Laser Vein Ablation (EVLA) | Vein Treatment | Vein Specialist Centers

Endovenous Laser Ablation

Covered by medical insurance
Replaced surgical stripping as the standard of treatment for varicose veins
Non-surgical treatment
Only local anesthesia
No sutures
Zero downtime


What Is Endovenous Laser Ablation?

Endovenous Laser Ablation (EVLA), also known as Endovenous Laser Therapy (EVLT), is a minimally-invasive procedure used to correct an underlying vein disease. The most common vein disease we see at our vein clinic is venous reflux disease. Venous reflux disease is the underlying pathology that causes varicose veins and tired, heavy, and achy legs. The procedure is done directly in Vein Specialist Centers offices under local anesthesia by the best vascular specialists in New York and New Jersey. Utilizing ultrasound guidance, a laser fiber is inserted into the problematic vein through a tiny incision in the skin. Laser energy is then delivered directly into the vein to close it permanently. EVLA/EVLT takes less than one hour, and patients can drive on their own after the procedure.

You might be wondering what you can expect after your vein ablation in our New York and New Jersey offices. Once the procedure is complete, the blood is automatically redirected to healthy veins. Leg circulation actually improves immediately after the procedure! After your endovenous laser ablation treatment, walking is encouraged. Luckily, there is no need for any pain medications post-procedure, and most activities can be resumed in a few days. EVLT is highly effective in the treatment of venous reflux, with long-term success rates proven superior to surgical stripping.

If you’re looking for safe and effective endovenous laser ablation in New York or New Jersey, look no further than Vein Specialist Centers. Want to find out if the procedure is covered by insurance? Complete the online virtual consultation and a member of our trusted medical staff will reach out to you.

Endovenous Laser Ablation and Radiofrequency Ablation have replaced surgical stripping as the standards of treatment for varicose veins.


Pros and Cons

Here are some of the key pros & cons of EVLT treatment:


  • Highly effective as a long-term cure
  • Minimally-invasive vein treatment procedure
  • Non-surgical technique with no scars
  • Resume daily activities immediately


  • Slightly more discomfort relative to radiofrequency ablation, yet more effective
  • Best avoided in areas close to nerves or skin

Frequently Asked Questions

Is EVLT a Cosmetic Procedure?

ELVA can significantly improve unsightly and painful varicose veins. Your symptoms and findings of your ultrasound will determine the level of insurance coverage you will receive. Our team of experienced vein doctors will perform the necessary tests, and our staff will submit all necessary information on your behalf for prior authorizations.

How Long Does Endovenous Laser Ablation Take?

The treatment sessions are under one hour, and patients can resume most daily activities immediately after.

Is the Endovenous Laser the Same as Used for Cosmetic Laser Treatments?

The endovenous laser is a specially-designed catheter for the treatment of underlying diseased veins. It is highly effective and does require the need for a vascular specialist. Cosmetic laser treatments are typically used for spider veins at the surface of the skin and do not address the treatment of the underlying cause.

When Can I Expect to See the Results of EVLA?

Patients can begin to notice a considerable difference in the way their varicose veins and legs look and feel within one week following EVLA. In particular, the heaviness, restless legs and cramps may completely disappear.

What is the Risk of Recurrence of Varicose Veins After Endovenous Laser Ablation Treatment?

Varicose veins are the result of a progressive disease. While we can treat what is occurring now, it is up to the individual patient, their genetics, and their lifestyle that will determine whether spider veins and varicose veins will develop over time.

How Does Laser/Radiofrequency Treatment Compare with Traditional “Vein Stripping”?

Many patients will recall “vein stripping” as being a difficult procedure to endure in which the entire saphenous vein is removed through large skin incisions. Fortunately, “vein stripping” is in the past and new technologies have made procedures such as endovenous laser ablation and RF minimally-invasive. With the current endovenous techniques, there is no need for skin incisions or anesthesia to treat troublesome varicose veins.