Why Is the EVLA Method So Popular?

When it comes to varicose vein treatment, many patients today seek comfortable and aesthetic solutions that avoid surgery. One of the standout techniques in this regard is Endovenous Laser Ablation (EVLA). This treatment uses laser energy to seal the vein from the inside, making it less traumatic compared to traditional surgery — which is why it is increasingly preferred.

So, how is varicose vein treatment performed with the EVLA method? Is it suitable for everyone? What is the recovery process like? You’ll find all the answers in this article.

1. What Is Endovenous Laser Ablation (EVLA)?

Endovenous Laser Ablation is a minimally invasive method that treats varicose veins in the leg veins using laser light. A damaged vein is closed from the inside in a controlled manner with a laser fiber inserted into the vein.

Procedure steps:

1. Problematic vein is identified with Doppler ultrasound.

2. A thin laser catheter is inserted into the vein.

3. Local anesthesia is applied.

4. Laser energy is delivered from the catheter to the vein wall.

5. The vein is closed and eventually eliminated by the body.

Varicose vein treatment with the EVLA method is usually completed in a single session, with the procedure lasting between 30–60 minutes.

2. When Is It Used?

Endovenous Laser Ablation (EVLA) may be preferred in the following situations:

• In patients with large-diameter varicose veins

• In individuals diagnosed with saphenous vein insufficiency

• In patients avoiding surgical treatment

• In those with cosmetic concerns

• In individuals unsuitable for traditional varicose vein surgery

However, in patients with very tortuous veins or active infections, alternative treatments may be preferred after an initial evaluation.

3. What Is the Recovery Process Like?

Patients undergoing EVLA varicose vein treatment are usually discharged on the same day. After the procedure:

• Compression stockings are recommended for 7–10 days.

• High-intensity physical activity should be avoided for the first 2 days.

• Light walking supports recovery.

• Hot environments such as saunas and steam rooms should be avoided for the first week.

In most cases, patients can return to their daily routine within a few days. However, prolonged sitting or standing can negatively affect the healing process.

4. What Are the Advantages?

EVLA varicose vein treatment offers several benefits:

• No surgical incision, minimally invasive

• No aesthetic scarring, skin integrity preserved

• Low pain levels, local anesthesia is sufficient

• Rapid recovery, return to work within a few days

• High success rate, with studies reporting over 90% effectiveness

5. Possible Risks and Complications

Like any medical procedure, EVLA varicose vein treatment carries some risks:

• Mild bruising and skin firmness

• Temporary pain

• Rarely, superficial thrombophlebitis

• Very rarely, nerve injury

These risks are minimized with proper patient selection and treatment by an experienced physician.

6. Laser vs. Surgery

7. Recommendations for Long-Term Success

• Take short daily walks

• Avoid prolonged inactivity

• Continue compression stocking use for the duration recommended by your doctor

• Avoid excessively hot environments

• Do not skip annual Doppler check-ups

These lifestyle changes improve treatment success and help prevent the formation of new varicose veins.

Varicose vein treatment with the EVLA method offers a modern and comfortable treatment process. It is a safe alternative for patients with cosmetic concerns and those who wish to avoid surgical intervention. However, whether it is suitable for an individual should always be determined through evaluation by a specialist physician.