Norman Chideckel MD Vein Center

Welcome to the Vascular Surgery and Vein Center

Welcome to the Vascular Surgery and Vein Center, a comprehensive vascular practice providing state-of-the-art care to patients throughout the tri-state area. Under the direction of board-certified surgeon Dr. Norman Chideckel, we utilize our advanced skills and many years of experience to help patients achieve clear, beautiful and healthy legs.

With our convenient Manhattan location, Dr. Chideckel offers patients a wide range of services to treat varicose and spider veins, deep vein thrombosis, and other vascular conditions, including:

Dedicated to helping patients achieve their desired results through the most effective and minimally invasive treatments available, Dr. Chideckel and his staff take the time to talk with each individual patient and address any concerns or questions they may have before undergoing treatment. Your comfort and satisfaction are among our top priorities.

To learn more about the services provided by Dr. Chideckel, please contact us to schedule an appointment. We always welcome new patients and look forward to meeting you.

Vascular Surgery & Vein Center
108 East 96th Street
Front 1
New York, NY 10128
Call us today at 212-993-6133 to schedule an appointment.

We now offer Telemedicine sessions.  Please call us for more information or to schedule a Telemedicine appointment.

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Category Archives: Ambulatory Phlebectomy Procedure NYC for Varicose Veins

Ambulatory Phlebectomy

Ambulatory phlebectomy or microphlebectomy is a minimally invasive treatment to treat chronic venous insufficiency or various veins. Doctors recommend this treatment to people with severe varicose vein symptoms. In this post, you will find some basic information on ambulatory phlebectomy and how this treatment helps with varicose veins.

Ambulatory Phlebectomy Surgeon NYC

Ambulatory phlebectomy is a common treatment for varicose veins, especially when the bulging vein is at the skin’s surface. The vein surgeon removes the bulging vein from the body. Therefore, this procedure removes every symptom of the condition. Many people consider this treatment for cosmetic appearance.

On the other hand, radiofrequency ablation and endovenous laser ablation seals the veins instead of removing them. The body absorbs the vein over time. These methods are effective as well. But, the recovery process for cosmetic results is longer.

Why You Need Ambulatory Phlebectomy?

You can take ambulatory phlebectomy for painful and bulging varicose veins. Traditionally, you have to undergo surgery to remove varicose veins. But today, numerous less invasive treatment options are available that include a couple of tiny incisions. These are outpatient procedures with minimal recovery time and discomfort. You might undergo this procedure for:

  • Varicose veins
  • Superficial veins

What is the Ambulatory Phlebectomy Procedure?

A skilled doctor who specializes in vein health evaluates the venous condition and recommends an ambulatory phlebectomy. They share pre and post-treatment instructions. Furthermore, they check medical history and prescriptions.

Before the treatment, they inject local anesthesia to prevent pain during the process. However, you are conscious throughout the procedure. With the help of ultrasound, they will mark the vein with the marker. When the area around the vein is numb, they will make a tiny incision. Usually, the incisions are the size of the pencil lead. Then they will insert the instrument inside the incision and pull out the faulty vein. Some patients experience painless pull during the procedure. Now the doctor will remove the bulging vein and seal the cuts.

Since this is a non-invasive treatment, you will be able to work after the procedure. However, you shouldn’t put pressure on the legs for 24-48 hours. This means you should lift heavy weights during this time. Once the doctor puts a bandage on the incision, you can leave the clinic. The doctor will ask you to wear compression stockings to prevent blood clotting.

After the procedure, your body will redirect the blood circulation to healthy veins. If there are multiple bulging veins, you might visit the doctor multiple times. The duration between appointments depends on the recovery process. The complete procedure will take around 30 to 60 minutes. The duration depends on the severity of the veins. This is a safe treatment and requires less recovery time.

Number of Visits

Usually, the doctor will remove the varicose vein on a single visit. But, the visits depend on the severity and number of varicose veins. The doctor will repeat the process, in case the varicose veins reappear. The bulgy vein might reappear if you don’t wear compression stockings.

After the treatment, you should follow a specific diet and increase your daily exercise duration. Also, keep your legs elevated, whenever you sit and wear compression stockings or socks.

