Laser Ablation

Covered by medical insurance
FDA approved
Replaced surgical stripping as the standard of treatment for varicose veins
Non-surgical treatment
Only local anesthesia
No sutures
Zero downtime

Endovenous Laser Ablation (EVLT)

Endovenous laser ablation (EVLA), also known as Endovenous laser therapy (EVLT), is a minimally invasive procedure used to correct the underlying vein disease.  Venous reflux disease is the underlying pathology that causes varicose veins, and tired, heavy, achy legs. The procedure is done directly in the office under local anesthesia. Utilizing ultrasound guidance, a laser fiber is inserted into the problematic vein through a tiny incision in the skin. Laser energy is delivered directly into the vein to close it permanently. The procedure takes under one hour, and patients can drive on their own after the procedure.

Once the procedure is complete, the blood is automatically re-directed to healthy veins. Leg circulation actually improves immediately after the procedure! Walking is encouraged following the procedure, and most activities can be resumed in a few days.  There is no need for any pain medications post procedure. EVLT is highly effective in the treatment of venous reflux, with long-term success rates proven superior to surgical stripping.


EVLT and Radiofrequency Ablation have replaced surgical stripping as the standards of treatment for varicose veins



Pros and Cons

Here are some of the key pros & cons of EVLT treatment


  • HIghly effective for long term cure
  • Minimally-invasive
  • Non-surgical technique with no scars
  • Resume daily activities immediately


  • Slightly more discomfort relative to radiofrequency ablation
  • Best avoided in areas close to nerves or skin

Frequently Asked Questions

Is the procedure considered cosmetic?

Insurance coverage will depend on the symptoms and findings of your ultrasound. Our talented team will make certain to submit all the necessary information on your behalf for prior authorizations.

Does the procedure take long?

The treatment sessions are under 1 hour and patients can resume most normal activities immediately after.

Is the endovenous laser the same as used for cosmetic laser treatments?

The endovenous laser is a specially designed catheter for treatment of underlying diseased veins. It is highly effective and does require the need for a vascular specialist. Cosmetic laser treatments are used for spider veins at the surface of the skin and are not intended for treatment of the underlying cause.

How much time does it take to see the results after EVLA

Within one week patients can begin to notice a considerable difference in the way their legs feel. In particular, the heaviness, restless legs and cramps may completely disappear.

What is the risk of recurrence of varicose veins after endovenous ablation treatment?

Varicose veins are the result of a progressive disease, and while we can treat what is occuring now, it is up to the individual patient, their genetics, and their lifestyle that will determine whether other spider veins and varicose veins will develop over time.

How does laser/RF treatment compare with traditional “vein stripping?”

Many patients recall “vein stripping” as being a difficult procedure to endure in which the entire saphenous vein would be removed through large skin incisions. Fortunately, “vein stripping” is in the past and new technologies have made the procedure now minimally-invasive. With the current endovenous techniques, there is no need for skin incisions or anesthesia to treat varicose veins.

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