Endovenous Laser Ablation (EVLA) in Melbourne

What is endovenous laser ablation?

Endovenous laser ablation, or EVLA, treats the faulty vein that sits underneath visible varicose veins. A thin laser fibre is passed inside the vein through a tiny entry point in the skin, guided by ultrasound. Laser energy heats the vein wall as the fibre is withdrawn, sealing the vein closed along its length.

You will also see this procedure called endovenous laser treatment (EVLT), endovenous laser therapy, or simply laser ablation. It is the same treatment under different names. EVLA Melbourne treatment replaced surgical vein stripping for most patients and is performed in our rooms under local anaesthetic, with no hospital admission and no general anaesthetic.

The Procedure

Your doctor maps the vein with ultrasound, numbs a small entry point, and passes a fine laser fibre into the vein. Local anaesthetic is then placed around the vein along its length, which numbs it and protects the surrounding tissue.

The fibre is slowly withdrawn while laser energy seals the vein behind it. Closure is confirmed on ultrasound before you leave. The session usually takes 45 to 60 minutes and you walk out afterwards.

No Surgery

EVLA replaced vein stripping for most patients. One small entry point instead of surgical incisions and a hospital stay.

Treats the Root Cause

Closes the faulty vein feeding your varicose veins, which is why results last far longer than treating the surface alone.

Proven and Established

EVLA has been used for over two decades with long-term published results and high closure rates.

Confirmed Before You Leave

Ultrasound confirms the vein has closed at the end of the procedure, so you know it has worked.

Minimal Downtime

Walk out the same day and back to most normal activity within a day or two.

Medicare Rebates

Medicare rebates are available for eligible patients. Your doctor will explain what applies to your situation.

Post-Treatment Guidelines

What is the difference between EVLA and surface laser?

They are different procedures with similar names. EVLA treats a large vein beneath the skin using a laser fibre placed inside it. Surface laser works from outside the skin on fine spider veins you can see. EVLA is for varicose veins, surface laser is for spider veins.

Is the procedure painful?

Local anaesthetic is placed around the vein, so most patients feel pressure rather than pain. The anaesthetic injections themselves are the part most people notice.

How long does treatment take?

Usually 45 to 60 minutes, depending on the length of vein treated and whether both legs are being done.

Can I return to normal activities?

Yes. Most patients return to office work the next day. Walking is encouraged straight away. Strenuous exercise waits about a week.

What about side effects?

Bruising and a feeling of tightness along the treated vein are common for a week or two. More significant complications are uncommon and your doctor will discuss them with you.

Are results permanent?

A vein that has been properly closed does not reopen. New veins can develop over time, which is why long-term follow-up matters.