Endovenous Laser Therapy – Varicose Vein Treatment
No surgery – no scarring – minimal downtimeman and woman walking barefoot on a beach

The latest and most promising medical treatment for varicose veins is Endovenous Laser Therapy (EVLT®)

EVLT® is an advanced, ultrasound-guided technique used to treat varicose veins caused by venous reflux. Venous reflux is a condition resulting from a build up of back pressure due to leaky valves in veins that allow blood to flow backwards. EVLT® is an out-patient procedure that leaves no scars, causes minimal postoperative pain, offers quick recovery while providing fast and effective therapy.

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Q: What will happen during my consultation? If your office visit is for the consultation only, you will fill out an information sheet and questionnaire. You will then have a directed physical exam and ultrasound for evaluation of your leg veins. Digital photographs of your leg veins may be taken. The doctor will then discuss treatment options with you.
Q: How long will my EVLT® treatment take? EVLT® treatment of a single leg typically takes about an hour. Occasionally, the procedure may last a little longer or shorter depending on the length of vein requiring treatment and other technical factors.
Q: What happens after EVLT®? Walking immediately after the procedure is encouraged. Normal daily activity can be resumed immediately. Vigorous physical activity such as working out or playing sports can usually be resumed within a week.Following treatment you will be required to wear a compression stocking and bandages day and night for 3 days. This helps the treated vein to seal properly. You will then be required to wear the compression stocking while you are up and active during the day. You may take the stocking off to shower or to go to bed.
Q: Can I drive immediately after EVLT®? No. If you are undergoing EVLT® you should come with someone to drive you home since you may have received some mild sedation and will require some time to become accustomed to the compression stocking and bandages.
Q: What do I need to bring? For your initial consultation, you should bring accurate lists of current medications and dosages as well as lists of allergies. These form a part of our record should you require further treatment. For your EVLT® treatment, you should bring the compression stocking(s) which the physician has prescribed as well as someone to drive you home. (VenaCare careries a wide range of prescription stockings for our patients.)
Q: What about bathing and showering? For the first 3 days (while the compression stocking is on) you should avoid getting the treated leg(s) wet. Careful sponge bathing is probably the best way to steer clear of soaking the compression stocking. Once you are no longer wearing the compression stocking during the day (i.e. after the first 3 days), you may bathe and shower normally.
Q: How successful is EVLT®? EVLT® is a proven therapy but data is still being gathered. Experience suggests that EVLT® will have a success rate of about 95% (equal or better than surgical ligation).
Q: Is EVLT® covered by OHIP? OHIP does not cover EVLT®, routine or ultrasound-guided sclerotherapy, laser or other cosmetic treatment of varicose veins, spider viens or skin conditions.
Q: How much does EVLT® cost? Pricing (subject to change without notice ) for EVLT® and other services available at VenaCare® can be found on the Cost of Treatments page.
Q: What other services does VenaCare® offer? Other treatments available at VenaCare® include:
  • Ultrasound-guided Sclerotherapy for varicose veins
  • Sclerotherapy injections for spider veins
  • VariLite™ laser therapies for a variety of skin conditions
  • Apollo™ RF treatments for cellulite, loose skin and contouring.
  • Botox® injections for hyperhidrosis (excessive sweating)
Q: How do I get to VenaCare®? VenaCare® is located on the 2nd floor, Suite 230 of the medical-dental building located at 279 Wharncliffe Rd., North of Oxford Street in London. Paid parking is available on site.
Endovenous Laser Therapy® is a minimally invasive treatment for varicose veins. It is a proven therapy and is much gentler than vein stripping. (Vein stripping requires multiple incisions and results in much scarring.)With EVLT®, a catheter bearing a laser fiber is inserted under ultrasound guidance into the long saphenous vein in the leg, through a small puncture at the level of the knee. The catheter is then advanced (also under ultrasound guidance) to the level of the groin. Local anesthetic is delivered around the entire length of vein to be treated (tumescent anesthesia).The laser fiber is then activated resulting in obliteration of the saphenous vein. As the laser is activated, the resulting heat at the tip produces a reaction in the walls of the vein, causing them to stick together. The varicosities associated with this vein then disappear as blood from the lower leg reroutes through the deeper circulation. The catheter is then slowly withdrawn and the saphenous vein is sealed along its entire length. Foam sclerosant may be added through the catheter as required to treat large side branches. Contact VenaCare® & Skin Care Clinic today to discuss the use of EVLT® to treat severe Varicose Veins and the right treatment options for you. Request Info
The cost for a cosmetic venous consult (including ultrasound evaluation) is $150+HST for one leg, $250+HST for both legs. The cost for EVLT starts at $3,000+HST for one leg and $5,000 +HST for both legs (when performed at the same time).  At VenaCare, EVLT treatment includes sclerotherapy injections of the treated leg(s) at the time of EVLT if needed as well as follow-up sclerotherapy treatments of the treated leg(s) for up to one year. Ultrasound-guided sclerotherapy starts at $300 per leg, per treatment.EVLT is not covered by OHIP, but is a tax-deductible medical procedure in Canada. Contact VenaCare® & Skin Care Clinic today for more information about EVLT. Request Info

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