Varicose Vein Treatment

Laser Treatment

Varicose veins are an embarrassing and often painful condition that affects millions of men and women as a result of heredity, pregnancy and hormones. These affected veins appear on the leg as a raised, tangled and unattractive web under the surface of the skin. Women are most often affected by this process and as a result may be embarrassed to wear shorts or show their legs.

Laser procedures offer patients more precise results through a minimally invasive procedure, which heats the vein and causes it to close, rather than removing it surgically.

Laser vein treatment offers patients:

  • Fewer side effects
  • Less trauma
  • Shorter treatment time
  • Shorter recovery
  • Minimal downtime

Endovenous laser treatment (EVLT) is an advanced procedure that can be used to treat larger varicose veins by passing the laser fiber through a catheter directly into the vein. This procedure is performed using ultrasound guidance to ensure accurate delivery of the laser energy.

Some of the benefits of the EVLT procedure include:

  • Safe, precise, effective and minimally invasive
  • Performed in-office with local anesthesia
  • FDA-cleared
  • Alternative to painful ligation and stripping
  • The new “Gold Standard” for treating varicose veins
  • Cost effective and often insurance reimbursable
  • Procedure complete within 45 minutes
  • Return to work the next day
  • 940nm and 1067nm wavelength are safe and effective for varicose veins

Treatment with the endovenous laser is usually performed under local anesthesia on an outpatient basis. Each treatment session generally takes approximately 30 minutes to perform, and patients should rest following the treatment and can return to work and other normal activities the following day.

For this procedure, Dr. Gitter will use ultrasound to obtain an image of the vein. After making a small incision in your leg, a catheter will be guided into the incompetent vein. The laser fiber is inserted into the catheter, where it provides laser energy to close off the damaged vein. After the laser is removed from the leg, the flow of blood is directed to healthy veins. Once the incision is closed, it will be covered by a small bandage and a compression garment is used to promote healing. Patients are recommended to begin walking immediately after the treatment is complete.

You may experience a slight tingling sensation during the procedure as the laser energy is delivered to the targeted vein. Other patients report a sensation similar to a rubber band being snapped on the leg. The majority of patients are able to tolerate this procedure well with the use of a local anesthetic.

Most patients see effective, long-lasting results from this procedure. However, the number of treatments required varies depending upon the severity of the condition, and patients with larger veins typically require additional sessions.


Microphlebectomy is a minimally invasive procedure used to treat varicose veins that are too large to treat with sclerotherapy and too small for laser ablation. Also known as “stab phlebectomy,” microphlebectomy uses tiny punctures to remove damaged veins and divert blood flow to healthy veins. This can relieve the painful symptoms and unsightly appearance associated with varicose veins.

Microphlebectomy is performed under local anesthesia in your doctor’s office. There is little to no downtime after this procedure, with most patients able to return to work and other normal activities the very same day. However, strenuous activities should be avoided for a week. After the microphlebectomy procedure, patients are usually required to wear compression garments for about a week to help minimize swelling and bleeding. There are virtually no scars left after this procedure because of the tiny incisions used.

To schedule an appointment with Gitter Vein Institute, please contact us at 504.833.0111.