Endovenous Laser Ablation

Endovenous laser ablation was pioneered in 2003, and it has the distinction of being the first viable alternative to surgical treatments for chronic venous insufficiency.

About Endovenous Laser Treatment (EVLT)

Endovenous laser ablation is one of the most effective minimally invasive treatments for chronic venous insufficiency, the circulatory disorder responsible for spider veins and varicose veins. This is a minimally invasive and in-office procedure performed under local anesthesia. During this treatment, our vein doctors in NY guide an endovenous laser into the diseased vein under ultrasound guidance via a small incision on the skin’s surface. The diseased vein is surrounded with an anesthetic solution and the endovenous laser is activated, delivering laser energy into the diseased vein. This leads to an inflammatory reaction and the diseased vein collapses, eventually getting reabsorbed by the body. The procedure usually concludes within 45 minutes, following which you can resume your daily activities and work.

After the endovenous laser ablation procedure, the accumulated blood is rerouted into healthier leg veins. This rapidly improves blood circulation in your legs. Finally, your leg is wrapped in an ace bandage for up to 48 hours and you have to wear compression stockings for a week. Endovenous laser treatment has a success rate exceeding 90%.

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How does Endovenous Laser Ablation Work?

If you have the signs and symptoms of vein disease, your vein doctor in New York will run numerous diagnostic tests to ensure you’re a suitable candidate for endovenous laser ablation. If you’re deemed a suitable candidate for EVLT, our vein doctors will provide a comprehensive overview of the vein treatment process.

You’ll be asked to remain hydrated and avoid caffeine on the day of your endovenous laser ablation. Once you lie down in a comfortable position, our medical personnel will clean and prepare your legs for the treatment.

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What are the Side Effects of Endovenous Laser Ablation?

Endovenous laser ablation involves minimal side effects, and most of them can be avoided if you consult a reliable vein doctor. That’s why we encourage you to consult our Ivy League-trained vein doctors in New York.

The following are the potential side effects of endovenous laser ablation:

  • Bruising (common)
  • Minor stiffness (common)
  • Temporary soreness (common)
  • Temporary numbness (rare)
  • Recurrence of vein disease (rare)
  • Infection (very rare)
  • Deep vein thrombosis (very rare)

What are the Advantages & Disadvantages of Endovenous Laser Ablation?


The advantages of endovenous laser ablation for spider veins and varicose veins include:

  • Mild to moderate discomfort after the treatment
  • No risk of skin discoloration
  • No scars and marks
  • Concludes within an hour
  • No post-treatment downtime


The disadvantages of endovenous laser ablation for spider veins and varicose veins include:

  • You must avoid strenuous workouts for a week
  • More post-treatment discomfort than radiofrequency ablation
  • Must be performed using needles

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