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Endovenous Laser Therapy (EVLT) - is a procedure where a thin laser fiber is inserted into the vein using ultrasound guidance. Laser energy is applied to the inside of the malfunctioning vein and the heat emitted by the laser fiber seals the vein closed. Other healthy veins take over normal blood flow in the leg. Over time, the varicose vein is absorbed by the body. 
This laser technique treats the underlying causes of varicose veins and is 97% successful. Additional treatments of sclerotherapy may be needed for residual veins.


This procedure has many advantages over the traditional surgical approach:

• Walk in / walk out treatment takes about 30 to 45 minutes per leg

• No hospital stay, the procedure is performed in our clinic

• No general anesthesia

• Almost immediate relief of symptoms

Sclerotherapy is a medical procedure used to eliminate varicose veins and "spider veins."

Sclerotherapy involves an injection of a solution directly into the vein. The solution irritates the lining of the blood vessel, causing it to swell and stick together, and the blood to clot. Over time, the vessel turns into scar tissue that fades from view. Sclerotherapy is a well-proven procedure and has been in use since the 1930s.

In most cases, the sclerosing solution is injected through a very fine needle directly into the vein. At this point, you may experience mild discomfort and cramping for 1 to 2 minutes, especially when larger veins are injected. The procedure itself takes approximately 15 to 30 minutes.

The number of veins injected in one session varies and depends on the size and location of the veins, as well as the general medical condition of the patient.

Sclerotherapy is performed in our clinic by a fully trained specialist and requires that you do not partake in any extensive aerobic activity for two days after the procedure.

Prior to vein injection, you should avoid certain medications. Tetracycline, an antibiotic, may possibly cause a staining of the skin if taken seven to 10 days before or after sclerotherapy. If you need to take an antibiotic before sclerotherapy, contact Dr. Gilbert Aidinian. No lotion should be applied to the legs before the procedure.

Precise preoperative varicose vein markings will be done by the physician. Local anesthesia will then be administered via injection. Vertical tiny (micro) incisions are made in the areas of interest. A surgical hook device is then introduced through the incisions to help remove the faulty veins. After the veins have been removed, the leg is washed and bandaged (incisions are tiny and stitches are generally not necessary) A compression stocking is then worn for a short period. The procedure typically leaves nearly imperceptible puncture mark scars.

All patients are sent home immediately after the procedure. They usually are allowed to walk in or around the office for 10-15 minutes to check for postoperative bleeding and to be sure that the wrapping is comfortable and tolerable.

Patients are encouraged to walk as much as possible and it is recommended that everyone should bring a driver. Pain control is usually accomplished with Ibuprofen. If larger segments of veins have been removed, Tylenol with Codeine or Hydrocodone is used.

Patients usually return to the office in 7 days to have the dressings removed.