As stay-at-home restrictions end, we are thrilled to welcome you back to our office! We are doing everything possible to maintain the health and safety of each patient. If you would like to schedule or if you have any questions do not hesitate to give us a call. Thank you for your continued trust and support. To learn more about what changes we have implemented to accommodate new city and state regulations please CLICK HERE

Ambulatory Phlebectomy (AP)

Ambulatory Phlebectomy

When you have a varicose vein near the surface of the skin that is too large to treat with sclerotherapy and too small for laser ablation, at Vein Center Houston we use ambulatory phlebectomy to remove it. Also known as microphlebectomy or stab phlebectomy, this procedure is very effective at removing the vein, yet requires only minuscule incisions and minimal recovery.

What is Ambulatory Phlebectomy (AP)?

This procedure uses small, slit-like incisions in the skin to remove varicose and larger spider veins. This procedure takes the place of what was formerly known as vein stripping. Ambulatory phlebectomy is minimally invasive and doesn’t require sutures or general anesthesia.

Ideal Candidates for Ambulatory Phlebectomy

Teamwork and team spirit

The best candidates for this procedure have large varicose veins in their legs. In order to be treated, these veins must be both large and visible to the eye. Patients for this procedure will ideally be in good health, be of a healthy weight, and are non-smokers. You might not be a good candidate for ambulatory phlebectomy if you have a blood clotting disorder.

What Is The Varicose Vein Treatment Procedure?

This is an outpatient procedure at Vein Center Houston. The procedure takes from 45 to 60 minutes. Here’s what’s involved.Dr. Mario Kapusta begins the procedure by marking the targeted veins. Next, the treatment area is injected with a local anesthetic, ensuring there isn’t any discomfort during the procedure.

Dr. Kapusta then makes tiny incisions (smaller than the tip of a ballpoint pen, about 1mm) over the targeted vein. Through these incisions, he inserts a surgical hook to extract the damaged vein section by section. This may seem impossible, but because veins collapse, we can easily remove the pieces through these minimal holes. The incisions don’t require sutures, just small bandages. After your procedure, we apply compression bandages over the treated areas. You will wear these for one week to help minimize swelling and discomfort.

How to Prepare for Ambulatory Phlebectomy

During your pre-op consultations, Dr. Kapusta will provide you with instructions on how to prepare for this procedure. You may be asked to make changes to your regular medication schedule or rituals. On the day of your treatment, you will be asked to wear loose-fitting clothing.

Results Of Ambulatory Phlebectomy For Varicose Veins

Ambulatory Phlebectomy

Your minor incisions won’t require sutures; they will be barely visible in 6-12 months. You’ll have some swelling and bruising, and there can be mild skin pigmentation changes over the treated area, but this clears in a short time in most cases. Because your vein is removed, the visual issues and raised skin of your varicose vein will be gone. These results are permanent, although you can still develop other varicose veins.

What Our Patients Are Saying

“Dr. Kapusta and his team are truly the best! I’ve gone to him twice to get my ugly varicose veins fixed. It’s the best thing I ever did to give me my confidence back. Dr. Kapusta and his staff are so friendly and professional, and the best part is I have beautiful legs now!” – A.M.

“Thank you so much for working on my varicose veins. It has been six months since my procedures and I feel great and am extremely happy to be wearing shorts this summer. You all are very professional, courteous and proud of what you do for your patients. Thanks again! Sincerely, Erin S.”

To read more of our patient testimonials, click here!

Varicose Veins Treated With ELAS & Ambulatory Pheblectomy

Varicose Veins Treated With ELAS & Pheblectomy Before & After Houston TX

Click here to view more before and after photos for Vein Center Houston.

How is Recovery From Ambulatory Phlebectomy?

This procedure does not require a difficult recovery. Patients usually have some bruising, swelling, and minor discomfort in the treatment area. Diligent wearing of your compression bandages and then compression stockings can minimize these effects. You’ll wear these for one week. Over-the-counter pain medications are usually all that is necessary for any discomfort. Patients can walk and get back to normal activities immediately but should avoid exercise and heavy lifting for a couple of weeks. Patients can return to work the next day.

Are There Any Risks To Ambulatory Phlebectomy?

Ambulatory phlebectomy with Dr. Kapusta is a safe, effective procedure. There are some potential risks, but they are rare:

  • A nerve injury to the skin, though these usually resolve with time
  • Severe bleeding or swelling
  • Numbness or pain in the feet
  • Infection
  • Thrombophlebitis (inflammation causing a blood clot)

Schedule a Consultation

If you have medium to large varicose veins, Ambulatory Phlebectomy (AP) treatment can be a great option for you. To learn more about this treatment, call (713) 349-8346 to schedule a consultation at our practice, Vein Center Houston.

Contact Us

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11221 Katy Freeway Suite 115
Houston, TX 77079
West University
5585 Weslayan
St Houston, TX 77005
635 Medical Parkway
Brenham, TX 77833

The information on this website is for educational purposes only and does not constitute medical advice.

Vein Center Houston is proud to announce a merger with Texas Vein & Wellness Institute

To schedule an appointment or learn more please call us at 281-888-1464 or visit us at