Minimally invasive treatment

Microphlebectomy treatment in San Diego

Experience lasting relief from painful, bulging varicose veins with our advanced microphlebectomy procedure. Using tiny, needle-sized incisions, our specialists carefully remove diseased veins to improve both the comfort and appearance of your legs—all typically completed in under 45 minutes with minimal downtime.

Cynthia L
Juan C
400+ Google Reviews
Board-certified cardiologist
10,000+ procedures
Vein specialist
Microphlebectomy treatment for varicose veins
Same-day appointments available

OUR AFFILIATED INSTITUTIONS & CERTIFICATIONS

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UC San Diego School of Medicine Logo
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MicrophlebectomyTreatment Illustration
97%
Success rate
45 MIN
Procedure time
0 days
Downtime
About Microphlebectomy

What is Microphlebectomy treatment?

MicrophlebectomyTreatment Illustration
50%
Success rate
45 min
Procedure
0 days
Downtime
Microphlebectomy is a minimally invasive procedure used to physically remove large, bulging varicose veins through tiny, needle-sized openings in the skin. Unlike traditional vein surgery, this advanced technique typically requires no stitches and is designed to minimize scarring. Most patients are able to walk immediately after the procedure and return to their usual daily activities right away.
Don't wait to treat varicose veins
Left untreated, venous insufficiency can lead to skin changes, ulcers, and deep vein thrombosis. Early treatment yields the best outcomes.

Microphlebectomy treatment may be right for you if:

You have visible, bulging "rope-like" veins.
Your legs feel heavy, achy, or fatigued.
Compression stockings haven't provided relief.
You want a permanent, zero-downtime solution.
Take the first step

Free vein screening

Your free vein screening takes just 15 minutes and can change your life. Our vein specialists will create a personalized treatment plan.
Free — no obligation
Most insurance accepted
Same-day callbacks
Real patient results

See the difference Microphlebectomy makes

Varicose veins cause pain, heaviness, swelling, and progressive skin damage when left untreated. These results show what's possible with modern, minimally invasive treatment.
Varicose Vein in Leg
Before
Varicose Vein in Leg After Getting Treatment
After
Bulging Veins in Leg Before Treatment
Before
Bulging Veins in Leg After Treatment
After
Varicose Veins Before Treatment
Before
Varicose Veins After Treatment
After
Bulging Veins Before Treatment
Before
Bulging Veins After Treatment
After
Varicose Vein Leg Before Treatment
Before
Varicose Vein Leg After Treatment Vein
After
Varicose Veins on the Knee Before Treatment
Before
Varicose Veins on the Knee After Treatment
After
Varicose & Spider Veins Before Treatment
Before
Varicose & Spider Veins After Treatment
After
Varicose Veins In Legs Before Treatments
Before
Varicose Veins In Legs After Treatment
After
A Leg Varicose Veins Before Treatment Photo
Before
A Leg Without Varicose Veins After Treatment Photo
After
All before and after images are of actual iThriveVeins patients who have provided written consent. Individual results may vary. These photos are intended for educational purposes and do not constitute a warranty of results. A personalized treatment plan will be discussed during your free phone screening.
Your treatment journey

How Microphlebectomy treatment works

From first consultation to full recovery, here's exactly what to expect

Consultation & vein mapping

01

Before the procedure, we perform a detailed physical exam and a diagnostic ultrasound to map out your specific vein anatomy. This allows our specialists to identify the exact "feeder veins" causing the bulging, ensuring the most precise and effective treatment plan for your legs.

30 min consultation
Tip: Bring your insurance card and a list of current medications.

The procedure

02
After numbing the area with a local anesthetic, your specialist makes tiny, needle-sized openings over the target veins. Using specialized surgical hooks, the problematic veins are physically removed. Because the incisions are so small, no stitches are required, and the procedure is virtually painless.
45 min procedure

Walk out & resume life

03
Once the procedure is finished, we apply a small bandage and a compression stocking to the leg. You are encouraged to walk immediately after the treatment. Most patients return to their normal daily activities, including work, the very next day.
0 days downtime
Benefits

Benefits of Microphlebectomy treatment

Physically removing problematic veins provides immediate relief and long-term vascular health.

