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Laser Treatment For Varicose Veins

Laser treatment for varicose veins is an advanced, minimally invasive procedure designed to eliminate unsightly and painful varicose veins. Using targeted laser energy, this technique seals the affected veins, restoring both the aesthetics and comfort of your legs. If you're troubled by varicose veins and seek a swift, effective solution, consult with Pristyn Care’s team of skilled specialists. Book your appointment today for expert care and a customised treatment approach with Pristyn Care.

Laser treatment for varicose veins is an advanced, minimally invasive procedure designed to ... Read More

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    Dr. Santosh Kumar Tiwari (q4iNbnqNXv)

    Dr. Santosh Kumar Tiwari

    MBBS, DNB-General Surgery, M.Ch-Vascular Surgeon
    22 Yrs.Exp.

    4.7/5

    24 Years Experience

    location icon Delhi
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    6366-448-340
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    Dr. Milind Joshi (g3GJCwdAAB)

    Dr. Milind Joshi

    MBBS, MS - General Surgery
    25 Yrs.Exp.

    4.9/5

    26 Years Experience

    location icon Kimaya Clinic, 501B, 5th floor, One Place, SN 61/1/1, 61/1/3, near Salunke Vihar Road, Oxford Village, Wanowrie, Pune, Maharashtra 411040
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    6366-528-292
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    Dr. Amol Gosavi (Y3amsNWUyD)

    Dr. Amol Gosavi

    MBBS, MS - General Surgery
    25 Yrs.Exp.

    4.7/5

    26 Years Experience

    location icon 1st floor, GM House, next to hotel Lerida, Majiwada, Thane, Maharashtra 400601
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    6366-528-316
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    Dr. Raja H (uyCHCOGpQC)

    Dr. Raja H

    MBBS, MS, DNB- General Surgery
    24 Yrs.Exp.

    4.7/5

    25 Years Experience

    location icon 1st, Legacy, Apartment, above IDFC FIRST BANK, opp. AJMERA INFINITY, Neeladri Nagar, Electronics City Phase 1, Bengaluru, Karnataka 560100
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    6366-528-013

What Is Laser Treatment for Varicose Veins?

Laser treatment for varicose veins, known as endovenous laser therapy (EVLT), offers a minimally invasive option to alleviate the discomfort and appearance of varicose veins. This procedure is typically performed by a vascular surgeon or a specialist in venous disorders. 


Under local anaesthesia, a thin laser fibre is inserted into the affected vein, delivering targeted laser energy that heats and seals the vein, causing it to collapse and eventually be absorbed by the body. 

The necessity of this treatment arises from its benefits, which include reduced pain, minimal scarring, and a swift recovery period, allowing patients to return to normal activities promptly. The procedure is highly favoured for its effectiveness in improving venous health and overall quality of life.

• Disease name

Varicose Veins

• Surgery name

Phlebectomy/Varicose Vein Excision

• Duration

60-90 minutes

• Treated by

Vascular Surgeon / Phlebologists

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What Are The Types Of Laser Treatment for Varicose Veins?

Laser treatment for varicose veins employs light energy to shrink and close off the unsightly veins, offering patients relief from both the aesthetic concern and the physical discomfort associated with this condition. The primary types include:

  • Simple laser treatment: This non-invasive approach is applied on the surface of the skin to address spider veins and small varicose veins just below the skin’s surface. Typically, this method requires multiple sessions spaced several weeks apart. It is important to note that if these veins are fed by a larger vein with poor circulation, the feeder vein must be treated first through surgical interventions, endovenous ablation, or sclerotherapy to ensure effective results.
  • Endovenous laser treatment (EVLT): Suitable for treating larger varicose veins, EVLT involves inserting a laser fibre into the vein via a catheter. The procedure is guided by duplex ultrasound imaging to ensure precision. It is generally performed under local anaesthesia or with a mild sedative to enhance patient comfort during the treatment.

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Diagnosis Before Laser Treatment for Varicose Veins

Prior to undergoing laser treatment for varicose veins, a thorough diagnosis is essential to determine the suitability and scope of treatment. The diagnostic process typically involves:

  • Physical examination: An initial visual and physical examination by a specialist to assess the veins’ size, location, and any related symptoms.
  • Duplex ultrasound: This imaging test provides a visual map of the veins, allowing the physician to see the blood flow and structure of the varicose veins. It is crucial for planning the treatment by identifying the malfunctioning valves and the direction of blood flow.
  • Venogram: In certain cases, a venogram might be required for a more detailed examination. This involves injecting a contrast dye into the legs and taking X-rays to observe the veins’ condition.
  • CT or MRI scans: For complex cases, these advanced imaging techniques might be used to get a comprehensive view of the vascular system.

Each of these diagnostic tools plays an important role in ensuring that the laser treatment is appropriately targeted and executed, enhancing the effectiveness of the procedure and patient outcomes.

What Is The Procedure For Laser Treatment for Varicose Veins?

