Q: Can a laser effectively occlude an incompetent Sapheno-Femoral Junction? If it does, which modality is better: Diode or NdYag?
A: Technically, you do not want someone to occlude your saphenofemoral junction. The occlusion should extend to a short distance below the saphenofemoral junction. All of the LASERs in routine use for saphenous vein ablation work [...]
Q: Is it possible, ablating perforators by endovenous lasers?
A: Yes, Endovenous Lasers can be used to treat refluxing perforator veins. Insurance companies often times will not cover this treatment as they consider it too “experimental.” However, in some cases doing an appeal with your insurance company can result in coverage for this. At any rate, [...]
Q: Most youtube videos I have watched show only thigh veins being tackled by EVLT. No videos show leg veins or tortuous veins. Does this mean it is difficult to use lasers in these situations?
A: The ELVeS and EVLT are use primarily used to treat the saphenous veins from the mid-calf up to the thigh. Refluxing [...]
Q: It’s been a year since my surgery and I still have brusing. Does that mean it is permanent?
A: Probably not. Most likely what you are seeing is not really bruising, but what we refer to as staining. This is a light brownish discoloration, which looks like a light bruise. This is caused from trapped [...]
Q: I heard that ELVeS has recently updated or added a new type of procedure. What is it, and how is it different from ELVeS?
A: ELVeS is certainly the endovenous laser associated with the least discomfort by patient rating, on a scale of 1-10 (10 being the worst), the average rating was 3. Which is [...]
I have spider veins and more visible thicker veins that are not bumpy but painful nonetheless…my doctor suggested laser therapy and said it would treat both.From what I have read, laser treats spider veins only…is this true?
There are two types laser therapy when it comes to leg veins problems. The first is [...]
What are the risks involved with ELVeS?
The treatment carries little risks. A very small number of people develop blood clots following treatment with ELVeS { less than 2 per thousand treatments}. The only other reported side effect is some numbness in the affected area, which usually disappears with time.
- Dr. Wright
What are the advantages of ELVeS over other procedures?
ELVeS takes less than an hour and can be done without general anesthesia or hospitalization. Other procedures can leave scarring and are much more expensive and often requiring hospitalization. According to most patients the worst pain involved is the injection of lidocaine, which feels something like a [...]
What is ELVes?
Endo Laser Vein System (ELVeS). This procedure, developed by Biolitec, stops the blood from flowing backwards and pooling as a result of problems with the greater saphenous vein. ELVes uses laser light energy to constrict the walls of the damaged vein and direct the blood supply to healthier areas.
- Dr. Wright
I have previously had sclerotherapy for my veins with excellent results. Now, a doctor, said my valve is problematic so the Laser should be used. I guess I’m a little nervous about the procedure.
In good hands ELVeS (Endo Laser Vein System) is a very safe procedure with very low chances of complications. Two rare but [...]
I realize that the endovenous laser treatment cannot be used for the lower leg and I was wondering if ELVeS could be an alternative for me. Thank you.
Yes ELVeS (Endo Laser Vein System) can be used to treat varicose veinson the lower and upper leg. Like an endovenous laser treatment (EVLT), ELVeS can be used [...]
I have a varicoele and am looking for treatment, is endovenous treatment a good option?
Absolutely NOT. ELVeS should not be used to treat a varicoele. ELVeS is only for treatment of a particular type of varicose vein of legs. It is FDA-Approved for varicosity of Greater Saphenous vein, and it usually applied to the [...]
Is endovenous procedure safe or is it risky?
It is safe in the proper hands. However with newer technologies the risks and side downtime associated with even this safe surgery are not zero. With the advent of endovenous procedures such as laser and radio frequency ablation, there is no need for ligation and stripping. The newer [...]
From what I see online it seems that minimally-invasive options like endovenous ablation are always being recommended for varicose veins, and I can see why, but is there ever a time where surgery is preferred? Are there benefits to surgery?
From my perspective the times when surgery (and I guess by surgery you mean ligation with [...]
Will losing the weight change the pressure in my legs enough to make the varicose veins go away, or will I need surgery or other treatments?I’m scheduled for weight-loss surgery, and I have large varicose veins on both legs.
Congratulations on moving forward to become more healthy! As you lose weight, your legs will feel better. [...]