Immediate visual results

Since the bulging veins are physically removed during the procedure, you will see an immediate improvement in the appearance of your legs.

Minimally invasive & scarless

Using only needle-sized incisions, this technique requires no stitches and leaves no permanent scarring, ensuring a cosmetically superior outcome.

Rapid symptomatic relief

Patients often experience an instant reduction in the heaviness, aching, and throbbing caused by large varicose veins.

Zero downtime

The procedure is performed under local anesthetic and takes less than 45 minutes, allowing you to walk out and return to your daily activities immediately.
Don't let vein disease progress

Vein disease gets worse over time - Microphlebectomy may help

stage 1 is varicose and spider veins

Stage 1-2 · Spider & varicose veins

Easily treated — 97% success rate with minimally invasive procedures.
Best time to treat
skin discoloration on legs

Stage 3-4 · Swelling & skin changes

Treatable — may need multiple procedures. Longer recovery.
leg ulcers

Stage 5-6 · Ulcers & wound care

Complex — requires comprehensive wound care and vein treatment.
Treatable
Progressive
Irreversible
A free 15-minute screening can tell you exactly where you stand.
Insurance & payment

Insurance we accept

We accept most major insurance plans. Our team manages pre-authorization and benefits verification so you don't have to. Most medically necessary vein treatments are covered.
AARP
Aetna
Anthem Blue Cross
Blue Shield
Cigna
Community Health Group (CHG)
UHC
Health Net
Humana
Tricare Prime
MedPoint
Tricare for Life
+ more

By the numbers

Insurance acceptance rate
95%
Average out-of-pocket
0$
Pre-auth turnaround
Same day
Vein procedures
10,000+
Vein Treatments

Minimally invasive vein treatments

Most procedures take less than an hour with little to no downtime. Your specialist will recommend the best option for your specific condition.
Covered by most insurance
Same-day appointments available
Board-certified vein specialists
Frequently Asked Questions

Questions? We have answers

Everything you need to know about vein treatment options, insurance, and recovery.

Still have question?

Our patient care team is here to help you understand your options and guide you through the process.
Opening hours
Mon–Fri: 8am–5pm

The cost of a microphlebectomy can vary based on the severity of the varicose veins being treated and your specific insurance coverage. Since this procedure is typically performed to address symptomatic venous disease—such as pain, swelling, or changes in the skin—it is often covered by medical insurance. We offer a free vein screening to assess your needs, and we will provide a detailed cost estimate after verifying your insurance benefits.

Yes, in most cases, microphlebectomy is covered by major providers when it is medically necessary to alleviate symptoms such as leg pain or heaviness, or to prevent the progression of vein disease. Our team manages the entire pre-authorization process and verifies your benefits for you.

Recovery is almost instantaneous. We use tiny incisions that are the size of a needle and do not require stitches, resulting in no downtime. Most patients are encouraged to walk right after the 45-minute procedure and can return to work and light daily activities the following day.

Microphlebectomy has a 97% success rate for the permanent removal of visible, bulging varicose veins. By physically removing the problematic vein segments, the results are immediate and long-lasting, significantly reducing the risk of the same vein reappearing.

The procedure is nearly painless. We apply a local anesthetic to thoroughly numb the treatment area. While you may experience a slight pressure during the removal of the vein, most patients report minimal discomfort and do not need sedation or general anesthesia.

Minor side effects are temporary and can include slight bruising, localized swelling, or a “tugging” sensation in the treated area for a few days. These issues usually resolve quickly with the use of compression stockings and regular walking. Serious complications are very rare due to the minimally invasive nature of the procedure.

  • Before: You will have a diagnostic ultrasound to map your veins. There are no major dietary restrictions, though we recommend wearing comfortable clothing.
  • After: A small bandage and compression stocking will be applied. You will walk out of the clinic unassisted. You’ll notice an immediate visual improvement in the bulging of the veins and a rapid reduction in leg heaviness.
Our specialist

Top vein specialists in San Diego

Our team brings decades of experience from top institutions to ensure the highest standard of vein care.
Dr. Samir Damani vein doctor