The procedure involves a series of steps aimed at ensuring precision and efficacy. Here is what one can expect:

  • Consultation: Initially, you will consult with a varicose veins specialist who will assess the severity of your varicose veins and discuss the best treatment options.
  • Preparation: Before the procedure, the area around the veins is cleaned and marked. An ultrasound might be used to map the vein.
  • Anaesthesia: Local anaesthesia is administered around the affected veins to minimise discomfort during the procedure.
  • Laser fibre insertion: A thin laser fibre is inserted through a small incision near the affected vein.
  • Laser activation and vein closure: The laser is activated as the specialist slowly withdraws the fibre. This process heats the vein, causing it to collapse and seal shut.
  • Post-procedure care: After the procedure, you may need to wear compression stockings to help healing and decrease swelling.
  • Follow-up: Follow-up visits are scheduled to monitor the healing process and ensure the vein remains closed.

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Who Is The Right Candidate For Laser Treatment for Varicose Veins?

Laser treatment for varicose veins offers a less invasive alternative to traditional surgery, but it isn’t suitable for everyone. Here’s how to determine if you might be a candidate for this procedure:

  • Symptoms and severity: Candidates often experience significant discomfort, swelling, and visible varicose veins. Those with large, bulging veins typically benefit the most.
  • Physical health: Ideal candidates should be in good physical health and not suffering from other medical conditions that could impair healing.
  • No deep vein thrombosis: Patients without a history of deep vein thrombosis are preferred due to the increased risks associated with clotting.
  • Non-smokers: Smoking can affect blood circulation and healing, so non-smokers are better candidates.
  • Realistic expectations: It is important for candidates to have realistic expectations about what the surgery can achieve in terms of cosmetic appearance and symptom relief.

By assessing these criteria, a specialist can determine whether laser treatment is an appropriate and effective option for a patient’s varicose veins.

What Are The Benefits Of Laser Treatment for Varicose Veins?

Laser treatment for varicose veins is recognized as a highly effective method for alleviating the symptoms and aesthetic concerns associated with varicose veins. The benefits of this surgical procedure are numerous and significant:

  • Minimally invasive: Unlike traditional surgery, laser treatment requires only small incisions or sometimes none at all, which minimises tissue damage and results in less scarring.
  • Reduced recovery time: Patients generally experience a much faster recovery period compared to conventional surgery. Most individuals are able to resume normal activities within a day.
  • Decreased risk of infection: The minimally invasive nature of the procedure reduces the risk of postoperative infections.
  • Effective results: Laser treatment effectively closes off varicose veins, which improves blood circulation in the affected areas. This often leads to a significant reduction in pain and discomfort.
  • Improved appearance: The procedure can greatly improve the cosmetic appearance of the legs, removing unsightly veins.
  • Outpatient procedure: Most laser treatments for varicose veins do not require an overnight hospital stay, allowing patients to return home the same day.

How To Prepare For Laser Treatment for Varicose Veins?

Preparing for laser treatment for varicose veins involves several important steps to ensure the best outcomes and minimise any risks. Here’s how to prepare:

  • Consultation: Meet with a varicose veins specialist to discuss your medical history and expectations. This will help determine the best treatment plan.
  • Medication review: Discuss any medications you are taking, as some may need to be adjusted or stopped temporarily before the surgery.
  • Fasting: You may be advised to fast for several hours before the procedure if sedation is used.
  • Clothing: Wear loose, comfortable clothing on the day of the procedure.
  • Arrange transportation: Since you might receive sedation, plan for someone to drive you home post-procedure.
  • Post-procedure needs: Prepare your home for recovery, including placing essentials within easy reach and ensuring you have adequate support during the first few days.

What Are The Recovery Tips and Precautions To Follow After Laser Treatment for Varicose Veins?

Recovery from laser treatment for varicose veins is generally straightforward, but proper care is essential for optimal healing. Here’s what to expect and several key recovery tips:

  • Compression stockings: Wear compression stockings as directed by your specialist to reduce swelling and enhance blood flow.
  • Activity: While extensive rest is not required, avoiding strenuous activities for a short period is recommended. Gradually increase activity as recommended.
  • Elevation: Keep the treated leg elevated when sitting or lying down to decrease swelling and improve circulation.
  • Hydration: Stay well-hydrated to help maintain blood flow and reduce the risk of complications.
  • Pain management: Use over-the-counter pain relievers, such as ibuprofen or acetaminophen, to manage discomfort as advised by your doctor.
  • Monitoring: Keep an eye on the treatment area for signs of infection or any changes in skin colour or temperature.
  • Follow-up appointments: Attend all scheduled follow-up appointments to ensure proper healing and to address any concerns with your specialist.

By adhering to these recovery tips and precautions, patients can ensure a smoother and more effective healing process after laser treatment for varicose veins.

