Ambulatory Phlebectomy is a procedure that is performed by the top Orange County vein removal specialist and cosmetic surgeon Dr. Tim Roham under local anesthesia in an outpatient setting. Dr. Roham is able to remove large, bulging veins from the legs through small needle punctures using special vein hooks. Before performing Phlebectomy, Dr. Roham does a thorough venous duplex ultrasound study to map the diseased varicose vein anatomy and its associated connections to see if other veins need to be treated by other methods such as Endovenous Laser Treatment (EVLT) or Sclerotherapy. Phlebectomy may be performed as a single procedure or may be combined with EVLT and Sclerotherapy to achieve the best result.
Once the patient is identified as a candidate for Phlebectomy, the diseased vein is marked in the standing position and then patient is laid on the procedure table and remarked again. Next, local tumescent anesthesia is injected using a small needle around the vein in order to create full anesthesia as well as shrink any blood vessels to prevent bleeding. Next, the skin over the vein is pierced every 2-3 centimeters with a small needle and the vein is hooked and removed through the needle puncture.
There is no stitching necessary since there are no incisions made on the skin, and the needle punctures usually heal without any perceptible scars. Some bruising and swelling is common after the treatment and compression stockings are worn for one week to help decrease these symptoms. After Phlebectomy, Dr. Roham recommends all patients to return to normal daily activities and to walk at least 30 minutes continuous daily.
Dr. Tim Roham offers patients a diverse range of treatments to enhance their appearance and quality of life. He provides patients with advanced treatments for varicose veins, spider veins and other vein disorders. Patients from all over Southern California come to our practice for vein removal treatments. With more than 15 years of experience in cosmetic surgery, Dr. Roham, an experienced Orange County vein treatment specialist, has helped hundreds of patients.
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