Dr. Samir Damani

Board-certified cardiologist
Kyle Ruiz

Kyle Ruiz

Acute Care Nurse Practitioner
Liz Contreras

Liz Contreras

Assistant Practice Manager
Ambar Palomera

Ambar Palomera

Lead Clinical Medical Assistant
Breanne Williams

Breanne Williams

Customer Service Representative
Nany Figueroa

Nancy Figueroa

Clinical Medical Assistant
Kamryn Bell

Kamryn Bell

Operations - Sales & Systems
Stacie Cooper

Stacie Cooper

Benefit & Eligibility Representative
Board-certified cardiologist
Fellowship Trained
Top Rated Vein specialist

Why patients choose iThriveVeins

Board-certified cardiologist. Advanced technology. Genuine care.
La Jolla Clinic Patient Waiting RoomiThriveVeins Leg Vein Ultrasound Patient RoomNational City Clinic Patient Waiting Room

Modern facility

FDA-approved vein procedures with 97% success rate

Physician-performed procedures

Top rated vein doctors

Patient-centered care

Personalized plans with dedicated follow-up

$0 out-of-pocket for most patients

We handle pre-auth, verification, and billing
La Jolla Clinic Patient Waiting RoomiThriveVeins Leg Vein Ultrasound Patient RoomNational City Clinic Patient Waiting Room

Board-certified cardiologist

Dr. Samir Damani, FACS

Most insurance accepted

We verify benefits for free

Same-day appointments

Walk out the same day
PATIENT STORIES

Hear from our patients

5.0
400+ Google reviews
Viridiana
0:34

“My experience here at iThrive was really, really good. The staff here was great. I came in for some swelling that I was having, and I’m coming out without having any swelling at all.”

Viridiana

Swelling legs
RFA treatment
iThriveVeins Patient Testimonial
0:37

“I was feeling a lot of pain, a lot of redness on my legs, throbbing, heat, and they were heavy before, and now I just love the amazing results that I’ve had from all these treatments.”

Patient

Pain & Heavy Legs
RFA treatment
Anne
1:07

“I inherited varicose veins in my legs, which I began to struggle with in my 20s. I finally found Dr. Damani, who performed Varithena treatment and significantly improved my circulation.”

Anne

Varicose & spider veins
Varithena + Sclerotherapy
Monique
1:42

“My vein issue is much better now. There’s no heaviness in my leg anymore; it feels lighter and smaller. My legs get a bit tight in those areas, and it’s really an awesome experience.”

Monique

Heavy legs
RFA treatment
Debbie
0:24

“I had a couple of procedures where my veins were injected, and now the bulging is gone. I didn’t experience much heaviness in my legs, but I do feel like they are lighter now. I’m very happy with the results.”

Debbie

Bulging veins & heavy legs
Sclerotherapy + RFA treatment
Giuliano
1:31

“I experienced significant pain and swelling in my legs. It was becoming quite severe for me. Now, I feel unbelievable – it’s amazing! I have no pain and no swelling. I highly recommend iThriveVeins.”

Giuliano

Leg pain & swelling
RFA treatment
Viridiana
0:34

“My experience here at iThrive was really, really good. The staff here was great. I came in for some swelling that I was having, and I’m coming out without having any swelling at all.”

Viridiana

Swelling legs
RFA treatment
iThriveVeins Patient Testimonial
0:37

“I was feeling a lot of pain, a lot of redness on my legs, throbbing, heat, and they were heavy before, and now I just love the amazing results that I’ve had from all these treatments.”

Patient

Pain & Heavy Legs
RFA treatment
Anne
1:07

“I inherited varicose veins in my legs, which I began to struggle with in my 20s. I finally found Dr. Damani, who performed Varithena treatment and significantly improved my circulation.”

Anne

Varicose & spider veins
Varithena + Sclerotherapy
Monique
1:42

“My vein issue is much better now. There’s no heaviness in my leg anymore; it feels lighter and smaller. My legs get a bit tight in those areas, and it’s really an awesome experience.”

Monique

Heavy legs
RFA treatment
Debbie
0:24

“I had a couple of procedures where my veins were injected, and now the bulging is gone. I didn’t experience much heaviness in my legs, but I do feel like they are lighter now. I’m very happy with the results.”

