EVLT Procedure


This is the most advanced treatment for varicose veins and vein disease.  In the past, varicose veins were treated with a surgical procedure called vein stripping, where the vein was completely removed from the leg.  Today, endovenous laser ablation procedure is used to deliver laser energy into the malfunctioning vein to seal it closed.  It's precise, painless, and quick.  This procedure is performed in the outpatient setting of our comfortable office.

Vein Stripping
Endovenous Laser Ablation Procedure
•   Hospitalization required  •   Appointment at our clinic
•   General or spinal anesthesia required  •   Local Anesthesia
•   Surgical cuts and stitches (sutures)  •   Laser Treatment is minimally invasive
•   Leaves a scar  •   Little to no scarring
•   Can experience pain  •   Minimal or no pain
•   Age range limitations  •   Can help anyone of any age
•   Recovery takes 1 to 2 months  •   Resume normal daily activities within 1 day

In preparation for the EVLT procedure, an ultrasound machine is used to examine and map out the shape and size of the veins in your legs.  This venous map allows our physician to accurately locate the unhealthy veins that need to be treated.  Our physician will also provide you with a personalized treatment plan that will include the estimated number of treatments that your leg may require.

During the EVLT procedure, you are awake and your leg is numbed with a local anesthetic.  A small nick in the skin is made in the leg near the location of the unhealthy vein to prevent scarring.  A thin fiber-optic probe is inserted through a needle into the vein using ultrasound guidance.

A highly concentrated beam of light from the laser heats the vein walls which makes them shrink.  This causes the unhealthy vein to collapse.  The precision of the laser allows the physician to target the vein without affecting the surrounding tissue.  Once the vein is sealed, it slowly disintegrates while being absorbed by the surrounding soft tissues.  The other healthy veins in your leg will then take over the normal blood flow toward the heart.

Following the procedure, a simple bandage is placed over the insertion site, and additional compression will be provided to aid healing.  Patients are encouraged to walk, and to refrain from extended standing and strenuous activities for a period of time.  Patients who undergo this procedure typically resume normal activities within a day.


Click below to view a short video about the Endovenous Laser procedure:


If you have vein disease or varicose veins, call us at 916-835-7777 or contact us today to schedule a consultation with Dr. Milne.