Endovenous Laser AblationEndovenous laser ablation, also called EVLA or EVLT, is a procedure for treating varicose veins and their sequelae such as venous stasis dermatitis and leg ulcers. The process employs lasers to heat and destroy the vein from within. This process of heating the vein until it collapses and scars over is called “thermoablation”. Endovenous laser ablation of varicose veins is used only for the large, long, straight veins that cause blue, ropy lines to appear on the surface of your skin. As science progresses and medical intervention becomes more specific and targeted, you benefit from less invasive techniques, decreased recovery time and a reduction in aftercare issues. Your Manhattan dermatologist uses EVLA to target the underlying issues that cause your varicose veins, giving you a greater chance for a permanent solution.
Endovenous Radiofrequency AblationEndovenous radiofrequency ablation, also known as ClosureFasta, is similar to EVLA but utilizes radiofrequency rather than laser energy to target and collapse the treated vessel. Treatment and results are similar to EVLA. Often patients report less discomfort and bruising associated with endovenous radiofrequency ablation as compared to endovenous laser ablation.
Your Symptoms and Endovenous AblationThe conditions and symptoms that EVLA or endovenous radiofrequency ablation can effectively treat include:
- Thick, ropy, knotty varicose veins as seen just below the surface of your skin
- Swelling of your feet, ankles and legs
- Tired, achey legs
- Venous stasis dermatitis
- Skin discoloration at your ankles
- Venous leg ulcers
- Pelvic veins such as ovarian, testicular, internal iliac because of the vital organs that could be damaged by the laser
- Vulval varicose veins that form after childbirth, usually due to pelvic congestion syndrome
- Some recurrent veins after previous procedures, as they may be too small and need other treatments such as foam sclerotherapy
Procedure for Endovenous Ablation of Varicose VeinsYour New York City dermatologist makes the procedure as comfortable and successful as possible. The procedure, while customized for your specific needs, generally follows a series of steps:
- You’re usually awake for this procedure as your doctor must be able to communicate with you about any pain or discomfort during the procedure to protect your nerves, muscle and skin.
- Your skin is prepped, sterilized and draped.
- Your Manhattan doctor uses ultrasound to identify the targeted vein.
- You’re positioned on the table head up to allow the vein to dilate and provide a larger target for the needles.
- Your skin is numbed with a local anesthetic.
- The entry point for the wire can be below the knee, at the ankle, in the thigh or in the calf depending on which vein is targeted.
- A hollow needle is inserted into the vein.
- Usually the only entry site is the pinprick of the needle hole, but occasionally, if the vein is hard to reach or is moving, a small incision may be necessary.
- A wire is passed down the needle into the vein, followed by a sheath to guide and protect the optical fiber or laser device.
- A local anesthetic solution is injected around the vein causing it to contract and also protecting surrounding tissues with the liquid.
- You’re then tipped head down on the table to help the vein contract.
- Direct laser energy is fired along the length of the wire inside the vein with the goal to point the laser towards the vein wall as the surgeon slowly removes the wire at a steady rate.
- The result is complete ablation or collapse of the vein that feeds the surface varicose veins. It should not reopen after treatment.
- As soon as the procedure is done, your doctor gets you up and moving around to reduce the chances of deep vein thrombosis.
The Pros and Cons of Endovenous AblationOur doctors are best-in-class board certified physicians. Please call for an appointment. As with any medical procedure, there are advantages and concerns for endovenous laser ablation of varicose veins. The advantages include:
- The process is minimally invasive with usually only a few pinpricks.
- It can lead to permanent ablation or collapse of the treated veins.
- It produces significantly less bruising and post- operative pain than traditional methods, such as vein stripping.
- Your post-operative mobility is back to normal immediately after the procedure.
- Endovenous laser ablation recovery is much quicker than traditional invasive methods.
- You can have endovenous ablation on an outpatient basis, often on the same day.
- You may require multiple pinpricks if the vein is large or your New York City doctor recommends it for successful ablation.
- Endovenous laser ablation side effects include some discomfort, but over-the-counter medication, prescriptions and cold compresses help.
- There may be a change in your skin sensation at the injection site, but it usually resolves within a few weeks.
- The procedure carries a risk of perforations of a vein wall resulting in increased bruising and pain.
- There’s a small risk of regrowth of treated veins, but your doctor may try different frequencies and methods to reduce this risk.
Important Reminder: This information is only intended to provide guidance, not a definitive medical advice. Please consult dermatologist NYC about your specific condition. Only a trained, experienced board certified dermatology doctor or pediatric dermatologist can determine an accurate diagnosis and proper treatment.
Do you have any questions about Endovenous Laser Ablation for varicose veins in NYC? Would like to schedule an appointment with an internationally recognized, best dermatologists in NYC of Manhattan Dermatology Specialists, please contact our Midtown NYC office for consultation with cosmetic and laser dermatologist.Dr. Susan Bard has either authored or reviewed and approved this content.
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