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If the vein is very bulgy above the skin the best way to treat it is to remove it all together. Often this vein will be treated with UGS first to make is smaller and easier to remove. A very fine incision is made along the vein and it fished out with a little hook.
These incisions usually do not require stitching and are almost impossible to see once healed. Using Phlebectomy in conjunction with UGS leads to a better cosmetic result as there is no vein left under the skin to cause the bruised like condition called ‘pigmentation’.