Ambulatory Phlebectomy Veins

Are You a Perfect Candidate for Ambulatory Phlebectomy?

If you have varicose veins, this treatment process is suitable for you. Furthermore, if traditional vein reduction or vein stripping treatments are ineffective, the doctor will recommend ambulatory phlebectomy. The ideal candidate for this treatment includes people suffering from a venous condition. Also, the procedure is suitable for every age group. Also, when you will visit the healthcare provider, they will evaluate your condition. They will recommend the treatment process only if you are healthy.

Other Treatment Options

Keep in mind that ambulatory phlebectomy isn’t the only treatment option. There are numerous other advanced procedures such as radiofrequency ablation therapy, sclerotherapy, or laser treatments. The doctor will recommend effective treatment after complete analysis. For mild varicose conditions, the doctor will recommend a non-invasive treatment plan. If you want to choose the right technique for varicose veins, you should schedule an appointment with the doctor.

Ambulatory Phlebectomy: Conclusion

Do you feel shy about the appearance of your legs? Do you notice bulging veins on your legs? If yes, then you could visit a vein specialist in New York to treat the appearance of these veins. The Vascular Surgery and Vein Center remove varicose veins from legs and can improve your overall body confidence. You don’t have to feel insecure when you wear your favorite dresses, shorts, and skirts!

Want to consult one of the best vein specialists in New York? You should contact Dr. Norman Chideckel and make an appointment right now. Simply contact us at 212-993-6133 and enhance your leg’s natural beauty. At the Vascular Surgery and Vein Center, we perform many non-invasive treatments to eliminate faulty and unsightly veins.

Vascular Surgery & Vein Center
108 East 96th Street
Front 1
New York, NY 10128

When is Ambulatory Phlebectomy The Best Option To Treat Veins?

What is ambulatory phlebectomy and when is it the best option to treat veins? When you develop bulging veins in your feet or other parts of the body, a vascular surgeon may suggest an ambulatory phlebectomy to remove the vein. This procedure is not invasive, and the surgeon will perform it in their office. In this treatment, you do not have to worry about recovery time and general anesthesia because of its non-invasive nature. As the surgeon will only make tiny cuts in the area, they will inject local anesthesia. They will use a hook-type instrument to hold the damaged vein and pull it out.

Ambulatory Phlebectomy The Best Option To Treat Veins

Your vascular surgeon might also recommend surgeries such as sclerotherapy or endovenous laser ablation. However, these alternatives will take a lot of time in contrast to ambulatory phlebectomy for vein removal. You do not have to wait for tissues to absorb the vein or undergo surgery numerous times for the best results. In this technique, the surgeon will immediately remove the problematic veins from your body.

Diagnosis of Ambulatory Phlebectomy

On your first visit to the surgeon, they will diagnose your condition by tracing the veins with their fingers. They will check the depth of the veins and if there is blood clotting or not. After that, they will identify the main reason behind the venous disorder. For an accurate diagnosis, a vascular surgeon uses an ultrasound machine to visualize the varicose veins.

Procedure for Ambulatory Phlebectomy

As the procedure does not require emergency rooms, the surgeon can perform the treatment in their office. Though in severe conditions, they might admit you before your procedure and diagnose the conditions and complications. You can ask the surgeon if they will admit you or perform the surgery in their office.

The surgeon will start by injecting local anesthesia around the varicose vein so you won’t feel any pain during incisions. You might feel a brief burn or sting in the area. As you won’t feel the pain during the procedure due to numbness, you will be awake the entire time.

After injecting anesthesia into your skin, the surgeon will clean the skin above varicose veins. Then, they will make small incisions, tracing the vein. After making incisions, they will remove the vein by pulling it out of the cut. To grab the damaged vein, they will use a hook-shaped tool. The surgery will last between 30 minutes and one hour.

