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Santa Ana, CA 92704
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629 Camino De Los Mares
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San Clemente, CA 92673
(949) 248-1900
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Ambulatory Phlebectomy

Ambulatory Phlebectomy Procedure Santa Ana & San Clemente

Ambulatory phlebectomy is a procedure that is performed by San Clemente cosmetic surgeon Dr. Tim Roham under local anesthesia in an outpatient setting. Dr. Roham is able to remove large, bulging veins from the legs through small needle punctures using special vein hooks. Before performing an ambulatory phlebotomy Dr. Roham does a thorough venous duplex ultrasound study to map the diseased varicose vein anatomy and its associated connections to see if other veins need to be treated by other methods such as Endovenous laser treatment (EVLT) or sclerotherapy. Ambulatory Phlebectomy may be performed as a single procedure or may be combined with EVLT and sclerotherapy to give the best result.

How is the procedure performed?

Once the patient is identified as a candidate for ambulatory Phlebectomy, the diseased vein is marked in the standing position and then patient is laid on the procedure table and remarked again. Next local tumescent anesthesia is injected using a small needle around the vein in order to create full anesthesia as well as shrink any blood vessels and prevent bleeding. Next the skin over the vein is pierced every 2-3 centimeters with a small needle and the vein is hooked and removed through the needle puncture. Since there are no incisions made on the skin there are is no stitching necessary and the needle puncture usually heal without any perceptible scars. After the treatment some bruising and swelling is common and compression stockings are worn for one week to help decrease a lot of these symptoms. After ambulatory Phlebectomy, Dr. Roham recommends all patients to return to normal daily activities and to walk at least 30 minutes continuous daily.


Dr. Tim Roham offers patients a diverse range of treatments to enhance their appearance and quality of life. He provides patients with advanced treatments for varicose veins, spider veins and other vein disorders. With more than 10 years of experience in cosmetic surgery, Dr. Roham has helped numerous liposuction and face lift patients. In addition, he provides non-surgical treatments such as Juvederm, laser skin resurfacing and Botox in Santa Ana.