Laser (EVLA) for Varicose Veins
Endovenous Laser Therapy (EVLA) is an advanced method of treating varicose veins without surgery. A non-surgical procedure is performed by heating the abnormal veins by a laser. The heated emitted from the laser beam destroys the walls of the veins, and the body naturally absorbs the dead tissue, and the abnormal veins are destroyed. The procedure is performed at the clinic room by an experienced dermatologist.

Suitable Candidates for EVLA
Patients who have varicose veins are suitable for EVLA. However, few patients are not eligible to take up this method of treatment (those having small recurrent veins). They can undergo sclerotherapy procedures.
Laser EVLA Procedure
Laser EVLA is a minimally invasive procedure with minimal to no discomfort.
Before the surgery, your doctor will perform a duplex ultrasound scan to determine the veins to be treated and are marked. Then, a local anesthetic is applied to the skin over the vein. A thin laser fiber is inserted into an entry point and up the vein, usually near the knee. A tiny catheter is introduced through a small needle, into the faulty vein. Then, a laser fiber is passed through the catheter into the vein. The laser fiber is fired up and activated, withdrawn gradually destroying the faulty vein.
Laser EVLA Treatment
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First, a diode laser fiber is passed into the abnormal vein through a tiny key-hole incision to make way for the laser.
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Once the entry point is made, the laser fiber is then passed through the entire vein and is secured next to the leady valve.
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The laser is then fired up, and the intense heat is emitted from the tip of the laser fiber is slowly taken out from the vein.
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After the laser slowly is withdrawn from the vein, the blood is heated within the vein, and covered with a small dressing.
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If you are having both the legs to be treated, the treatment process is repeated on the other leg.
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The treatment lasts for about 30 minutes for one leg.
Post-Treatment Care
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As soon as the treatment is complete, you will be advised to walk and move your leg but with caution. This is to prevent any blood clots from appearing. You will be allowed to go home, and it is advisable not to drive on your own as it may pressure your leg.
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It is recommended to wear stockings for about two to three weeks.
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It is advisable to strictly follow aftercare instructions.
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You will experience the pain, but if the pain is long and intense, the anti-inflammatory drug is prescribed by your doctor.
Preparing for the Laser EVLA Procedure
Before undergoing the procedure, your doctor will suggest you to avoid certain medications. You will be instructed not to shave your legs or apply any lotion before your treatment. The doctor will also advise you to wear a certain kind of dress and comfortable shoes on the day of treatment.
Side-Effects
Every procedure has some complications and side-effects. And with Laser EVLA treatment, you will also encounter certain side-effects. However, serious complications are very rare. Some of them include; Deep vein thrombosis (extremely rare), Nerve Damage (usually returns to normal within weeks/months), burns (rarely), and DVT (rare). However, with the experienced dermatologist, complications can be rare and will be treated well.
Laser (EVLA) for varicose veins is the best alternative to saphenous vein stripping surgery. If you are undergoing treatment for both legs, it can be done in a single session.
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Is there a Down time?No, laser hair removal doesn't usually take any real time off. After laser hair removal, your skin will be red and swollen right away. Even so, most people go back to their normal lives.
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When will I be able to tell if the laser hair removal worked?Most likely, you'll see the effects right away after treatment. The results are different for each subject. The effects depend on the color and thickness of your hair, the area that is treated, the type of laser that is used, and the color of your skin. After the first treatment, you can expect 10–25% less hair. Most people need anywhere from 2 to 6 laser treatments to get rid of the hair. Most people don't see any hair on the treated skin for months or even years after the treatments are done. When hair comes back, there is usually less of it. Most of the hairs are also smaller and lighter in color.
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How long will laser hair removal's effects last?Most people stay hairless for months or even years. When some hair comes back, it will probably be less obvious. A patient may need upkeep laser treatments to keep the area free of hair.
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What are some possible side effects?Most of the time, the side effects are mild and only last for 1 to 3 days. Among these side affects are: Discomfort Swelling Redness
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When laser hair removal is done by a dermatologist or under the direct guidance of a dermatologist, other side effects are rare. Some other things that could go wrong are:Blistering Herpes simplex outbreaks (cold sores) Infections Scarring Skin whitening or darkening Over time, skin color usually goes back to normal. But some changes to skin color last forever. This is why it's important to see a doctor who is good at laser treatments and knows a lot about the face. Also, it's important to do what your doctor tells you. If you follow the advice before and after treatment, you will be much less likely to have side effects.
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When is it safe to get another laser hair removal treatment?This is different for each case. A number of laser treatments are often needed to get rid of hair. Most people can have laser hair removal done every 4 to 6 weeks. Your doctor will tell you when it's safe to have another treatment. Most people see at least some hair growth. Your doctor will be able to tell you when it is safe to get laser treatments to keep the results.
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How safe is it to use a laser to get rid of hair?Laser hair removal is very safe with no down time and minimal side effects
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What are indication in males for LHR?Laser hair removal can also be used for beard reshapeing and in rare disease such as pilonidal sinus Males are also excellent candidates but require more seesions to see the best results.