Varicose veins are caused by a condition known as “venous reflux.” Traditional treatments for varicose veins required surgeons to remove damaged veins through a procedure known as “vein stripping.” Recovery times for vein stripping are extensive, and patients experience a great deal of discomfort after the procedure.

With EVLT (Endovenous Laser Treatment), you can have your vein reflux treated in a 45-minute outpatient procedure and walk out of the office. The procedure leaves no scar, creates minimal postoperative discomfort, offers a quick 1-2 week recovery and provides almost immediate relief from your symptoms.


The EVLT procedure is a quick, minimally invasive procedure which uses a probe and a slim sheath that enters the vein through a tiny skin nick. The probe is guided into place using an ultrasound and is performed strictly under local anesthesia. Dr. Lachterman states it is similar to a dentist numbing the treatment area or having an IV started.

Here is what to expect:

  1. Ultrasound technician uses ultrasound to map out the vein to close
  2. Local anesthesia is applied
  3. A thin laser fiber is inserted through a tiny entry point (usually near the knee or ankle)
  4. Laser energy is delivered to seal the vein
What can I EXPECT after the EVLT therapy?

Most patients are able to walk out of the office after their EVLT procedure. You may resume your normal activities the day of your procedure. You should begin walking after your EVLT procedure, but you should avoid strenuous activities for at least one week. You may experience tenderness and numbness in the treatment area. This is normal and should resolve within a few days. You will be required to wear compression stockings during your healing period.