Common Facts about Ambulatory Phlebectomy

Ambulatory phlebectomy is the first-choice treatment for many people who want to eliminate varicose veins and avoid further complications. Below, you will find some facts about ambulatory phlebectomy that you should know before undergoing the procedure:

1.    Perfect for Varicose Veins

Ambulatory phlebectomy is the ideal treatment for bulging varicose veins. When the vein is close to the skin, it’s easier for the surgeon to remove the vein completely while performing the procedure. This way, you do not have to make frequent visits.

2.    Minimally Invasive

In this procedure, the surgeon will only cut three mm on your skin, making this treatment minimally invasive. Moreover, you will receive local anesthesia before the procedure, so you won’t feel any pain. Most of the time, the surgeon performs the procedure in their office.

3.    Quick Recovery

You can immediately go home after the procedure. Although you may experience some pain afterward, the doctor will prescribe painkillers to cope with it. Bruises and swelling around the area are also post-procedure symptoms. Your surgeon will suggest compression stockings to help with the recovery process. In most conditions, patients can return to their regular activities after the surgery.

4.    Fewer Complications

Similar to any other surgical procedure, ambulatory phlebectomy also includes few risks. Although these complications do not carry many risks, you might develop an allergic reaction due to local anesthesia. At the same time, there are risks for developing an infection, bruising, or inflammation. That is why you need to consult with an experienced and professional vascular surgeon. If you experience complications after the treatment, consult with a doctor immediately.

Ambulatory Phlebectomy Treat Veins

5.    Different Treatment Options

Clearly, ambulatory phlebectomy is a popular treatment, but other options for removing the abnormal veins are available as well. Your surgeon might also recommend sclerotherapy, endovenous laser treatment, or transdermal laser treatment. Before deciding upon a suitable treatment process, the surgeon will perform a diagnosis and find the best treatment option.

It is likely that your doctor may suggest conservative treatments that you can perform at home. These treatments include compression stockings, leg elevation, and weight loss. However, these are only for when your condition is not as severe.

What is Ambulatory Phlebectomy: Conclusion

Dr. Norman Chideckel has many years of experience performing ambulatory phlebectomy to treat veins. You can visit him and his team at the Vascular Surgery and Vein Center for a consultation in New York City. Contact us to set-up an appointment for your venous condition. Our clinic’s expert surgeons will observe the severity of the damaged vein and recommend the best treatment.

Vascular Surgery & Vein Center
108 East 96th Street
Front 1
New York, NY 10128

What Is The Ambulatory Phlebectomy Procedure?

Ambulatory Phlebectomy procedure NYC

Dermatologic surgeons developed ambulatory phlebectomy, which is an outpatient procedure to remove external veins through small incisions in your skin.

Doctors prefer ambulatory phlebectomy because it is an excellent choice for treating both asymptomatic and superficial veins from the surface of your skin. Dermatologic surgeons usually perform this surgery on larger veins that swell and appear above the surface of your skin and varicose veins. They rarely use this method on small veins.

Your doctor will usually combine Ambulatory phlebectomy with other therapies for the treatment of venous disease. They will not recommend this procedure to the patients who cannot walk on their own or put on compression stockings.

Ambulatory phlebectomy works greatly as a treatment for varicose veins. Surgeons often combine two procedures, such as microphlebectomy and stab avulsion, with ambulatory phlebectomy to treat your veins.

Varicose Veins Treatment Is Important for Your Health

Varicose veins indicate the presence of vein disease, the cause of varicose veins is often chronic venous insufficiency. In this condition, your veins will no longer return all of your blood to your heart. As the blood gathers in your veins, it will cause them to swell. As a result, they will appear tangled and stuffed under your skin.

Varicose veins are not just unattractive, but they can also make your legs swell and ache, and increase your risk of having an unhealthy blood clot. Your family and friends might recommend you several home remedies for varicose veins. Some of them advise you to apply ice packs on your legs. These home remedies can help reduce swelling and pain.

Moreover, if you are carrying extra weight, start losing some pounds by exercising more often and avoid standing or sitting in a stationary position for too long. Such simple steps can help you get rid of varicose veins. Please keep in mind that the therapies stated above are useful in severe cases of varicose veins. You must consult your current condition with your doctor and follow his/her advice.

