We may suggest EVLT if you have varicose veins that are a result of damage to the main superficial veins. Reflux (or backwards flow) in the long or short saphenous veins is a very common cause of varicose veins. EVLT works by using laser energy to permanently collapse and seal shut damaged saphenous veins. This procedure is performed in a doctor's office or clinic under local anaesthetic only. A laser fibre is inserted inside the damaged vein and is precisely positioned using ultrasound guidance. A freezing solution is delivered around the entire length of vein to be treated and then the laser fibre is pulled back sealing the vein as it is removed. The whole process takes less than one hour and you may be able to resume normal daily and work activities within 24 to 48 hours. In most cases no surgical incision is necessary. 98% of treatments are successful.
Following EVLT you can expect to recover quickly with only minor discomfort. Post-procedure pain is much less than comparable surgery but you may experience a pulling or aching sensation in the treatment area for a few days. Some bruising is common, but usually clears quite quickly (within 1 to 2 weeks).
EVLT treats the main superficial veins. Most of your visible varicose veins may be tributaries (or branches) of these main veins. Therefore following EVLT we allow 6 to 8 weeks for these branches to shrink and in many cases disappear completely. After 8 weeks any remaining branches may be treated with follow up sclerotherapy or ambulatory phlebectomy.
The follow-up treatment is expected and is included as part of the EVLT treatment process.