Used for the veins too large to treat with other methods, MicroPhlebectomy involves removal of the abnormal vein through small incisions in the skin, about the size of a ball-point pen, through which the vein is removed with a special instrument.  This is performed under local anesthesia, therefore the procedure is virtually painless.  There is minimal to no scarring with this technique.  Because the vein is removed in its entirety, the result is immediate, and recurrence unlikely.