Endovenous Laser Treatment: A Modern Solution for Varicose Veins

Endovenous Laser Treatment (EVLT) is a modern, minimally invasive procedure designed to treat varicose veins by closing off the problematic veins using laser energy.

Unlike traditional vein stripping surgery—which requires large incisions and prolonged recovery—EVLT uses a small catheter inserted into the affected vein under ultrasound guidance.

The laser fiber delivers controlled energy that heats and collapses the vein, causing it to seal shut. Over time, the body naturally reabsorbs the closed vein, and blood is redirected to healthier veins.

EVLT offers multiple advantages that extend beyond cosmetic improvements:

1. Minimally Invasive Approach

EVLT is performed through a tiny puncture rather than a large surgical incision. This results in reduced tissue trauma, minimal scarring, and a lower risk of infection. Compared to traditional surgery, patients undergoing EVLT report significantly less postoperative pain.

2. Rapid Recovery

One of the most compelling benefits of EVLT is its quick recovery time. Most patients resume normal activities within 24 to 48 hours. In fact, over 85% of patients return to work within two days after the procedure.

3. High Success Rate

Clinical evidence shows long-term success rates exceeding 90% for EVLT. As noted in a 2023 study, patients experienced durable vein closure with minimal recurrence, offering long-term relief from symptoms such as leg pain, swelling, and heaviness.

4. Reduced Pain and Discomfort

Patients typically experience only mild discomfort during and after EVLT, often requiring only over-the-counter pain medication—a stark contrast to the higher levels of postoperative pain associated with conventional surgery.

5. Improved Cosmetic Outcome

By eliminating unsightly varicose veins, EVLT not only enhances leg health but also boosts self-confidence and reduces the psychological burden associated with visible vein deformities.

6. Outpatient Procedure

EVLT is generally performed on an outpatient basis, meaning no overnight hospital stay is required. This convenience, coupled with lower costs and minimal downtime, makes it an increasingly popular option both in India and internationally.

One of the most attractive aspects of EVLT is its affordability in India.

While the cost of endovenous laser treatment in Western countries can range from USD 2,000 to USD 4,000 per session, patients in India benefit from high-quality care at a fraction of that price.

In India, EVLT typically costs between ₹50,000 to ₹1,20,000 per leg. Factors influencing the cost include the extent of the varicose veins, the geographic location of the clinic, and the expertise of the varicose veins surgeon performing the procedure. 

A 2023 study published in the International Journal of Angiology noted that despite lower treatment costs, clinical outcomes in India are on par with those in more expensive healthcare markets.

Who is a Candidate for EVLT?

EVLT is an excellent option for many patients with varicose veins. Ideal candidates include:

• Patients with symptomatic varicose veins: Those experiencing pain, swelling, leg heaviness, or skin changes.
• Patients seeking minimally invasive treatment: Individuals wishing to avoid the scars and prolonged recovery associated with traditional surgery.
• Patients with superficial venous reflux: Particularly those with incompetence in the great or small saphenous veins.
• Patients who have not benefited from conservative measures: Such as compression stockings or lifestyle modifications.

A thorough diagnostic workup—including duplex ultrasound—ensures that you are an ideal candidate and that the procedure is tailored to your specific venous anatomy.

Understanding the EVLT process can help ease any anxiety:

Pre-Procedure Evaluation:

Before EVLT, you’ll undergo a comprehensive evaluation that includes a duplex ultrasound to map your venous system. This assessment pinpoints the location and extent of the varicose veins, ensuring precise treatment.

Anesthesia Administration:

EVLT is typically performed under local anesthesia, ensuring you remain comfortable while avoiding the risks associated with general anesthesia.

Catheter Insertion:

A small catheter is inserted into the targeted vein under ultrasound guidance. The laser fiber is then advanced through the catheter to the affected area.

Laser Activation:

The laser is activated, delivering energy that heats and collapses the vein. The entire process generally takes between 30 to 60 minutes, depending on the treatment area.

Post-Procedure Care:

After the procedure, you will be monitored briefly and then discharged on the same day. Compression stockings are typically recommended for several weeks to support healing and reduce swelling. Follow-up appointments ensure that your recovery is proceeding as expected.

Modern imaging and precise laser technology make EVLT a safe, efficient, and comfortable procedure for treating varicose veins.

While EVLT is highly effective and safe, there are some risks involved, though they are minimal compared to traditional surgery:

Minor Bruising and Discomfort:

Temporary bruising and mild discomfort at the insertion site are common but usually resolve within a few days.

Skin Burns:

Although rare, the laser energy may occasionally cause minor burns to the surrounding skin.

Nerve Injury:

In extremely rare cases, adjacent nerves may be affected, causing temporary numbness or tingling.

Deep Vein Thrombosis (DVT):

There is a slight risk of developing DVT; however, proper screening and post-procedure care significantly reduce this risk.

Adhering to pre- and post-procedure instructions diligently can help minimize these risks and ensure a smooth recovery.

With years of experience as a varicose veins surgeon, I have dedicated my career to employing the latest techniques to treat varicose veins effectively. Here’s why my practice in Vadodara stands out:

Expertise and Precision

I specialize in endovenous laser ablation and other advanced methods, ensuring you receive state-of-the-art care with outstanding outcomes. My extensive training and experience have consistently delivered high success rates and patient satisfaction.

Personalized Treatment Plans

Every patient is unique. I develop individualized treatment plans based on comprehensive evaluations to address your specific needs. I ensure that you fully understand your treatment options, making the process transparent and reassuring.

Advanced Technology

Aadicura super speciality hospital is equipped with the latest diagnostic and treatment tools, allowing for precise procedures that minimize risks and ensure a faster recovery.

Comprehensive Aftercare

Effective treatment extends beyond the procedure itself. My robust aftercare program includes regular follow-ups and detailed recovery guidelines, ensuring your healing process is smooth and complications are minimized.

Commitment to Patient Satisfaction

Patient satisfaction is at the heart of my practice. If you’re searching for a varicose vein doctor or expert advice on the cost of endovenous laser treatment, you can trust that my team and I prioritize both your physical and emotional well-being.

Endovenous laser treatment for varicose veins represents a breakthrough in modern vascular care. With success rates exceeding 90%, minimal invasiveness, and rapid recovery times, EVLT offers significant health benefits and excellent cosmetic improvements compared to traditional vein stripping procedures.

For those seeking a trusted varicose veins surgeon, my practice is committed to delivering personalized, state-of-the-art care that ensures you return to your daily activities with improved comfort and confidence.