Currently laser therapy has various types due to advancements in the provision of medical equipment and devices each type of varicose vein laser having its own benefits and side effects.
Laser treatment for varicose veins is one of the most common and popular methods today. Many patients prefer this approach over treatments like surgery because it is painless, bloodless, quick and does not require hospitalization. With advancements in medical equipment and devices, laser therapy now comes in various forms each applied based on the diagnosis of a vascular or varicose vein specialist and the patient’s condition. If you’re curious about when each type of laser is used or their advantages and side effects compared to one another stay with us until the end of this article.
First let’s explain how laser affects and treats varicose veins. Varicose veins in the legs occur due to inflammation and twisting of the leg veins. Veins responsible for returning blood to the heart may become weak or dysfunctional due to factors like genetics, congenital defects, obesity, leg trauma, prolonged standing or sitting, pregnancy, hormonal changes or aging. As a result, blood isn’t fully pumped from the legs to the heart pooling in the veins. Over time this causes pressure on vein walls, swelling and varicosity. Varicose veins due to their structural issues must be removed or sealed. Laser beams use focused light that generates heat energy upon contacting body tissues and varicose vein walls. This heat alters the vein walls causing them to contract and close. Once the varicose vein is sealed, blood flow to it stops, redirecting to healthier veins improving circulation. The sealed vein is gradually absorbed and eliminated by the body over weeks to months.
The main types of laser treatments for varicose veins include:
Surface (External) Laser used for small varicose veins close to the skin surface such as spider veins or reticular veins. Laser energy is applied directly to the skin, sealing and closing the varicose veins. This method is primarily used for aesthetic purposes.
In endovenous laser treatment a thin laser fiber is inserted into the defective vein through a sheath or catheter (a fine needle). The laser is applied inside the vein, heating and sealing the varicose vein walls. This treatment is typically used for larger, deeper veins such as saphenous veins.
This method uses high-frequency electromagnetic energy to generate heat in the targeted tissue, closing varicose veins. It is similar to endovenous laser but uses radiofrequency waves instead of laser energy.
We’ve compared the types of laser treatments for varicose veins based on benefits, drawbacks, side effects, care and costs:
The main advantages of each laser type include:
Surface Laser Benefits:
Suitable for small, superficial veins.
No incisions required.
Painless and bloodless.
Improves skin appearance and aesthetics.
Endovenous Laser (EVLT or EVLA) Benefits:
Effective for deep, large veins.
Minimally invasive.
No need for general anesthesia.
Quick results and symptom relief.
Radiofrequency (RF) Benefits:
Similar results to endovenous laser.
Less pain.
Shorter recovery time.
Fewer side effects.
The main drawbacks and side effects include:
Surface Laser Drawbacks:
Effective only for small, superficial veins.
May cause redness or inflammation.
Temporary skin discoloration possible.
Note: If performed by an unqualified specialist or with inadequate devices, especially in centers without a specialist, surface laser may cause irreversible issues like burns or scarring.
Endovenous Laser (EVLT or EVLA) Drawbacks:
Requires advanced equipment and expertise.
Involves a small incision or wound.
May cause bruising or swelling.
Radiofrequency (RF) Drawbacks:
Higher cost compared to other methods.
May require multiple sessions.
Care required after each laser type includes:
Surface Laser Care:
Avoid direct sunlight on the treated area.
Use sunscreen and restorative creams.
Endovenous Laser (EVLT or EVLA) Care:
Wear compression stockings.
Avoid strenuous activities.
Engage in daily walking.
Avoid prolonged standing or sitting.
Regular follow-ups with the doctor.
Radiofrequency (RF) Care:
Wear compression stockings.
Rest adequately and avoid strenuous activities.
Avoid prolonged standing or sitting.
Engage in daily walking.
Regular follow-ups with the doctor.
Laser treatment costs vary by city and clinic. Factors include the number of sessions, number of affected veins, doctor’s expertise, device type, clinic services and insurance coverage. Thus exact costs cannot be determined. Generally costs compare as follows:
Surface Laser Cost: Typically lower than other methods.
Endovenous Laser (EVLT or EVLA) Cost: Depends on equipment, number of veins and doctor’s expertise but generally higher than surface laser.
Radiofrequency (RF) Cost: Higher than both surface and endovenous laser due to advanced technology and equipment.
Varicose veins a common vascular issue can be treated with laser therapy. The main laser methods are surface laser, endovenous laser (EVLT or EVLA) and radiofrequency (RF) laser. Their application depends on the type and severity of varicose veins and the patient’s condition. Each method has its own benefits, drawbacks, costs and care requirements and understanding these can help choose the right treatment.
Endovenous laser (EVLT) is suitable for larger varicose veins (e.g., saphenous or trunk veins) and can replace surgery.
The number of sessions depends on the severity and number of defective veins. Usually more than one session is needed, scheduled every few weeks based on the doctor’s assessment.
Laser treatment typically causes minimal pain and the doctor may use local anesthesia to reduce discomfort. Some warmth or tightness may be felt which is tolerable.
Yes, laser treatment is minimally invasive allowing a return to daily activities immediately but strenuous activities should be avoided.
The duration depends on the number of varicose veins but typically ranges from 30 minutes to 1 hour.
Laser treatment completely eliminates and treats varicose veins but new veins may become varicose in the future if a healthy lifestyle isn’t maintained. Laser treats varicose veins but doesn’t prevent them.
Results are typically visible within weeks to months.