A consultation at the private dermatology practice of Dr. Dötterer-Rieg. The rooms are bright, and two people are sitting in the dermatology consultation room. A doctor is advising a patient on the topic of venous disorders and phlebology.

Surgical removal of varicose veins

Removal of small side branches (miniphlebectomies)

If small, dilated side branches are present, they can be removed using miniphlebectomy. The veins are removed through small incisions, similar to using a crochet hook. At our clinic, miniphlebectomy is performed on an outpatient basis under local anesthesia. Through tiny, barely visible incisions, a special hook is used to pull the varicose vein out of the subcutaneous fat tissue. The vein tears under the skin. With another incision, a new access point to the subcutaneous fat tissue is created at a different location, and the next section of the vein is removed. The varicose vein is then pulled out. This process is repeated until the side branch has been completely removed.

Postoperative pain is rare; after major procedures, we usually prescribe a mild pain reliever for a few days. We will change your dressing for the first time the day after the procedure. After that, you should put your compression stockings back on, and wear them for three weeks. It is advisable to avoid strenuous physical activity during this time. Moderate and regular exercise is recommended to help prevent thrombosis.

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