Varicose Vein Laser Treatment

Advanced laser and sclerotherapy treatment for varicose and spider veins โ€” walk-in, walk-out procedure with excellent cosmetic results and lasting relief.

Day CareProcedure
Walk-InWalk-Out
No GANo General Anaesthesia
ImmediateRelief
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Dr. Prashanth J V
Dr. Prashanth J V
MBBS ยท MS ยท FMAS ยท FISCP ยท DMAS ยท Kiel University, Germany
โญ 4.9/5 Rating
27+ Years Experience

Why Varicose Veins Develop and When to Treat Them

Varicose veins are dilated, twisted superficial veins that typically affect the legs. They develop when the one-way valves inside the veins weaken or fail. These valves normally stop blood from flowing backwards as it travels up the leg to the heart. When they malfunction, blood pools in the vein under the force of gravity, causing it to stretch, enlarge and become tortuous. The condition is more common with age, prolonged standing, pregnancy, obesity and a family history of venous disease.

Many people dismiss varicose veins as a cosmetic problem, but they are a genuine medical condition that worsens over time. Symptoms include aching and heaviness in the legs after standing, visible bulging veins, ankle swelling, itching, skin discolouration and leg cramps at night. If left untreated for years, they can cause venous eczema and eventually venous leg ulcers โ€” open wounds that are very difficult to heal.

Endovenous Laser Treatment (EVLT) permanently seals the faulty vein from within using laser energy, redirecting blood flow through healthy veins. The treated vein slowly disappears over a few weeks. The procedure is done under local tumescent anaesthesia, takes under an hour, and allows you to walk out of the clinic the same day.

โš ๏ธ Warning Signs โ€” When to See a Doctor
  • Visible bulging, twisted veins on the legs
  • Leg aching, heaviness or fatigue after standing
  • Ankle swelling that worsens through the day
  • Skin itching, discolouration or thickening near the ankles
  • Leg cramps, particularly at night
  • Any open sore or wound near the ankle โ€” seek care promptly

Ready to Get Relief?

Book a consultation with Dr. Prashanth J V today.

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How Endovenous Laser Treatment (EVLT) Is Performed

The procedure takes 45 to 60 minutes per leg and is performed entirely under local tumescent anaesthesia. No general anaesthesia or hospital admission is required.

1
Duplex Ultrasound Mapping

Before the procedure, a Duplex ultrasound scan maps the faulty veins and identifies where the valves are incompetent. This planning step ensures accurate laser placement along the diseased segment.

2
Tumescent Anaesthesia

Diluted local anaesthetic is injected around the vein under ultrasound guidance. This numbs the area completely, compresses the vein around the laser fibre, and protects surrounding tissues from heat.

3
Laser Fibre Insertion

A very thin laser fibre is introduced into the faulty vein through a small puncture โ€” no cuts needed. Ultrasound confirms the fibre tip is positioned correctly at the top of the diseased segment.

4
Laser Ablation

The laser is activated and the fibre is slowly withdrawn along the vein. Heat destroys the vein wall from within, causing it to collapse and seal permanently. The body gradually absorbs the closed vein over the following weeks.

5
Walk Out with Compression

No stitches needed. A compression stocking is applied immediately. You walk out of the clinic within 30 minutes. The stocking is worn for 48 hours continuously and then during waking hours for 2 more weeks.

What to Expect After Treatment

Day 1

Walk out the same day. The leg feels warm and slightly tender along the treated vein โ€” this is expected. Manage with ibuprofen and paracetamol. Walk for at least 30 minutes.

Days 2โ€“7

Return to desk work the next day. Continue walking daily. Some bruising along the vein is normal and fades gradually. Wear the compression stocking during the day.

Week 2โ€“4

Bruising and tenderness resolve. The treated vein begins to shrink and fade. Resume normal exercise after 2 weeks. A post-procedure ultrasound confirms the vein is fully closed.

Month 2โ€“3

The treated vein is no longer visible. Residual surface thread veins can be treated with sclerotherapy at a separate session if needed. Most patients are very pleased with the cosmetic and symptomatic improvement.

Why Patients Choose Dr. Prashanth J V

๐Ÿ’ซ
Duplex Ultrasound-Guided

Every EVLT procedure is planned and performed under real-time ultrasound guidance, ensuring accurate laser placement and complete treatment of the diseased vein segment.

๐Ÿฅ
27+ Years of Experience

Extensive experience treating simple and complex varicose veins, including recurrent cases and those with advanced skin changes or venous ulcers.

๐Ÿ 
Walk-In, Walk-Out

No general anaesthesia, no hospital admission, no prolonged recovery. You walk into the clinic and walk out the same day, fully independent.

Frequently Asked Questions

Varicose veins develop when the one-way valves inside leg veins weaken or fail. Blood pools in the vein instead of moving upward to the heart, causing the vein to enlarge and become tortuous. Risk factors include prolonged standing, family history, pregnancy, obesity and increasing age.
No. While varicose veins are cosmetically unappealing, they cause real symptoms: aching, heaviness, swelling, itching and leg cramps. Left untreated, they can progress to skin changes, venous eczema and venous leg ulcers โ€” a serious, difficult-to-heal chronic wound. Early treatment prevents these complications.
The procedure is performed under local tumescent anaesthesia. You feel the initial injections and mild pressure during the procedure, but the laser treatment itself is painless. Most patients walk out of the clinic comfortably with only mild leg warmth and tenderness for a few days.
Walking is encouraged immediately after treatment โ€” in fact it is recommended for at least 30 minutes on the day of the procedure. Most patients return to desk work the next day. Strenuous exercise, heavy lifting and long-haul flights are avoided for 2 weeks.
Laser ablation permanently closes the treated vein. However, other veins can develop varicosities over time, particularly if risk factors such as obesity or prolonged standing remain. Most patients do not need repeat treatment for many years. A follow-up Duplex scan confirms complete closure.

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Walk In. Walk Out. Back to Life.

Don't let varicose veins hold you back. Book a consultation with Dr. Prashanth J V for a Duplex scan assessment and a personalised treatment plan.

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