Microphlebectomy: Will involve removing small varicose veins as a result of very small punctures during the pores and skin, typically without the need for stitches. Age: As we age, the valves within the veins weaken, resulting in inefficient blood movement, which may cause blood to pool in the veins. torehan https://sgvasculargrp.com/medical-condition/varicose-spider-veins/