Varicose Veins Laser Treatment (EVLT) in Hyderabad
Varicose veins are enlarged, twisted veins — usually in the legs — caused by faulty valves that allow blood to pool backwards. Beyond the cosmetic concern, untreated varicose veins can cause pain, swelling, skin discolouration, and eventually venous ulcers. Endovenous Laser Ablation (EVLT) is the modern minimally invasive treatment that closes the faulty vein from inside using laser energy.
Symptoms
- Visibly enlarged, ropy veins on the legs
- Aching, heaviness or throbbing in the legs
- Swelling around ankles by end of day
- Itching or burning over the veins
- Skin discolouration or ulcer near the ankle (advanced)
Common Causes
- Prolonged standing occupations
- Genetic predisposition
- Pregnancy (multiple pregnancies increase risk)
- Obesity and sedentary lifestyle
- Ageing and hormonal changes
The Procedure
Under duplex ultrasound guidance, a thin laser fibre is introduced into the faulty vein through a tiny needle prick. Laser energy is delivered as the fibre is slowly withdrawn — sealing the vein from within. Blood is naturally rerouted through healthy veins.
- 1Duplex ultrasound mapping of veins
- 2Local tumescent anaesthesia — no general anaesthesia
- 3Needle-prick access to the faulty vein
- 4Laser fibre delivers controlled energy
- 5Compression stocking applied post-procedure
Benefits
- Walk-in, walk-out — no hospital stay
- No surgical incision or stitches
- Immediate return to daily activity
- 95%+ closure rate at 1 year
- Cosmetic — no scarring
Recovery Timeline
- Day 0: Walk immediately post-procedure
- Day 1: Resume desk work
- Week 1-2: Wear compression stockings
- Week 2: Resume gym and sports
- Follow-up ultrasound at 1 and 3 months
Cost in Hyderabad
Cost varies with number of veins treated, unilateral vs bilateral, and need for sclerotherapy of tributaries. Cashless insurance available.
Frequently Asked Questions
Is EVLT painful?+
No. The procedure is done under local tumescent anaesthesia and patients walk out immediately. Post-op discomfort is minimal and managed with paracetamol.
Will varicose veins come back after EVLT?+
The treated vein cannot re-open — the closure rate is over 95% at 1 year. New varicose veins can develop in untreated tributaries, which are managed with sclerotherapy.
How long does the procedure take?+
EVLT of one leg takes 45-60 minutes including ultrasound mapping and compression bandaging. Bilateral treatment may be done in the same sitting or staged.
Do I need to wear compression stockings?+
Yes, class-2 compression stockings are worn for 1-2 weeks post-procedure to optimise closure and reduce bruising.
Is varicose vein treatment covered by insurance?+
Yes. EVLT is covered by most health insurance policies when the varicose veins are symptomatic (pain, swelling, ulcer) — pure cosmetic treatment is usually not covered.
Consult Dr Sandeep Katakam
Get an honest opinion on whether varicose veins laser treatment is right for you.
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