I had EVLT 3 weeks ago. When I went for the 2-week follow-up, it showed that the vein was still open. My doctor said he needed to redo the procedure. I thought this was a one-time procedure, and am confused as to what my options are.
An EVLT is usually, 98% to 99% of [...]
Q: I have 7 cuts in my leg between my knee and ankle from vein stripping and 3 above. I have just awful tingling and numbness especially at the inner ankle. All the cuts and areas are sensitive 6 months after surgery. What do I do? I have adductor tenditis too.
A: With routine daily use [...]
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: I am only 21 years old but I have painful veins on my left leg. I have had them since I was very young, and they only become worse. They are only on one leg. That is the best option to treat the appearance? Thank you.
A: You need to see a qualified Phlebologist for [...]
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: Will Varicose Veins reappear? Do I have them for life even after treatment?
A: Patients with varicose veins have a predisposition to forming varicose veins. Therefore, despite treatment, you will always be predisposed to having varicose veins. However, once a varicose vein has been removed or ablated by sclerotherapy or laser… it is gone! It [...]
Q: I had veinwave treated for spider veins on my face 2 months ago but my face is worse after the treatment. It looks scarred. Will this go away?
A: I wasn’t aware the Veinwave could cause scars. The company that sells the machine claims it doesn’t scar. I have not seen any scarring. My guess [...]
Q: I have to wear a compression sock because I had a DVT and the valve in the vein that runs behind my knee is broken. I am still young and would like this fixed so I don’t have to wear the sock. Is there a procedure to fix this?
A: I strongly recommend that you continue [...]
Q: Can you please detail some of the restrictions after an Endovenous Laser Ablation?
A: Normal activity should be ok, including walking, standing, and house chores. Activity can essentially be resumed right away. Rigorous exercise and heavy lifting (<20lbs) will need to be delayed by 1 week. Typically showering is ok immediately as well. I advise [...]
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 [...]
Is there a difference between PAD and varicose veins, and are there tests to confirm? Also can you have Venous closure surgery if you have PAD?
Peripheral arterial disease (PAD) usually refers to atherosclerosis in the walls of arteries, causing blockage which can manifest as pain in walking, fatigue in the calves with walking, poorly healing [...]
Will this treat mattes of spider veins?
Absolutely! Some of the best results come from treating the mattes that were caused by sclerotherapy injections or similar treatments. The tiny vessels are difficult to treat with lasers and other technologies, but the Veinwave provides a very high level of patient satisfaction.
- Dr. Wright
Is it necessary to wear compression hose after a Veinwave treatment?
Is is never necessary to wear any compression garments.
- Dr. Wright
How does the treated area look after Veinwave?
Most vessels almost completely disappear immediately after treatment. Some people have a response that resembles a “cat-scratch” – with pinkness which will quickly subside. The tiny “mirco-scabs” will flake away over the next few days. In some cases, they may appear darker after treatment. This will dissolve by [...]






