Is EVLT painful? Does it leave scars?

Is there any kind of pain during EVLT treatment? Does this kind of treatment leave, touch, or scars on my skin?

Answers from doctors (6)


Vanish Vein and Laser Center

Published on Sep 25, 2019

EVLT is a procedure that requires several needles and the injection of fluid to numb the areas. In general, it is well tolerated. 80% of my patients take no medication for the procedure and 20% will take one mg of oral Ativan, pre-procedure. Post-procedure, most patients take either nothing or ibuprofen for pain.

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Answered by Vanish Vein and Laser Center

EVLT is a procedure that requires several needles and the injection of fluid to numb the areas. In general, it is well tolerated. 80% of my patients take no medication for the procedure and 20% will take one mg of oral Ativan, pre-procedure. Post-procedure, most patients take either nothing or ibuprofen for pain.

Published on Jul 11, 2012


Heart and Vein Center

Published on Jan 22, 2012

During the EVLT procedure the patient will feel few needles of the local anesthetic (4-5 needles). During recovery, 50% of the patients do not feel anything. Fifty percet will describe a pulled muscle sensation in the thigh area. Not severe at all. Occasionally needs the use of Tylenol.
Rodolfo D. Farhy, MD, FACC, FAHA

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Answered by Heart and Vein Center

During the EVLT procedure the patient will feel few needles of the local anesthetic (4-5 needles). During recovery, 50% of the patients do not feel anything. Fifty percet will describe a pulled muscle sensation in the thigh area. Not severe at all. Occasionally needs the use of Tylenol.
Rodolfo D. Farhy, MD, FACC, FAHA

Published on Jul 11, 2012


More About Doctor Laser Vein Center

Published on Jan 22, 2012

EVLT is a minimally invasive procedure performed in the office entirely under local anesthesia, or with a mild oral sedative. There is minimal discomfort experienced during, or after, the procedure. The vein that is treated lies at various depths under the skin, so the skin must first be numbed so that the subsequent treatment can be done without any discomfort at all. What you will feel will be just a few tiny, little needlesticks to first numb the skin. Once this is done there is truly little, to any, discomfort at all.
Since the cannula through which the laser is placed goes in through a needlestick, there are no incisions needed, and no scarring at all. The needlestick hole will fade over the first few weeks to nothing more than the appearance of a tiny freckle, and over a period of weeks to months will fade completely, leaving no residual mark or scar.
TWright MD

Answered by Laser Vein Center (View Profile)

EVLT is a minimally invasive procedure performed in the office entirely under local anesthesia, or with a mild oral sedative. There is minimal discomfort experienced during, or after, the procedure. The vein that is treated lies at various depths under the skin, so the skin must first be numbed so that the subsequent treatment can be done without any discomfort at all. What you will feel will be just a few tiny, little needlesticks to first numb the skin. Once this is done there is truly little, to any, discomfort at all.
Since the cannula through which the laser is placed goes in through a needlestick, there are no incisions needed, and no scarring at all. The needlestick hole will fade over the first few weeks to nothing more than the appearance of a tiny freckle, and over a period of weeks to months will fade completely, leaving no residual mark or scar.
TWright MD

Published on Jul 11, 2012


Advanced Vein Center

Published on Jan 19, 2012

EVLT is term implying treatment with the VNUS radiofrequency device
EVLA implies treatment with a laser (several companies)

Generally speaking these technologies are painless after local anesthetic
(usually tumescent anesthesia) is administered. This is much like seeing the
dentist and after he "numbs" the tooth it doesn't hurt to treat it. Since
the procedure is done through a puncture wound there should not be any
scars. If the vein is very close to the skin there can be pigmentation
changes.

Bruce R Hoyle MD

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Answered by Advanced Vein Center

EVLT is term implying treatment with the VNUS radiofrequency device
EVLA implies treatment with a laser (several companies)

Generally speaking these technologies are painless after local anesthetic
(usually tumescent anesthesia) is administered. This is much like seeing the
dentist and after he "numbs" the tooth it doesn't hurt to treat it. Since
the procedure is done through a puncture wound there should not be any
scars. If the vein is very close to the skin there can be pigmentation
changes.

Bruce R Hoyle MD

Published on Jul 11, 2012


Vein Specialties of St. Louis

Published on Jan 18, 2012

In our clinic, all procedures are done under local anesthesia. You may feel several small "sticks" when we numb the skin before injected the deeper local. That is all you should feel. As far as scarring goes, it varies from person to person. The access site for the laser is a small puncture on the inside of the leg around the knee area. If you heal well, there may be no mark. Otherwise there may be a small residual dot which may fade over time. In rare cases there may be some pigmentation changes in the skin but this should not occur when the vein is deep and with plenty of local surrounding the vein.
Norman N. Bein MD FACS RVT

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Answered by Vein Specialties of St. Louis

In our clinic, all procedures are done under local anesthesia. You may feel several small "sticks" when we numb the skin before injected the deeper local. That is all you should feel. As far as scarring goes, it varies from person to person. The access site for the laser is a small puncture on the inside of the leg around the knee area. If you heal well, there may be no mark. Otherwise there may be a small residual dot which may fade over time. In rare cases there may be some pigmentation changes in the skin but this should not occur when the vein is deep and with plenty of local surrounding the vein.
Norman N. Bein MD FACS RVT

Published on Jul 11, 2012


Angelo N. Makris MD

Published on Jan 18, 2012

Minimal pain, and no scarring.

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Answered by Angelo N. Makris MD

Minimal pain, and no scarring.

Published on Jul 11, 2012


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