FAQs about Laser Treatment for Varicose Veins

Advances in medical technology have revolutionised the treatment of varicose veins, transforming what was once a painful and invasive procedure into a quick, minimally invasive outpatient treatment. Laser treatments, particularly Endovenous Laser Ablation (EVLA), are now among the most popular and effective options for addressing varicose veins. At Vein Solutions, we’re committed to helping you understand your treatment options.

How Does Laser Treatment Work for Varicose Veins?

EVLA uses targeted laser energy to heat and seal affected veins, redirecting blood flow to healthier veins. The process involves:

Ultrasound guidance to locate the vein.
Inserting a fine laser fibre into the vein through a small incision.
Using heat energy to collapse the vein walls as the fibre is slowly withdrawn.

Once sealed, the treated vein is absorbed naturally by the body over time, eliminating its appearance and symptoms.

This modern technique replaces the older method of vein stripping, which requires physically removing the vein through a larger incision. EVLA is less invasive, has a shorter recovery period, and results in fewer complications.

Are All Varicose Veins Suitable for Laser Treatment?

Not all varicose veins are ideal for EVLA. The suitability of the treatment depends on the size, location, and anatomy of the affected veins. During your consultation, your doctor will perform a duplex ultrasound scan to assess the problematic veins and determine whether EVLA is the best action.

Will I Need General Anaesthesia?

EVLA is performed under local anaesthesia, which numbs the treatment area while keeping you awake and comfortable throughout the procedure. Most patients experience little to no pain, although you may feel some tugging or pressure. If you feel discomfort, inform your doctor immediately so they can ensure your comfort.

What Happens During the EVLA Procedure?

The procedure typically follows these steps:

Preparation: The doctor will mark the area to be treated and apply local anaesthesia.
Insertion: A small incision is made, and a catheter is guided into the vein using ultrasound.
Laser Activation: A laser fibre is inserted through the catheter and positioned at the top of the vein. The fibre emits heat energy as it is withdrawn, closing the vein.
Compression: After the laser is removed, the treated area is wrapped in a compression bandage to reduce swelling and support healing.

The entire process usually takes about 45 minutes per leg. You should plan to spend approximately two hours at the clinic, including preparation and observation time.

What Should I Expect After the Procedure?

Most patients can return home shortly after the procedure. You may experience mild discomfort or a pulling sensation in the treated area, particularly along the inner thigh. These symptoms are normal and temporary. Over-the-counter pain relief, such as paracetamol or ibuprofen, can help manage discomfort. If you have medical conditions restricting anti-inflammatory medication use, inform your doctor during your consultation.

How Long Does Recovery Take?

Recovery times vary, but most patients can resume light activities, including work, within three to five days. Strenuous activities and heavy lifting should be avoided for at least two weeks or until your doctor advises otherwise.

You’ll have a follow-up appointment a few weeks after the procedure to ensure proper healing and discuss the results.

Walking, Driving, and Flying After EVLA

Walking: You’re encouraged to start walking as soon as possible after the procedure to promote circulation and reduce the risk of blood clots.

Driving: You may resume driving once you feel confident you can brake suddenly without discomfort, typically within two to three days.

Flying: Long flights (lasting four hours or more) should be avoided for at least six weeks to minimise the risk of deep vein thrombosis (DVT).

How Are Incisions Closed?

The small incisions made during EVLA are typically closed using skin glue or sticking plasters. These seals are waterproof and designed to fall off naturally as the area heals. You’ll be advised to avoid submerging the treated area in water (e.g., baths or swimming pools) until the bandages are removed and the skin has healed.

Will I Need to Wear Compression Stockings?

Compression stockings play a crucial role in post-treatment recovery by improving blood flow, reducing swelling, and minimising the risk of complications. You’ll need to wear:

A compression bandage for the first 48 hours.
Support stockings for two weeks, worn 24 hours a day, followed by daytime use for an additional two weeks.

Your doctor will provide guidance on how to wear and care for your stockings.

Is EVLA Painful?

EVLA is generally well-tolerated, with minimal pain during and after the procedure. Some patients report mild bruising or tenderness along the treated vein, but these symptoms typically resolve within a few weeks. If you experience significant discomfort, your doctor can recommend appropriate pain relief.

How Long Before I See Results?

You may notice an immediate improvement in symptoms like heaviness, pain, and swelling. The cosmetic appearance of varicose veins improves gradually as the body absorbs the treated vein. Full results can take 6–12 weeks.

What Are the Risks and Side Effects?

EVLA is a safe procedure, but like any medical treatment, it carries some risks, including:

Mild bruising or swelling at the treatment site.
Temporary skin discolouration or numbness.
Rare complications such as infection, DVT, or vein damage.

Your doctor will discuss these risks with you and provide instructions for minimising potential complications.

Can I Have EVLA on Both Legs?

Yes, EVLA can be performed on both legs in one session or across multiple appointments, depending on the extent of the varicose veins and your overall health.

Will My Varicose Veins Come Back?

Modern treatments like EVLA are highly effective in eliminating treated veins, but new varicose veins may develop over time due to underlying factors such as genetics or lifestyle. Following your doctor’s advice on maintaining a healthy weight, staying active, and wearing compression stockings when recommended can reduce the risk of recurrence.

Vein Solutions for Laser Treatment

At Vein Solutions, we specialise in advanced treatments for varicose veins, including EVLA. Our team of experienced vascular specialists provides personalised care, from your initial consultation through treatment and recovery. With locations at Grosvenor Nuffield Hospital Chester, Spire Cheshire Hospital, and Chester Wellness Centre, we’re dedicated to helping you achieve the best possible outcome.

If you’re considering laser treatment for varicose veins, schedule a consultation with us to discuss your options and take the first step toward healthier, more comfortable legs.