How Laser Treatment Works for Varicose Veins

EVLT at Miami Vein Institute is a safe, effective, and convenient treatment for varicose veins—performed in-office with minimal inconvenience and outstanding results. Whether your goal is symptom relief, improved appearance, or both, our experienced team is here to support you every step of the way. Schedule your consultation today and take the first step toward legs you’ll love seeing again.


Varicose veins are more than a cosmetic concern; they often cause aching, swelling, and heavy legs. Fortunately, modern technology offers a safe, minimally invasive solution: Endovenous Laser Therapy—more commonly known as
laser treatment for varicose veins. We’ve helped countless patients restore both vein health and confidence with these cutting-edge treatments. In this post, we’ll demystify how the procedure works, what you can expect, and why so many patients choose EVLT.

Understanding Varicose Veins

Varicose veins occur when weakened or damaged vein valves allow blood to pool, leading to enlarged, twisted, and often uncomfortable veins. Symptoms can include heaviness, swelling of the ankles, itching, and visible bulging veins—especially after long periods of standing or sitting. Left untreated, they can progress to skin changes or even ulcers.

Traditional surgery—vein stripping—was once the norm, but it’s invasive, requires general anesthesia, and involves long recovery times. Enter EVLT, a procedure that uses laser energy to safely close these faulty veins from within—without the need for large incisions or hospital stays.

What Is Endovenous Laser Therapy (EVLT)?

EVLT (also called VenaCure EVLT) is an office-based procedure using ultrasound guidance to insert a thin laser fiber into the affected vein. Under local anesthesia, laser energy heats the vein wall—typically to around 70 °C—causing it to collapse, seal shut, and reroute blood through healthier veins. Over time, your body absorbs the treated vein naturally.

This method boasts success rates of up to 98%, with minimal complications and no need for general anesthesia.

The Treatment Process: Before, During, and After

Before: Your journey begins with a detailed consultation and duplex ultrasound to map your veins and plan treatment. Clear communication ensures all your questions—about symptoms, insurance, and recovery—are addressed thoroughly. Avoiding NSAIDs and staying hydrated helps reduce bruising risks.

During: You’ll be seated comfortably while the leg is numbed with local anesthesia. The laser fiber is guided into the vein through a tiny puncture. As the fiber is withdrawn, the laser energy seals the vein. You may feel warmth or mild pressure, but it’s generally well-tolerated. The procedure usually lasts under an hour.

After: Compression stockings are immediately applied to support healing. You’ll be encouraged to walk right away—this boosts circulation and helps avoid complications like clots. Mild bruising, swelling, or a warm sensation are common and usually resolve within days to a couple of weeks.

Recovery & Aftercare

Healthy recovery hinges on thoughtful aftercare. You’ll likely wear compression stockings for up to three weeks: full-time initially, then during daytime hours. Light exercise, like daily walks, supports circulation and healing. Avoid heavy lifting or strenuous exercise for 1–2 weeks to allow your veins to stabilize.

Keep the insertion site clean, elevate your legs when resting, and use NSAIDs like acetaminophen for discomfort—avoiding ibuprofen unless advised otherwise. Most patients resume daily routines within 24–48 hours and can return to full activity in a week or two.

Why EVLT Is a Leading Option

EVLT offers standout advantages over conventional surgery:

  • Minimally invasive: Small puncture, no stitches, minimal visible scarring.
  • Quick and convenient: Office visits lasting under an hour with same-day recovery.
  • High success and durability: Clinical studies show a 98 % closure rate at five years.
  • Low complication risk: Minor issues common; serious complications rare, especially compared to vein stripping.
  • Immediate symptom relief: Patients report reduced heaviness, swelling, and discomfort right after treatment.

Because EVLT treats the root cause of venous reflux, it offers longer-lasting relief and helps prevent recurrence—unlike surface-focused treatments alone.

Who Should Consider Laser Treatment?

Ideal candidates include adults with symptomatic varicose veins confirmed on ultrasound—those experiencing aching, swelling, night cramps, or visible twisted veins. EVLT is often covered by insurance when medical symptoms are present.

If underlying issues exist, EVLT is often used alongside foam sclerotherapy or ambulatory phlebectomy for branch veins. Post-EVLT sclerotherapy can target residual veins effectively.

EVLT is not recommended for pregnant individuals or those with active deep vein thrombosis, but our team will determine suitability during your evaluation.

Contact Miami Vein Institute and Start Your Journey to Vein Relief Today

Laser treatment for varicose veins is a modern, efficient solution with medical and cosmetic benefits. At Miami Vein Institute, our skilled specialists use VenaCure EVLT combined with personalized post-care to achieve optimal results.

Ready to regain comfort, appearance, and confidence? Schedule your consultation today and learn if EVLT is right for you.

Frequently Asked Questions (FAQ)

Is EVLT painful?
Patients usually feel only mild pressure or warmth during the laser energy delivery. Local numbing prevents discomfort.

How long is the procedure?
Most sessions take 45 to 60 minutes, depending on vein length and complexity.

What’s the downtime like?
Expect minimal downtime—most people return to normal activities within a day or two. Avoid heavy exercise for up to two weeks.

Are results permanent?
Treated veins do not reopen. New veins may develop over time, particularly if risk factors persist—but maintenance options are effective.

Will insurance cover EVLT?
Yes—if medical symptoms are present (pain, swelling), many insurance plans include EVLT. Our team assists with verification.

 

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