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A modern solution for deeper varicose veins
If you’re dealing with varicose veins that cause heaviness, swelling, or visible bulging in the legs, endovenous laser treatment offers an effective, low-downtime alternative to traditional surgical procedures. This minimally invasive treatment targets the problem at its source: faulty veins that allow blood to flow backward and pool. Using a fine laser fiber guided by ultrasound, heat is delivered directly inside the vein, sealing it shut and restoring proper blood circulation. Over time, the closed vein is absorbed naturally, while healthy veins take over.
The procedure is done as an outpatient treatment, usually taking less than an hour, and performed under local anesthesia. Most people return to their normal activity within 24 hours, although wearing compression stockings is recommended for a few days. Some mild bruising or tenderness may occur, but these symptoms are typically short-lived and manageable with over-the-counter pain medication. Compared to older methods like vein stripping or vein ligation, EVLA offers a shorter recovery time, fewer side effects, and excellent results — without major disruption to your daily routine.
EVLA is considered a gold standard in treating larger varicose veins and is supported by strong safety data and a high success rate. Performed by experienced vascular surgeons or interventional radiologists, the risk of complications like deep vein thrombosis (DVT) or skin burns remains low. For many patients, this treatment provides not just cosmetic improvement, but long-term relief from discomfort and a significant improvement in quality of life.
Before treatment, you'll meet with a vascular specialist to discuss your symptoms, health history, and goals. Using a detailed ultrasound assessment, your provider will identify the faulty veins responsible for your symptoms and determine whether endovenous laser ablation is the right solution for you. A personalized plan may also include sclerotherapy for any smaller surface veins connected to the deeper treated vessels.
Endovenous laser treatment is performed in-office under local anesthesia. A small puncture is made in the skin to insert a fine laser fiber into the affected vein. Once the fiber is guided into position, a protective solution is injected around the vein, and the laser energy is activated, heating the vein wall to over 800°C. This causes the diseased vein to collapse, seal shut, and eventually be absorbed by the body. The entry point is closed with a simple adhesive bandage — no stitches required.
Most patients resume their normal activity within 24 to 48 hours. You'll be advised to wear compression stockings for the first 24 hours continuously, then during the day for about two weeks. It’s normal to experience mild bruising or tenderness along the treated area, but this is temporary and rarely painful. Heavy lifting should be avoided for a few days, and physical activity like exercise can typically be resumed within 10 to 15 days, based on your provider’s advice. A follow-up ultrasound is usually scheduled within a few days to assess the closed vein and confirm the success of the procedure. If necessary, sclerotherapy can be started shortly after to treat any remaining superficial veins fed by the now-sealed saphenous vein. For most patients, the result is long-lasting relief from leg heaviness and swelling — and a visible improvement in circulation and vein appearance.
The cost of endovenous laser treatment varies depending on your type of vein condition, the extent of the area treated, and whether additional procedures like sclerotherapy are required. Since each case is unique, a personalized consultation with one of our specialists is the best way to receive an accurate estimate. We invite you to contact your clinic directly to learn more about pricing and available options.
In many cases, endovenous laser therapy is sufficient to treat the underlying diseased vein, and no further treatment is necessary. However, for optimal results, some patients may benefit from complementary procedures, such as surface vein injections or follow-up sclerotherapy, especially if superficial veins remain visible after the primary intervention. Your provider will guide you through the appropriate self-care strategies and long-term follow-up if needed.
While endovenous laser ablation is effective for most patients with varicose veins, it may not be suitable in certain situations. For example, veins that are too tortuous, too superficial, or located in areas at higher risk of skin burns may require a different type of treatment. Your provider will carefully evaluate your health conditions and vein structure during your initial assessment to determine if this procedure is safe and appropriate for you.
Endovenous laser treatment is used to treat varicose veins in the legs, specifically in the greater saphenous vein (from the groin to the ankle) and the small saphenous vein (from behind the knee to the ankle). These deeper veins are often the underlying cause of visible surface veins and are best treated with laser ablation guided by ultrasound.
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