Ambulatory phlebectomy is a slightly more invasive procedure best for bulging varicose veins. The vein is removed with a tiny hook through a micro puncture under local anesthesia. The tiny incision can be closed with the use of an adhesive bandage like Steri-strip. Phlebectomy is not an appropriate treatment for spider veins.

These are especially good treatments because they are minimally invasive with little risk of scarring and post procedure infection. They are performed under a local anesthetic with often less than one hour of treatment time. There is rapid recovery with reduced post procedure pain and normal activities can be resumed almost immediately.