Endovenous Laser Therapy (EVLT) is a surgical technique used to close off large varicose veins by using laser energy.  During treatment, a laser probe is inserted into the vein using ultrasound guidance.  Laser energy is then applied within the vein, causing it to close.

This procedure is performed with ultrasound assistance and requires hospital facilities.  A patient undergoing EVLT treatment requires a combination of local and sedation anaesthetic.

Following treatment, scar tissue then closes the vein.  The vein shrivels and is absorbed over the course of approximately 12 months.  EVLT is a minimally invasive surgery that has been shown to be effective in about 95 out of 100 treated veins in the long term.

Following treatment with EVLT, some small varicose veins may persist. These surrounding varicose tributaries can then be treated with Ultrasound Guided Sclerotherapy (UGS).

What to expect

1. Initial consultation

All patients will require an initial consultation with the doctor so that a comprehensive medical history can be obtained and a detailed clinical evaluation of the venous system can be performed.

2. Duplex ultrasound examination

A Duplex ultrasound examination will be requested and carried out by a certified vascular sonographer. This assessment uses state of the art technology to assess the type and extent of your venous disease. This ultrasound examination is risk-free, has no side effects and causes no discomfort.

3. Consultation with vascular surgeon

If the doctor feels that you should consider EVLT as a treatment option, you will be referred for a consultation with the vascular surgeon.

4. Treatment plan

The doctor or surgeon will discuss all findings, possible treatment options and costs with you. A personalised treatment plan will be recommended.  All costs up to this point will be bulk-billed through Medicare, so there will be no out-of-pocket expense prior to commencing treatment.

5. Procedure

Treatment will involve admission to hospital for Endovenous Laser Therapy (EVLT) under sedation or general anaesthetic.

6. After treatment

You will be required to wear compression stockings for 2 weeks after surgery, during which time you will be encouraged to walk daily and resume your normal activities as tolerated. Return to work may be possible from 48 hours following treatment.

7. Post-operative review

You will have an ultrasound scan 2 weeks after your surgery, and you will be reviewed by the vascular surgeon 2-4 weeks following surgery.

8. Personalised follow up plan

There will be a personalised follow up plan for each patient depending on your response to treatment. Some patients will also require sclerotherapy treatment in the weeks or months following EVLT to address any small, residual lower leg veins.

Frequently Asked Questions

  • Why should I choose Vein Care SA?
  • How much does treatment cost?
  • Is surgery more effective than sclerotherapy?
  • Will my veins come back after treatment?
  • Are men treated for varicose veins?
  • At what age should I treat my varicose veins?
  • What type of ultrasound scan is done at VCSA and why is this important?

See all FAQs

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Your initial consultation and assessments can be bulk-billed through Medicare, incurring no out-of-pocket expense.

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