Microphlebectomy Microphlebectomy vein removal has been successfully used to treat varicose veins of all sizes in almost all parts of the body except for the saphenofemoral or saphenopopliteal junctions. During microphlebectomy, the targeted vein is gripped with a hook and gently pulled out through a tiny incision right above the vein. Stitches are not needed. Microphlebectomy is usually performed for removing the very superficial veins that remain after treating saphenous vein reflux with endovenous ablation techniques such a RF ablation. Microphlebectomy combined with sclerotherapy is also the treatment of choice for the veins that appear on your hands, side of face (temples) and forehead. Microphlebectomy has proven to be a simple, elegant, and safe vein treatment modality.