Endovenous laser ablation is a newer technique that uses a laser to create intense local heat in the affected vein. This heat closes up the targeted vessel. This treatment closes off the problem veins but leaves them in place so there is minimal bleeding and bruising. Compared with ligation and stripping, endovenous thermal ablation results in less pain and a faster return to normal activities, with similar cosmetic results.
Endovenous Laser Ablation is performed in-office under local anesthesia. A small laser is inserted through a needle into the vein that requires treatment. The laser is activated once it has reached the desired location. Pulses of light collapse the vein and cause it to seal shut as the laser is pulled back though.
Recovery is relatively quick following the procedure. You’ll want to avoid intense exercise and activity for about 48 hours. For the following two weeks, it’s a good idea to wear compression hose. You may experience mild discomfort during this time — ibuprofen is recommended to alleviate pain and pressure. There may be discoloration or bruising on your skin for up to six weeks — this is completely normal.