Understanding Varicose Veins and Laser Treatment

Varicose veins occur when the valves in your veins stop functioning properly, causing blood to pool and veins to swell. They often appear on the legs and can be blue, purple, or bulging.

Laser treatment—also called endovenous laser therapy (EVLT) or endovenous laser ablation (EVLA)—uses focused light energy to seal off the faulty vein. The blood naturally reroutes to healthier veins, and over time, the treated vein fades and is absorbed by the body.

Types of Laser Vein Treatments

1. Endovenous Laser Treatment (EVLT):

Performed for larger varicose veins. A thin fiber is inserted into the vein, delivering laser energy to close it from the inside.

2. Simple Laser Treatment:

Used for smaller spider veins and surface veins. The laser is applied directly on the skin without any incisions.

Why People Choose Laser Over Other Methods

Laser vein treatment has become increasingly popular because it is:

Minimally invasive — no large incisions or stitches required

Quick — often completed in under an hour

Effective — high success rates with lasting results

Low downtime — most patients resume normal activities within a day

Less painful — compared to older surgical vein stripping techniques

The Procedure: Step-by-Step

Consultation: A vein specialist uses ultrasound to map problem veins and determine suitability for laser treatment.

Preparation: The treatment area is cleaned and numbed with local anesthesia.

Laser Application: For EVLT, a fiber is inserted into the vein and the laser energy is applied along its length. For simple laser treatment, the laser is applied externally to close small veins.

Post-Treatment: A compression stocking is worn to aid healing and reduce swelling.

Follow-Up: An ultrasound may be scheduled to confirm vein closure.

Recovery and Aftercare

Most patients can return to light activities within 24 hours. However, you’ll be advised to:

Wear compression stockings for 1–2 weeks

Avoid high-impact exercise for a short period

Walk regularly to promote blood flow

Keep the treated area clean and protected from direct sun exposure

Bruising, swelling, or mild tenderness can occur but usually resolves within days to weeks.

How Much Does Laser Vein Treatment Cost?

Costs vary depending on the clinic, location, and severity of the veins treated:

Spider veins: $300–$500 per session

Varicose veins (EVLT): $1,500–$3,500 per leg

Some insurance plans cover part or all of the procedure if it’s deemed medically necessary (for example, if the veins cause significant pain or circulation issues).

Finding the Best Vein Doctor Near You

When searching for a provider, consider:

Board certification in vascular surgery or phlebology

Experience — years performing laser vein procedures

Technology used — newer laser systems can improve comfort and results

Patient reviews — look for consistent positive feedback on outcomes and bedside manner

Possible Risks and Side Effects

Laser treatment is considered safe but can carry some minor risks:

Temporary redness or skin discoloration

Bruising and swelling

Tingling or numbness in treated areas

Very rarely, blood clots or burns

Choosing an experienced vein specialist greatly reduces these risks.

Is Laser Treatment Right for You?

You may be a good candidate if you:

Have visible varicose or spider veins causing discomfort or cosmetic concern

Are in generally good health

Are not pregnant or breastfeeding

Have realistic expectations for results

Your vein doctor can determine the best treatment plan based on your medical history and the size and location of your veins.

Laser treatment for varicose veins is a safe, effective, and minimally invasive way to address both medical and cosmetic issues. Offering fast recovery and long-lasting results, it’s easy to see why many prefer this modern method to traditional surgery.

If your veins are impacting your comfort or self-confidence, this could be the right moment to consider your treatment options.