Is an ambulatory phlebectomy the best option for a 25-year-old with varicose veins?

I'm 25 and have had varicose veins since I was 17. I have started to get more noticeable varicose veins with more discomfort. I used to be a runner, but now I fatigue quite easily. What options could I look at to help me minimize them or get rid of them?

Answers from doctors (8)


More About Doctor Vein Specialists

Published on Jun 28, 2018

I would recommend a formal venous insufficiency evaluation including consultation with a trained vein specialist and a detailed venous insufficiency ultrasound. It's very likely there is a superficial vein with leaking valves connected to the varicose vein, causing it to enlarge and the leg in general to feel fatigued. There are excellent, modern techniques available to treat the underlying problem. Proactive therapy is the key to effective venous evaluation and management. Learn more at weknowveins.com.

Answered by Vein Specialists (View Profile)

I would recommend a formal venous insufficiency evaluation including consultation with a trained vein specialist and a detailed venous insufficiency ultrasound. It's very likely there is a superficial vein with leaking valves connected to the varicose vein, causing it to enlarge and the leg in general to feel fatigued. There are excellent, modern techniques available to treat the underlying problem. Proactive therapy is the key to effective venous evaluation and management. Learn more at weknowveins.com.

Published on Jul 11, 2012


Vanish Vein and Laser Center

Published on Jun 28, 2018

Varicose veins are usually due to malfunctioning valves (reflux) of the saphenous system of veins. The gold standard to treat varicose veins is to first identify the source of the reflux and close the leaking valves. Following this, the varicose veins can be treated by either microphlebectomies or sclerotherapy. Ambulatory phlebectomy alone is not the standard treatment for varicose veins.

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Answered by Vanish Vein and Laser Center

Varicose veins are usually due to malfunctioning valves (reflux) of the saphenous system of veins. The gold standard to treat varicose veins is to first identify the source of the reflux and close the leaking valves. Following this, the varicose veins can be treated by either microphlebectomies or sclerotherapy. Ambulatory phlebectomy alone is not the standard treatment for varicose veins.

Published on Jul 11, 2012


Vein Treatment and Aesthetic Center

Published on Dec 20, 2012

You should see a vein specialist, and he will be able to answer your questions after an examination. Basically, a large varicose vein is best treated with an endovenous laser ablation treatment. After eradicating the vein, your endurance may improve.

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Answered by Vein Treatment and Aesthetic Center

You should see a vein specialist, and he will be able to answer your questions after an examination. Basically, a large varicose vein is best treated with an endovenous laser ablation treatment. After eradicating the vein, your endurance may improve.

Published on Jul 11, 2012


The Vein Treatment Center

Published on Nov 02, 2012

It depends on what type of varicose veins you have. Mini-phlebectomy is certainly one way of treating varicose veins. A mini-phlebectomy is a type of varicose vein surgery, although, will not take care of the main junctions that cause the varicose veins to begin with. You may need a combination of treatments like an EVLA (endovenous laser ablation) with the mini-phlebectomy depending on what type of varicose veins you may have. You need to be properly evaluated by apPhlebologist to give you the best options that are available to you.

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Answered by The Vein Treatment Center

It depends on what type of varicose veins you have. Mini-phlebectomy is certainly one way of treating varicose veins. A mini-phlebectomy is a type of varicose vein surgery, although, will not take care of the main junctions that cause the varicose veins to begin with. You may need a combination of treatments like an EVLA (endovenous laser ablation) with the mini-phlebectomy depending on what type of varicose veins you may have. You need to be properly evaluated by apPhlebologist to give you the best options that are available to you.

Published on Jul 11, 2012


Advanced Vein Center

Published on Oct 16, 2012

Phlebectomy may be the best option, but you should first get an ultrasound exam to check out the veins you can't see.

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Answered by Advanced Vein Center

Phlebectomy may be the best option, but you should first get an ultrasound exam to check out the veins you can't see.

Published on Jul 11, 2012


Intermountain Vein Center

Published on Oct 15, 2012

Having an ultrasound to determine if you have reflux in your saphenous veins would be the first step. Second step, treatment would be necessary in order to have those varicose veins go away. Usually vein ablation is used for those saphenous veins, and if those bulging veins are not treated from getting rid of the potential source, then, phlebectomy would be necessary.

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Answered by Intermountain Vein Center

Having an ultrasound to determine if you have reflux in your saphenous veins would be the first step. Second step, treatment would be necessary in order to have those varicose veins go away. Usually vein ablation is used for those saphenous veins, and if those bulging veins are not treated from getting rid of the potential source, then, phlebectomy would be necessary.

Published on Jul 11, 2012


Arizona Vein Specialists

Published on Oct 10, 2012

Over the past 16 years treating veins, I have found ambulatory phlebectomy to deliver the best cosmetic results. Your vein specialist will perform ultrasound to exclude saphenous vein incompetence, which will require treatment first, if present.

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Answered by Arizona Vein Specialists

Over the past 16 years treating veins, I have found ambulatory phlebectomy to deliver the best cosmetic results. Your vein specialist will perform ultrasound to exclude saphenous vein incompetence, which will require treatment first, if present.

Published on Jul 11, 2012


Cosmetic Vein Centers of Texas

Published on Oct 10, 2012

You would need a venous ultrasound study first to find out why you have
developed varicose veins.

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Answered by Cosmetic Vein Centers of Texas

You would need a venous ultrasound study first to find out why you have
developed varicose veins.

Published on Jul 11, 2012


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