veins are physically removed.
  • Minimally Invasive Technique: Small incisions mean minimal scarring, with most patients experiencing only tiny marks that fade over time.
  • Outpatient Procedure: The entire treatment is performed in our comfortable office, and no hospital stay is required.
  • Quick Recovery: Patients typically return to regular daily activities in 24-48 hours, making this an excellent option for busy individuals.
  • Permanent Solution: Once removed, treated veins cannot return, though new varicose veins may develop in other areas over time.
  • Comprehensive Care: Each procedure is part of a customized treatment plan that may include additional therapies for optimal vein health.

The Ambulatory Phlebectomy Process

Your journey to healthier veins begins with a comprehensive consultation at Vein Care Center. The process unfolds in several carefully planned stages:

01 /
Initial Consultation

During your first visit, we thoroughly evaluate your venous condition using advanced ultrasound technology to map vein structures. Our team reviews your medical history and previous treatments to ensure the safest approach. Each problematic vein is professionally assessed to confirm ambulatory phlebectomy is the appropriate treatment option and what outcomes you can reasonably expect.

02 /
Before the Procedure

Before your scheduled procedure, we provide detailed pre-treatment instructions to help you prepare. We recommend wearing comfortable, loose-fitting clothing on the day of your procedure and arranging for someone to drive you home afterward, though many patients feel comfortable driving themselves. The treatment area will be marked while you’re standing to identify the veins requiring removal accurately.

03 /
During the Procedure

On the day of your treatment, we begin by thoroughly cleansing and preparing the target area. Local anesthesia is administered to ensure your complete comfort throughout the procedure. Dr. Aggarwal alongside withher team makes tiny incisions (usually 1-3mm) along the marked veins. She carefully removes the damaged veins section by section through these small openings using specialized instruments. The entire procedure typically takes 30 minutes to an hour, depending on the number and size of the veins being treated.

04 /
After Treatment

Once the procedure is complete, the small incisions are closed with sterile adhesive strips or stitches. We apply compression bandages and compression stockings to minimize swelling and promote healing. You’ll receive detailed aftercare instructions before leaving our office. Most patients walk out of the procedure and can resume normal activities within 24-48 hours, though strenuous exercise should be avoided for 1-2 weeks.

Recovery and Results

Vew Results Now

Recovery from ambulatory phlebectomy is typically straightforward and comfortable. Most patients experience mild bruising and swelling in the treated areas for approximately one to two weeks following the procedure. Some tenderness or tightness is common but easily managed with over-the-counter pain relievers.

We recommend wearing prescribed compression stockings continuously for the first 48-72 hours and then during daytime hours for an additional 1-2 weeks. This compression therapy helps minimize swelling, improves circulation and supports optimal healing.

You’ll be encouraged to walk regularly during recovery to promote circulation, though strenuous activities should be limited initially. Most patients return to work and daily activities within 3-5 days , with a full return to exercise and more demanding physical activities within 1-2 weeks.

The results of ambulatory phlebectomy are both immediate and progressive. You’ll notice that the bulging veins are gone immediately, while any post-procedure swelling will continue improving over the following weeks. The final cosmetic result becomes fully apparent after about 4-6 weeks as all healing is completed. These results are permanent for the treated veins, though it’s important to note that new varicose veins may develop over time if underlying venous issues persist.

Before & After

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Is Ambulatory Phlebectomy Right for You?

Ambulatory phlebectomy is ideal for patients with more prominent, superficial varicose veins that are causing discomfort, pain or cosmetic concerns. During your consultation, Dr. Aggarwal will determine if ambulatory phlebectomy is appropriate for your specific condition or if another treatment option might be more beneficial. We often combine phlebectomy with other treatments like endovenous laser ablation or sclerotherapy for comprehensive vein care.

The best candidates are:

  • Individuals with large, bulging varicose veins visible beneath the skin
  • Patients who have already tried conservative management like compression therapy
  • Those looking for a permanent solution for problematic veins
  • Individuals with good overall health and realistic expectations
  • Patients seeking a minimally invasive alternative to traditional vein stripping

Why Choose Vein Care Center?

The choice of provider for ambulatory phlebectomy significantly impacts your results and experience. At Vein Care Center, Dr. Aggarwal’s extensive credentials and certifications in vascular diagnostics ensure you receive the highest standard of venous care. Our state-of-the-art treatment centers in Lima and Celina offer advanced technology and comfortable treatment environments.

Each patient receives a complete vein assessment and personalized treatment plan. We maintain a long history of successful procedures and satisfied patients through our commitment to excellence. Our entire team focuses on your comfort, safety and satisfaction throughout your treatment journey.

Dr. Aggarwal personally performs these  procedures, providing expert care from consultation through recovery. With thousands of successful vein procedures performed, our experience directly translates to better patient outcomes.

Get Beautiful Legs

Don’t let painful or unsightly varicose veins affect your comfort or confidence any longer. Experience the professional care and outstanding results available at Vein Care Center. Schedule your consultation today to discuss how ambulatory phlebectomy can help you achieve healthier, better-looking legs.

Schedule Your Vein Consultation

Take the first step toward vein health by booking your consultation at Vein Care Center. We serve Lima, Celina and the surrounding areas with expert vein care and outstanding results. Our team is ready to answer your questions and create a personalized treatment plan just for you.

Contact us at (419) 227-4472 or click below to book your appointment. Let Dr. Aggarwal and our expert team help you achieve healthier, more comfortable legs through safe and effective ambulatory phlebectomy.

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“Gwynne is the best! She knows her job and does a fantastic job! Reception area was great also.”

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“My nurse was outstanding and very helpful. Ultrasound tech was fabulous – considerate of my needs. No complaints.”

G. A.

“Very friendly, make you feel like they really care!”

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“Dr. Aggarwal and staff are great!”

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L. C.

Happy Legs, Happy Life

Professional Skin and Beauty Care at Our Aesthetic Treatment Center

Aesthetic Care Center, our specialized aesthetic treatment facility led by Dr. Aggarwal, combines advanced anti-aging technologies with personalized treatment plans to address your unique skin concerns. Our comprehensive suite of medical-grade aesthetic services includes the latest innovations in skin rejuvenation and body contouring, such as Botox, RF microneedling and truSculpt, all delivered with the same expertise and attention to detail that defines our vein care practice. Begin your transformation with a complimentary skin care screening, where we’ll create a customized plan to help you achieve your aesthetic goals.

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The Vein Care Center makes it easy to get started. Book your consultation today and explore treatment options designed to restore your health and comfort.

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