Debbie

Bulging veins & heavy legs
Sclerotherapy + RFA treatment
Giuliano
1:31

“I experienced significant pain and swelling in my legs. It was becoming quite severe for me. Now, I feel unbelievable – it’s amazing! I have no pain and no swelling. I highly recommend iThriveVeins.”

Giuliano

Leg pain & swelling
RFA treatment
Lenzi
0:48

“I came here because I had a lot of pain in my legs and feet. Now, I feel much better—my legs are lighter and more comfortable. The staff is wonderful, and Dr. Damani is key to your health.”

Lenzi

Leg pain & fatigue
RFA treatment
Karen
1:10

“My legs used to swell and ache constantly, but after my procedures at iThriveVeins, I walked through Italy for two weeks pain-free! I’m so grateful to enjoy life again without any leg pain now.”

Karen

Leg swelling and pain
Microphlebectomy
Edgar
0:34

“I used to have severe pain in both the top and bottom of my legs, which made it very hard to sleep. After my procedure at iThriveVeins, I feel great and highly recommend them to everyone.”

Edgar

Leg pain
VenaSeal treatment
Ana
1:01

“My wife Ana experienced tired, cramping legs. After four treatments at iThriveVeins, her varicose veins have disappeared, and her inflammation has decreased. We highly recommend iThriveVeins.”

Ana

Varicose veins & leg cramps
Sclerotherapy + RFA treatment
Robert
0:39

“I dealt with painful swelling and varicose veins that even exploded. Since treatment, my legs look great, and the pain is gone. The staff is kind and made the entire process painless.”

Robert

Varicose veins & swelling legs
VenaSeal treatment
Natalie
0:46

“Before my vein procedures at iThriveVeins, my legs were constantly feeling heavy, tired, and in a lot of pain. After less than one month, there is no more pain or heaviness. The service was awesome!”

Natalie

Heavy & pain legs
Microphlebectomy
Denise
0:40

“Before my treatment, I suffered from heavy legs, fatigue, and a sensation of heat when climbing stairs. Now, my legs feel much lighter and better. I highly recommend iThriveVeins to everyone.”

Denise

Heavy legs & burning sensation
RFA treatment
Roseanne
1:18

“Before treatment at iThriveVeins, my legs felt heavy and swollen, with a burning sensation that kept me awake at night. Now, 99% of the pain is gone! The caring staff is truly amazing!”

Roseanne

Heavy legs & burning sensation
RFA treatment
Rebecca
0:33

“I had RFA treatment with Dr. Dhamani for restless leg syndrome and varicose veins. The results were almost instant—I no longer have throbbing in my legs. So happy with my care at iThriveVeins!”

Rebecca

Restless leg & varicose veins
RFA treatment
Claudia
0:48

“I had my first treatment at iThriveVeins, and I’m feeling so much better! No more pain! The staff is sweet and marvelous. It’s a wonderful place to get your pains fixed. Highly recommend it!”

Claudia

Leg pain
RFA treatment
Conrado
1:18

“I had leg pain, cramps, and varicose veins. Dr. Dammani performed surgery and provided excellent follow-up care. Now, I’m back to cycling and feeling much better! I highly recommend his great team.”

Conrado

Leg pain & varicose veins
VenaSeal treatment
Kate
0:30

“I just finished my final procedure with Dr. Damani. I was nervous, but his amazing team put me at ease. Don’t wait; the process is easy, and I finally have the amazing legs I’ve always wanted.”

Kate

Leg pain
Sclerotherapy
Google Review
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What our patients say on Google

5.0
400+ Google reviews
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I recently did vein treatment with the iThrive clinic and everything went really well. I was afraid to do it because of pain and recovery, but in reality the treatment was almost painless and recovery goes very well.

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I had a Varithena treatment recently and I’m very happy with the results. My veins look so much better and I no longer feel the heaviness and discomfort I used to have. The procedure was quick. I highly recommend it.

Valentina U
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My experience was great, everyone was so helpful and explained all that I needed to know about the procedure and what to expect. I’m so happy that I am finally able to get my veins taken care of. The staff are amazing.

Marcella Y
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The treatment went smooth and I immediately felt my legs lighter and improved. I recommend it also because everyone was professional and provided gentle care to my legs which I was very sensitive to touch.

