Laser Treatment for Varicose Veins: Everything You Need to Know
Varicose veins affect up to 30% of adults, causing not just cosmetic concerns but also significant symptoms like pain, heaviness, and swelling. Endovenous Laser Treatment (EVLT) has revolutionized how we treat this condition.
What is EVLT?
Endovenous Laser Treatment uses a thin laser fiber inserted into the diseased vein through a tiny needle puncture. The laser energy heats and seals the vein from within, redirecting blood flow to healthy veins. The sealed vein is gradually absorbed by the body over several weeks.
The Procedure
- Preparation: Duplex ultrasound mapping of the veins is done before the procedure
- Anesthesia: Tumescent local anesthesia is injected around the vein — you remain awake
- Laser Application: The laser fiber is positioned under ultrasound guidance and activated
- Duration: The entire procedure takes 30-45 minutes per leg
- Recovery: You walk out of the clinic immediately after the procedure
Advantages Over Traditional Surgery
No General Anesthesia: EVLT is done under local anesthesia, avoiding risks of general anesthesia.
No Incisions: Only a needle puncture is needed — no stitches, no scars.
Immediate Mobility: Patients walk immediately and are encouraged to resume normal activities within 24-48 hours.
High Success Rate: EVLT has a 95-98% success rate at 5 years, comparable to or better than surgical stripping.
Minimal Pain: Most patients report only mild discomfort during the local anesthesia injection. Post-procedure pain is minimal.
Recovery Timeline
- Day 1: Walk normally, mild tightness along the treated vein
- Week 1: Resume all normal activities, wear compression stockings
- Week 2: Compression stockings can usually be removed
- Month 1: Follow-up ultrasound to confirm vein closure
- Month 3-6: Visible varicose veins gradually fade
Who is a Candidate?
EVLT is suitable for most patients with symptomatic varicose veins. A duplex ultrasound assessment determines the extent of venous reflux and helps plan the treatment. Some patients may need additional procedures like sclerotherapy for smaller branch varicosities.
Cost and Insurance
EVLT for varicose veins is covered by most health insurance plans as it is a medically necessary procedure. The cost typically ranges from INR 50,000 to INR 1,00,000 per leg depending on the extent of treatment needed.