Great question. There is a lot of confusion regarding laser treatments for varicose veins. For the most part, topical (surface) laser treatments only work for the tiniest of spider veins on the legs or face that are too small for sclerotherapy injections. EndoVenous Laser Ablation (EVLA) is a minimally invasive surgical procedure to treat sapheous vein insufficiency (or reflux). Venous insufficiency is a more serious vein disorder that often underlies visible varicose veins, leg swelling, restless leg syndrome, skin color changes to the lower legs, and ultimately skin breakdown and venous stasis ulcers. Venous insufficiency is diagnosed with ultrasound examination. The EVLA procedure involves carefully inserting the laser fiber into the diseased saphenous vein under ultrasound guidance to essentially "weld" the vein shut with the laser energy. EVLA is typically performed under local anesthesia with oral sedation and is a very safe, outpatient procedure performed in the office setting. Micro-phlebectomy procedures are then performed to gently remove the remaining visible varicose veins. A
formal consultation with a varicose vein specialist with allow your doctor to recommend the optimal treatment plan for your varicose vein disease.
Filiberto Rodriguez. MD, FACS, FAACS, RVT, RPVI