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Excellent service, everyone who works here is very friendly, the procedures are quick and painless, they have helped me a lot to feel better about my legs, Dr. Kyle is very experienced in what he does.

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Went in for severe redness and swelling in both legs. After several varithema procedures my legs are much better. Dr. Damini was great and the staff was very efficient, helpful and friendly.

google logo stylized

I recently did vein treatment with the iThrive clinic and everything went really well. I was afraid to do it because of pain and recovery, but in reality the treatment was almost painless and recovery goes very well.

google logo stylized

I had a Varithena treatment recently and I’m very happy with the results. My veins look so much better and I no longer feel the heaviness and discomfort I used to have. The procedure was quick. I highly recommend it.

Valentina U
google logo stylized

My experience was great, everyone was so helpful and explained all that I needed to know about the procedure and what to expect. I’m so happy that I am finally able to get my veins taken care of. The staff are amazing.

Marcella Y
google logo stylized

The treatment went smooth and I immediately felt my legs lighter and improved. I recommend it also because everyone was professional and provided gentle care to my legs which I was very sensitive to touch.

google logo stylized

Excellent service, everyone who works here is very friendly, the procedures are quick and painless, they have helped me a lot to feel better about my legs, Dr. Kyle is very experienced in what he does.

google logo stylized

Went in for severe redness and swelling in both legs. After several varithema procedures my legs are much better. Dr. Damini was great and the staff was very efficient, helpful and friendly.

google logo stylized

My legs have improved so much . Very nice and lovely experience here. Beautiful office and staff. The doctor is so understanding. I am happy to have found this office to be honest.

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Everybody did a great job. I’m thankful for everybody’s help and assistance in this clinic. I saw major improvements in my legs. Highly recommend this place to anybody dealing with vein issues!

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The procedure not only will help the blood clotting but the Major Swelling and Edema also improved immediately, along with the heaviness in my legs that I’ve experienced while walking or even to wear a pair of jeans.

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I highly recommend ThriveVeins National City and Las Jollas. They provide excellent service. The doctor and nurses treated my legs, I no longer have any pain, and my veins have disappeared.

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My treatment was quick and painless, and I noticed an improvement right away. You can tell they truly care about their patients. I highly recommend to anyone seeking treatment!

Emmeline P
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I had a great experience here. My legs feel amazing. It helped me a lot to do the treatment and now my life is better . I highly recommend this to people looking for vein treatments and a trustworthy office to go to!

Milagros D
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Ithriveveins staff very professional didn’t wait much right away was taken care of. Did the procedure and a half an hour or less very kind staff love being there it was an experience.

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I had a very good service. The providers were great and the staff and medical team was friendly. Kyle was very good and helpful as well as doctor damani.I recommend the clinic if you need any vein treatments.

Louerdes T
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I really love the National City iThrive Vein location! Dr. Damani and the team are amazing-super friendly, attentive, and always make you feel comfortable. They explained everything clearly.

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I had an ablation on one leg and varithena treatments on both legs by Dr Damani. There was no pain nor any discomfort at all. My legs are not feeling the heaviness i had nor the cramping. Really glad i had it done.

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I came in for an appointment today to treat my varicose veins. The staff is knowledgeable and professional. And they take my insurance! I wish I had come in sooner!

Nellie’s M
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Absolutely thrilled with my procedure results at this clinic. The staff is attentive, professional and knowledgeable. Their facilities are beautiful and clean. Highly recommended.

Whispering D
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My experience at iThriveVeins National City and La Jolla was outstanding from start to finish. The quality of care was exceptional across every step of the process.

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Amazing staff that was very kind, discreet about my vein disease. This was the first time to learn about my conditions and Dr. Damani was incredibly gentle and kind when educating me on my condition.

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Staff was friendly and helpful. The office was clean and quiet. Dr. Kyle was caring, informative, and took his time explaining the results of the ultrasound and treatment options.

Take the first step toward vein health

Schedule a free vein screening with one of our board-certified vein specialists. Most patients see results in just one visit.
Free vein screening — no obligation
Most insurance plans accepted
Walk out the same day — no hospital stay
Prefer to call?
Cynthia L
Juan C
Over 10,000 vein procedures performed
Top-rated vein doctor
Same-day vein screens available

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