When it comes to varicose veins of all sizes, shapes, and colors and unsightly yet symptomatic surface veins, Dr. Juleff can perform a procedure called microphlebectomy to actually get rid of bothersome leg veins. The term “phlebectomy” means the removal of veins. Microphlebectomy, sometimes referred to as ambulatory phlebectomy, refers to the removal of the surface veins on a person’s legs. Unlike traditional vein stripping surgeries, microphlebectomy is an outpatient procedure performed by Dr. Juleff, our varicose vein treatment specialist in Hawaii, under local anesthetics.

The varicose veins that most people find unsightly and that often cause

The varicose veins that most people find unsightly and that often cause tenderness and discomfort are eliminated completely in this highly effective treatment. Microphlebectomy is frequently performed together with endovenous laser therapy or radiofrequency ablation treatments to ensure the best outcome.

During this procedure, Dr. Juleff maps or outlines the veins to be treated. Then, he applies a local anesthetic to make sure the patient is comfortable during the treatment. Finally, special hook shaped tools are used to actually remove the vein completely from the leg through tiny puncture or incision sites no more than 1 or 2 millimeters in length. Such small entry needs reduces the risk for infection, scarring, and healing time compared to open surgery for removing varicose veins.

Once the procedure is complete, the best vein doctors in Hawaii encourage patients to wear compression bandages or stockings for one week or longer in order to promote circulation in the lower body as it heals. Most people are typically able to walk right out the door and are usually able to go about normal activity in only a few short days. After this fast treatment and a quick recovery time patients are left with a happier, healthier circulatory system and better-looking legs and feet.


Leg Swelling

Radio Frequency Ablation

Varicose Veins

Facial and Body Rejuvenation

Spider Veins and Scierotherapy

Venous Insufficiency

Laser Hair Reduction

Tattoo Removal


Dr. Juleff and the Vein Clinics of Hawaii provide a wide arrange of services that include, but are not limited to:

          -Endovenous laser ablation
          -ClosureFast: Endovenous Radio-frequency ablation
          – VenaSeal: Endovenous Biologic Adhesive Closure
          – Clarivein: Endovenous Mechanico-Chemical Closure
          – Varithena: Endovenous Chemical Closure
          – Ambulatory Microphlebectomy
          – Ultrasound Guided Sclerotherapy
          – Cosmetic Sclerotherapy

For any questions or concerns regarding conditions and treatments, please feel free to contact our office to speak to a member of our friendly staff.