Avulsions or Stab Phlebectomy

  • avulsions or stab phlebectomy effectively treats varicose veins
  • stab phlebectomy removes superficial varicose veins

Avulsions is the name of a technique which is normally carried out as a secondary treatment or combined with EVLA or occasionally foam sclerotherapy, to remove superficial varicose veins, but can also be the only part of an operation.

Avulsions treat the lumpy and unsightly veins which are more often than not caused by a faulty valve in the thigh or from within the pelvis.

Minimally Invasive

This procedure should not be confused with 'vein stripping' a traditional method of removing varicose veins which involved removing the entire greater saphenous vein. This was a painful surgical procedure which often left patients debilitated for weeks.

In contrast, avulsions are minimally invasive and involve very little pain. They target the varicose veins themselves, rather than the saphenous vein which is usually treated with radiofrequency ablation or EVLA.

Here at The Cooden Medical Group we use avulsions to improvement of the appearance of the legs and offer relief from pain, leg cramps, and fatigue that may be associated with lumpy varicose veins. This treatment may also prevention such disorders as thrombophlebitis.

Initial Consultation For Stab Phlebectomy

All our vein treatments require an initial, investigative consultation. We will perform a range of comprehensive diagnostic tests and scans, based on a foundation of Duplex Ultrasound Scanning, in preparation of any treatment plan. Here we will review your symptoms and exclude the likelihood of a deep vein thrombosis. Further to this, we can then create a unique treatment plan for you and accurately outline the type and cost of your procedure.

Arrange a consultation

Cooden Vein Clinics

Cooden Bexhill Clinic, East Sussex

Cooden Bexhill Clinic, East Sussex

The Cooden Medical Group is a specialist vein clinic in East Sussex offering pioneering vein treatments and medical procedures.

Visit Clinic

Canterbury Veins Clinic, Kent

Canterbury Veins Clinic, Kent

Our new medical facility located at All Health Matters in Canterbury to treat patients with varicose veins and other problem veins.

Visit Clinic

Cooden Medical of Harley Street

Cooden Medical of Harley Street

The Cooden Medical Group is a specialist vein clinic with a branch on Harley Street offering pioneering vein treatments, aesthetics and a wide range of orthopaedic and sports injuries diagnostic and therapeutic services.

Visit Clinic

  • How is an avulsion done?

    A tiny nick is made in the skin and the vein underneath is removed with a special hook until the vein snaps. Another hole is then made further along the vein and more is removed. They do not need to be stitched.

    Is the procedure painful?

    No, as we inject a local anaesthetic solution called tumescent anaesthesia into the skin overlying the lumpy veins which greatly reduces any pain you feel. Post operation, most patients report in experiencing mild discomfort only, which you can take painkiller for.

    What are the risks?

    There is a 10% risk of damage to the small nerves that supply feeling to the skin, as these can be cut or stretched when the varicose veins are removed. This may result in a patch of numbness and tingling, especially around the ankle. However, the affected area will shrink in time. Other risks, unique to each patient, will be discussed at the time of your consultation. Tiny thread veins can also result at the site of incision.

    What are the alternatives to avulsions?

    Apart from conventional avulsions, the veins can also be treated with foam sclerotherapy, however this is something that can be discussed with your specialist at your initial consultation.

  • Cost per session as a primary treatment: Unilateral - £600 / Bilateral - £1000
    Cost per session as a secondary treatment - £600

    Consultation & Venous Doppler Ultrasound: £200
  • Currently no photos are available

    View Gallery veins treatment gallery photos

Contact The Cooden Medical Group 01424 846190


  • "True excellence, would not hesitate to recommend. Thank you team, you are all wonderful."
  • "Always felt welcomed, always felt well informed, always felt taken care of. Thank you Dr Faris & Shannen!"
  • “I received a very high standard of care from initial consultation to after treatment. All staff were unfailingly polite and courteous and I would recommend the clinic unreservedly.”
  • “I was very satisfied with the treatment and Dr. Mo Faris carried out the procedure in a very efficient and professional way. I wouldn't hesitate to have any further problem carried out at your clinic.”
  • “Excellent reception welcome and procedure on my legs was very quick and painless. Thank you all. I would definitely recommend The Cooden Medical Group.”
  • "The clinic made my whole procedure as comfortable and relaxing as possible. Would certainly recommend Dr Faris and his team to my friends and family."
  • "Very professional, friendly staff with a good range of treatments on offer to make me look and feel better."