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Laser Vein Therapy (EVLT)

EVLT (Endovenous Laser Therapy) is a modern replacement for outdated vein-stripping surgery. Performed in-office under local anesthesia, a thin laser fiber is guided by ultrasound to close faulty veins. The procedure takes about 30 minutes and patients can walk and drive home immediately afterward.

AI-generated visual of EVLT laser targeting an affected vein

What This Treatment Includes

EVLT (Endovenous Laser Therapy) is a modern replacement for outdated vein-stripping surgery. Performed in-office under local anesthesia, a thin laser fiber is guided by ultrasound to close faulty veins. The procedure takes about 30 minutes and patients can walk and drive home immediately afterward.

Common Approaches

  • In-Office Under Local Anesthesia
  • Guided by Doppler Ultrasound
  • ~30 Minute Procedure
  • Walk & Drive Home Same Day

What Is EVLT?

Endovenous Laser Treatment (EVLT) is a minimally invasive in-office procedure for varicose veins and venous insufficiency. It has replaced traditional vein stripping for most patients.

Targeted laser energy closes the affected vein without surgical incisions, helping relieve symptoms and prevent progression.

Who Is EVLT Right For?

EVLT is typically recommended for patients with symptomatic varicose veins and ultrasound-confirmed reflux.

  • Aching, swelling, heaviness, or cramping
  • Great or small saphenous vein reflux
  • Failure of conservative therapy like compression
  • Need for durable treatment without open surgery

How EVLT Works at Schulman

Every EVLT procedure is physician-performed by Dr. Martin L. Schulman or Dr. Lee G. Schulman.

  1. Duplex ultrasound mapping and guidance
  2. Local tumescent anesthesia for comfort
  3. Laser fiber placement through a tiny puncture
  4. Controlled laser pullback to close the vein
  5. Compression and same-day walk-out recovery

What to Expect at Your EVLT Appointment

Patients are usually surprised by how straightforward EVLT is. Most are in and out in about 60 to 90 minutes.

Mild soreness, bruising, or tightness can occur for one to two weeks. Daily walking is encouraged while strenuous activity is temporarily limited.

Insurance & Coverage

EVLT is often covered when medically necessary, with criteria such as documented symptoms, conservative treatment trial, and duplex ultrasound evidence of reflux.

Our team handles pre-authorization and verifies your plan before scheduling.

FAQs: Laser Vein Therapy (EVLT)

How long does it take to see results after EVLT?+

Symptoms often improve within one to two weeks, while visual improvement typically continues over two to three months.

Is EVLT permanent?+

Yes, treated veins are permanently closed. New veins can still appear in other areas over time.

How is EVLT different from vein stripping?+

EVLT is office-based under local anesthesia with much faster recovery and less discomfort than traditional surgery.

Can both legs be treated in one visit?+

Usually one leg is treated per session, with timing for the second leg based on your clinical plan.

Location-Specific: Long Island Patients Ask

Is EVLT available at your Commack and Manhasset offices?+

Yes. EVLT is available at all three locations, including Commack and Manhasset.

Can I drive myself home after EVLT?+

Most patients can drive themselves because EVLT uses local anesthesia, but arranging a ride is still recommended when possible.

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