The Procedure of Ambulatory Phlebectomy

The ambulatory phlebectomy procedure is famous for removing external varicose veins. Surgeons take small scalpel to make small 2-3mm (millimeter) incisions over these veins; they “tease out” the vein with fine forceps. The scars from these incisions are hardly noticeable because of their small size. Surgeons close the skin incisions with a steri stripe bandage. For the best cosmetic outcome, they limit the number of incisions to the larger veins. Sometimes, sclerotherapy will be compulsory as a follow up after the healing of wounds. They use a compressive bandage after completing the procedure to wrap the leg.

Dermatologic surgeons perform the ambulatory phlebectomy procedure by using local anesthesia and intravenous sedation in the operating room as an outpatient surgery. You are not allowed to travel by airplane for two weeks after the procedure.

Ambulatory Phlebectomy Surgery NYC

Potential Complications of Ambulatory Phlebectomy

After the ambulatory phlebectomy procedure, you might witness some complications. Hence, it is important to identify them and consult your doctor as soon as possible. The following are the complications you might face after the treatment;

  • Temporary swelling and bruising
  • Small segments of the vein that stays in your skin can cause inflammation
  • Allergic reaction to local anesthesia

What Can You Expect After the Ambulatory Phlebectomy Procedure?

You can walk immediately after the surgery and continue your life with your regular routine. Your dermatologist will advise you to wear modified compression stockings. It is normal to have temporary swelling and bruising in your treatment area.

For almost a week after your ambulatory phlebectomy procedure, you need to stay away from strenuous physical activity and heavy lifting to avoid putting too much pressure on the treatment area. Also, keep yourself away from hot tubs and hot baths during this time to allow the incision area to heal entirely and avoid infection.

What Should You Do Before Ambulatory Phlebectomy?

Before the treatment, an ASDS (American Society of Dermatologic Surgery) dermatologist will usually evaluate your medical history and conduct your physical examination. However, this is the time for you and your doctor to discuss all possible outcomes, potential risks, and expectations from the procedure. Moreover, your doctor will review factors, such as:

  • Are varicose veins the problem? Is the condition connected with other veins that might require treatment first?
  • Are there any blood clots on the surface or deep veins that you need to be treated first?
  • Do you only need ambulatory phlebectomy, or you require other procedures in addition to ambulatory phlebectomy?

Top NYC Vascular Surgeon Dr. Norman Chideckel

If you are looking for an excellent vascular surgeon, Norman Chideckel, MD can help you. With the most advanced technology and methods, he treats his patients attentively. You can visit our office for consultation, or book an appointment by calling us at 212-993-6133.

What Is Ambulatory Phlebectomy?

what-is-ambulatory-phlebectomy-01Vein removal is a type of dermatology procedure which individuals with visually unpleasant veins often seek out in an attempt to obtain clear, vein-free skin. This type of treatment comes in a variety of forms and there are many options available these days which the patient can choose from in order to remedy their varicose vein problems. One type of vein removal treatment method is an ambulatory phlebectomy. So, what is ambulatory phlebectomy and can this work for you?

Details Surrounding the Ambulatory Phlebectomy

An ambulatory phlebectomy is sometimes recommended as the proper procedure for treating varicose veins. This type of procedure works to remove superficial veins by way of small incisions in the skin. The outpatient procedure involves your doctor making tiny skin punctures and removing the veins via this method. The parts of your skin being treated will be numbed prior to the procedure taking place and scarring will be minimal post-procedure.

Do You Need an Ambulatory Phlebectomy?


When deciding if you need ambulatory phlebectomy to treat your vein issues, you should consult your doctor in the beginning of the decision making process to see if your medical professional recommends this type of treatment to fix your varicose vein problem. If you are interested in removing visible veins from your skin, ambulatory phlebectomy is one way to go about doing so. With that said, there are also a wide array of other vein removal procedures which can be completed to accomplish similar results, including the VeinGogh procedure, laser treatments, and sclerotherapy, to name a few options. If you are considering a vein removal procedure, ask about the ambulatory phlebectomy and see if this might be an option for you and your individual vein issues.

Is the Ambulatory Phlebectomy the Right Way to Treat Your Vein Issues?

