If varicose veins are keeping you from feeling your best, ambulatory phlebectomy may be the answer. This in-office procedure gently removes problematic surface veins through microincisions, restoring the natural appearance of your legs and improving circulation. Unlike outdated surgical vein stripping, this modern treatment requires no general anesthesia and allows for quick recovery.

At Living Water Vein Institute & Medical Spa in Johnson City and Abingdon, Dr. John Berry leads our team with advanced expertise in cardiovascular and venous medicine. Triple-certified and a Diplomate of the American Board of Venous & Lymphatic Medicine, Dr. Berry delivers precise, compassionate care in a welcoming, faith-inspired environment.
What Is Ambulatory Phlebectomy?
Ambulatory phlebectomy is a minimally invasive treatment used to remove surface-level varicose veins. The procedure is often combined with thermal ablation for comprehensive treatment of varicose veins. Tiny incisions are made near the affected veins, allowing the physician to extract them using a small hook-like instrument.
Because the incisions are so small, they typically require no stitches and leave minimal scarring. Local anesthesia and conscious sedation make the process comfortable, and patients can usually walk and go home the same day.
Benefits of Ambulatory Phlebectomy
This procedure provides both cosmetic and medical improvements, offering a safe solution for many vein-related concerns, including:
- Quick recovery: Most patients return to normal activities within 24 hours.
- A minimally invasive approach: Small incisions mean less discomfort and minimal scarring.
- Being performed in office: No need for a hospital stay or general anesthesia.
- Improved symptoms: Reduces pain, swelling, and heaviness in the legs.
- Better appearance: Removes bulging or rope-like veins for smoother skin.
With proper compression and aftercare, results are long-lasting and can significantly improve the quality of life.
What to Expect During and After Treatment
You’ll receive local anesthetic to numb the treatment area before tiny incisions are made next to the visible veins. Vein segments are carefully removed, and a compression wrap is placed on your leg after the procedure.
Patients are encouraged to walk immediately after treatment. While you’ll need to avoid strenuous activity for a few days, most daily routines can resume quickly. Compression stockings should be worn for several days to support healing and minimize swelling.
Why Choose Living Water Vein Institute for Ambulatory Phlebectomy in Johnson City?
Living Water Vein Institute is the Tri-Cities’ destination for personalized vein care. Here’s why patients trust us with their vein health:
- Triple-certified physician: Dr. John Berry is certified in cardiovascular medicine, vascular interpretation (RPVI), and venous and lymphatic medicine (DABVLM).
- In-house ultrasound and operating room: We perform diagnostics and treatment under one roof.
- Faith-based, patient-centered care: Our mission is rooted in compassion, integrity, and excellence.
- Convenient locations: Serving patients in both Johnson City, TN, and Abingdon, VA.
- Advanced vein treatment menu: We combine laser, phlebectomy, and sclerotherapy for comprehensive care.
Our team works closely with each patient to develop a personalized plan that meets your health goals and lifestyle.
Your Questions About Phlebectomy Answered
Most patients experience minimal discomfort. You may feel a slight prick when the anesthesia is administered, but the treated area will be numb during the procedure. Over-the-counter pain relief is usually sufficient afterward.
The incisions are so small that most patients notice little to no scarring within weeks. Unlike older techniques, this approach prioritizes aesthetics and recovery.
Patients typically resume walking on the same day and return to their daily routines within 1 to 2 days. Strenuous activities should be avoided for about one week.
Removed veins will not return. However, new veins may develop over time. Ongoing evaluations and lifestyle support can help prevent recurrence.
No. Our team performs ambulatory phlebectomy in our fully equipped office setting, ensuring comfort, safety, and continuity of care.
Reclaim Comfort and Confidence with Expert Vein Care
Are visible or painful veins affecting your comfort or confidence? Contact Living Water Vein Institute & Medical Spa in Johnson City at 423-631-0101 or Abingdon at 276-289-2720 to schedule your consultation and learn how ambulatory phlebectomy can help you feel like yourself again.