Phlebectomy Specialist

Nellestein Vein Institute

Michael E. Nellestein, M.D.

Vein Specialist located in Saint Joseph, MO

Ambulatory phlebectomy, a surgical procedure, has a greater than 90% success rate in treating varicose veins, especially when used as part of a comprehensive treatment plan. At Nellestein Vein Institute, vein specialist, and surgeon, Dr. Michael Nellestein performs phlebectomies on men and women in Saint Joseph, Missouri, and the greater Northwest Missouri region, who suffer from superficial varicose veins. Call his office or use the online booking agent to set up a consultation and find out if you’re a good candidate for the phlebectomy procedure.

Phlebectomy Q & A

What is phlebectomy?

During phlebectomy, Dr. Nellestein uses a small scalpel to get rid of varicose veins that are just under the surface of the skin on your leg. These bulging veins are removed entirely, so you experience almost immediate results and relief of symptoms.

Dr. Nellestein makes a tiny puncture or incision through which he removes the collapsed veins. The procedure is minimally invasive and performed on an outpatient basis while you’re under local anesthesia and mild sedation.

Phlebectomy is usually part of a comprehensive vein treatment plan that includes endovenous ablation and sclerotherapy.


Does the procedure hurt, and how long does it take to recover?

Because you have a local anesthetic applied during the procedure, you feel little discomfort during the actual procedure. The incisions are so small that you won’t need stitches — only a light dressing to cover the incision sites.

Right after the procedure, Dr. Nellestein wraps your legs in snug compression bandages that you wear for several hours following. In the two to three weeks after phlebectomy, Dr. Nellestein instructs you to wear graduated compression stockings to maintain pressure on the veins and reduce pain. You can resume most activities about 24 hours following the treatment, but strenuous activity is limited for a couple of weeks.


What are the side effects of phlebectomy?

You’re a candidate for phlebectomy as long as you can walk on your own and wear compression stockings. The procedure is safe and quite successful, but you may experience a few minor side effects, including:

  • Temporary bruising and swelling
  • Skin numbness in the adjoining sensory nerves
  • Allergic reaction to the local anesthetic
  • Inflammation and mild redness


During the first 24 hours post treatment, your leg will likely drain fluid, and the dressing will become damp. This is perfectly normal. Applying mild heat, taking over-the-counter pain medications, and elevating your leg are ways to ease any discomfort in the immediate time following phlebectomy.

If you have bulging varicose veins near the surface of your skin, contact the office of Nellestein Vein Institute by phone or online for a consultation. Dr. Nellestein can put together a comprehensive treatment plan that includes phlebectomy to improve how your leg veins feel and look.