Large varicosities are often improved by eliminating venous reflux through the endovenous ablation procedure. In some cases, if the regression of varicose veins is not satisfactory, the veins can be removed using micro stab phlebectomy.
In this procedure, small 2-3 mm incisions are made and the veins are pulled out through these small incisions. Because the incisions are so small, there is very little pain after this procedure.