The best way to know if an ambulatory phlebectomy is the proper way to treat your specific vein issue is by consulting your doctor. A reputable medical professional will diagnose your issue and then discuss possible treatment methods for you to consider. With the help of your doctor, you can consider each option carefully and decide which procedure to pursue. The ambulatory phlebectomy may be the proper procedure to obtain or perhaps another vein removal method may be more in keeping with the desired treatment plan.

Dr. Norman Chideckel Can Help with Your Vein Removal Needs

ambulatory-phlebectomy-procedure-specialist-nyc-03Are you ready to start looking into vein removal options, such as the ambulatory phlebectomy? Dr. Norman Chideckel in New York City can help you with all of your vein removal needs. When you schedule a consultation with Dr. Norman Chideckel, this best vein doctor NYC will diagnose your vein-related medical issues, offer up potential treatment options, and help you find a treatment plan which is in keeping with your desired goals and comfort level.

Dr. Chideckel is highly trained in treating varicose veins of a wide array and will help you to explore the many options available to you as they relate to vein removal. Some of the treatment options which offers include ambulatory phlebectomy, sclerotherapy, VeinGogh, venous ultrasound, and endovenous laser ablation. Dr. Chideckel will properly evaluate your condition and show you the various treatment options which exist.

Contact Dr. Norman Chideckel of the Vascular Surgery and Vein Center in New York City today and schedule an appointment to discuss your individual vein removal needs.


Ambulatory Phlebectomy Procedure NYC for Varicose Veins

Ambulatory Phlebectomy

best-ambulatory-phlebectomy-doctor-specialist-nyc-01While some patients seek treatment of varicose veins for cosmetic purposes, others are more concerned about the risks of their damaged veins. Ambulatory phlebectomy is used to relieve both cosmetic and medical concerns during in one simple procedure.  The ambulatory phlebectomy treatment is a safe outpatient procedure and usually takes under an hour to perform. Ambulatory Phlebectomy involves fewer risks than the traditional surgical procedures and much less pain.

Is This Procedure For Me?

Veins that have gone untreated can become painful, discolored, and swollen. When the vein weakens, it can affect the blood flow from the legs back to the heart to be recirculated. An ambulatory phlebectomy is best for swollen, varicose veins that are closer to the surface of the skin.

How is an Ambulatory Phlebectomy Done?

ambulatory-phlebectomy-varicose-info-02During this procedure your doctor will remove superficial veins through tiny, slit-like incisions through the skin of the affected area. Because the damaged vein is removed completely during this procedure, all of the symptoms you currently had from the vein are eliminated instantly.

To insure the health of the surrounding tissue and veins, your doctor will first identify the specific veins that need to be treated. Anesthetic will be injected into the skin to numb the area before the procedure. The numbing effect also reduces any discomfort that would be experienced during the procedure. A tiny incision is made in the area of the targeted vein and the vein is removed with a surgical instrument. Because our veins are very collapsible, even the larger veins can be effortlessly removed using this technique. The incision is so tiny that patients rarely have to have stitches to close the area. After the vein is removed and the incision most likely closed with a small piece of adhesive surgical tape, the doctor may want you to wear compression bandages for a little while after surgery to minimize discomfort or swelling from the surgery.

What Happens After the Vein is Removed?

best-ambulatory-phlebectomy-recovery-info-nyc-03After the damaged veins have been removed the blood is redirected to other healthy veins to restart a regular blood flow.  Losing the damaged veins will not harm blood flow because the veins were blocked from healthy flow.

Some bruising and swelling is normal after an ambulatory phlebectomy. These temporary symptoms can be reduced with compression stockings and over-the-counter, non-aspirin, medications.  Immediately after the procedure is completed, you will be able to proceed with normal activities. Patients usually return to work the following day.

The incisions point will heal on its own and be barely visible after 6 – 12 months. Ambulatory phlebectomy results are permanent for most patients, though it is always possible for new varicose veins to progress, especially if they are hereditary.

If you are interested in learning more about ambulatory phlebectomy or any of your other treatment options, contact us today to schedule an appointment with Dr. Norman Chideckel for treatment of your varicose veins.