Potential Risks Or Complications Associated With Laser Treatment for Varicose Veins

While laser treatment for varicose veins is generally safe and effective, like any medical procedure, it does carry potential risks and complications. Understanding these risks is crucial for anyone considering this treatment:

  • Skin burns: Although rare, there is a risk of minor skin burns due to the laser’s heat.
  • Nerve damage: The heat from the laser can sometimes affect small sensory nerves near the treated veins, potentially causing temporary or permanent numbness.
  • Deep vein thrombosis (DVT): There is a small chance of developing a blood clot in a deep vein after the procedure, which can be serious if the clot travels to the lungs.
  • Infection: Any procedure that involves incisions carries a risk of infection, although this risk is minimal with laser treatments due to the small size of the incisions.
  • Recurrence of varicose veins: Laser treatment reduces the appearance of varicose veins significantly, but it does not prevent new ones from forming in the future.
  • Phlebitis: This is an inflammation of the veins that can occur post-treatment, characterised by pain and redness along the vein.

It is important to discuss these risks with a varicose veins specialist to fully understand the potential outcomes of the procedure.

What Is The Cost Of Laser Treatment for Varicose Veins In India?

The varicose veins treatment cost in India can vary significantly depending on several factors. Factors affecting the cost include:

  • Type of laser used: Different laser technologies may have different costs associated with them.
  • Severity of the condition: More extensive varicose veins may require more sessions or more complex treatments, which can increase the cost.
  • Location of the clinic: Clinics in metropolitan cities often charge more due to higher operational costs.

Specialist’s experience: More experienced specialists may charge a higher fee for their expertise.

Is Laser Treatment for Varicose Veins Covered Under Insurance?

Coverage for laser treatment for varicose veins under insurance in India largely depends on whether the procedure is deemed medically necessary. Most health insurance policies cover the treatment if it is required to alleviate painful symptoms or prevent further health complications. Cosmetic treatment, however, is usually not covered. Patients should consult their insurance provider to understand the specifics of their coverage and any potential out-of-pocket costs.

FAQs Around Laser Treatment For Varicose Veins

1. Can varicose veins return after laser treatment?

Yes, while laser treatment is effective, new varicose veins can develop due to genetic factors or inadequate lifestyle adjustments. It’s crucial to follow post-treatment advice to minimise this risk.

2. Is walking recommended after laser treatment for varicose veins?

Walking is recommended shortly after treatment to enhance blood circulation and speed up the recovery process.

3. What is the average downtime after varicose vein laser treatment?

Patients typically resume normal activities within one day. However, the complete healing process can extend over several weeks, during which care must be taken.

4. Can I see immediate results after varicose veins laser treatment?

Immediate improvement in the appearance of treated veins is noticeable, with optimal results becoming apparent as the body naturally absorbs the treated veins.

5. Are there any lifestyle changes recommended post-laser treatment for varicose veins?

Post-treatment recommendations include maintaining a healthy weight, exercising regularly, and using compression stockings to prevent new varicose veins from developing.

6. How soon after pregnancy can I undergo laser treatment for varicose veins?

It is advisable to wait a few months postpartum to allow your body to recover naturally before undergoing laser treatment for varicose veins.

7. Can laser treatment address both spider veins and varicose veins?

Laser treatment is versatile, effectively addressing both spider veins and varicose veins, although the treatment approach may vary slightly between the two.

8. Is there any age limit for receiving laser treatment for varicose veins?

There is no strict age limit, but a patient’s overall health and specific vein conditions are critical factors in determining eligibility.

9. How often do I need to follow up after varicose veins laser treatment?

Initial follow-up is usually within a few weeks post-treatment to assess the success of the procedure and ensure proper vein closure.

10. How effective is laser treatment compared to sclerotherapy for varicose veins?

Laser treatment is often more effective for larger varicose veins, while sclerotherapy is typically used for smaller or spider veins.

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Medically Reviewed By
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Dr. Santosh Kumar Tiwari
22 Years Experience Overall
Last Updated : January 2, 2025

Treatments for Varicose Veins

Endovenous laser therapy ablation

Also known as endovenous laser treatment or EVLA, this is a minimally invasive ultrasound-guided procedure that involves the use of ultrasound images and laser fiber in order to kill the delicate lining of the veins. After a few days following the procedure, the body absorbs the dead tissues, closing off the abnormal veins with minimal or no discomfort. This is one of the most commonly preferred methods as it involves far fewer complications, and the recovery time, as well as the success rate of this method, is much faster and higher than that of any surgical process.

Vein Ligation and Stripping

This is a surgical procedure that is done in order to remove a damaged vein and prevent future complications like ulcers, clotting, etc., in the affected vein. During the surgery, two to three incisions, each ranging around 5 cm in diameter, are made over the damaged veins, and the veins are tied off or ligated. Normally, the recovery time in this procedure is longer than that of the minimally invasive techniques. This method is usually preferred in treating people who are suffering from trophic ulcers or varicose eczema, as it is in this stage that skin starts decomposing and develops into a non-healing ulcer.

Transilluminated Powered Phlebectomy

This is a vein removal procedure that makes use of a bright light, which is known as an endoscopic transilluminator, to illuminate the vein. In this process, a number of incisions will be made on your leg, and the surgeon will place the transilluminator underneath your skin so they are able to see the veins that need to be removed. As soon as the veins are identified, they will be cut and will be removed through the incisions using a suction device.

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