Endovenous Laser Treatment

Endovenous laser treatment is a minimally invasive method where a laser fibre is guided into the saphenous vein. A tiny incision is made in the skin so that the laser fibre can be inserted into the vein. On reaching the site of treatment the fibre is made to emit laser energy which produces heat within the blood vessel and causes blood to clot, thus destroying the blood vessel. Local anaesthetic is injected along the length of the vein to ensure there is minimal pain and to protect other tissues in the leg.

The damaged blood vessels will collapse, shrink and finally disappear. Varicose veins arising from the saphenous vein also shrink and in 80% of cases do not require further treatment.

The advantages of the endovenous laser technology include:

  • Can be performed in an outpatient setting
  • Relatively low absorption by melanin so it can be used on all skin tones
  • Minimal pain and discomfort
  • Procedure is performed under local anaesthetic

Side effects are rare but can include some reddening discomfort or swelling along the line of the saphenous vein that has been treated. There also may be some bruising.


Day of the procedure

Please remember to bring your signed consent form.

No fasting is required.

Please wear loose comfortable clothing.

The procedure will take 1 to 1 ½ hours and you will need someone to drive you home after the procedure.

You may be given an injection of Clexane, which is an anticoagulant.

After the procedure

For the first two days after the procedure it is recommended you take nurofen.

You will be required to wear a compression stockings day and night for 7 days, then daily for the following 7 days. These can be purchased from our office.

For the first two days gentle walking is recommended. After this you will be able to return to normal activity. It is recommended you incorporate 40 minutes of walking daily, until your review with Mr Bell.

One week following the laser treatment you are required to have a follow up ultrasound. This is to assess the treated vein and exclude deep vein thrombosis.

Two weeks after laser treatment you will need to see Mr Bell to review your progress.

Three months following laser treatment a review appointment is recommended to determine if any further management is required.