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Vein Treatments & Procedures

EVLT for Varicose Veins

Pittsburgh, PA and Columbus, OH

Endovenous Laser Therapy (EVLT) is a minimally invasive procedure for the treatment of varicose veins.  The treatment itself takes about an hour and includes ultrasonography to map all areas of venous reflux and trace the path of the refluxing greater saphenous or lesser saphenous vein.

EVLT for varicose veins offers many advantages over traditional vein treatments, including:

  • Treatment time of less than an hour
  • Performed as an outpatient treatment in a physician's office
  • Up to 98 percent success rate
  • Immediate relief of symptoms and healthier-looking legs
  • Minimal downtime
  • Relatively painless with minimal post-operative pain
  • Smaller incisions with little or no scarring
  • Covered by most insurances

In Pittsburgh, Endovenous Laser Therapy (EVLT) is performed by board-certified cardiologist, Jerome Itzkoff, MD in our nationally accredited AAAHC and ICAVL vein center.

In Columbus, EVLT is performed in by Marios Panayides, MD, FACS, in our nationally accredited AAAHC surgery center.

Treatment Information

Endovenous Laser Therapy (EVLT) has made the painful vein striping surgeries, often performed in a hospital setting, a procedure of the past.  Today, The Skin Center Medical Spa, with locations in Columbus, OH and Pittsburgh, PA, offers the less invasive EVLT treatment for varicose veins using laser energy to seal diseased veins, while encouraging circulation through healthy unaffected veins.

Once an entry point for the EVLT treatment is identified, the area is desensitized with a local anesthetic, and a tiny puncture incision is made. A narrow tube, which carries the laser fiber, is inserted into the diseased vein. The laser fiber delivers energy in short pulses causing the vein to collapse and close, preventing blood flow. By closing off this diseased vein, blood is diverted to other healthy veins.

In the months following the surgery, the body naturally absorbs the vein remnant leaving virtually no sign of the vein in the treated area.

Recovery for Varicose Vein Laser Surgery

After EVLT, the treated leg will be wrapped in a compression bandage and medical compression stockings will be needed for approximately one week.  Walking immediately following the treatment is encouraged.  With the exception of strenuous activity and vigorous work-outs, a normal routine can be resumed.

Over the next 7 to 10 days, there may be light bruising and varying degrees of soreness, which can be relieved with an over-the-counter pain reliever.

EVLT and Insurance Coverage

Most insurance carriers either fully or partially cover expenses associated with the treatment of varicose veins if those treatments alleviate symptoms associated with vascular disease. At the time of your consultation, the severity of your vein disorder will be evaluated to determine if EVLT treatment is considered "medically necessary."  If you are experiencing symptoms associated with varicose veins, there is a good chance that it will be considered "medically necessary".  The following is a list of primary insurances accepted at The Skin Center Medical Spa for vein treatment:

  • Aetna
  • Anthem/BCBS
  • Cigna
  • Medical Mutual
  • Health America
  • Highmark/BCBS
  • Medicare
  • Tricare
  • United Health Care
  • UPMC
About EVLT for Varicose Veins
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  • Varicose Vein and Spider Vein on Pittsburgh Living
References

Endovenous Laser Therapy (EVLT) has made the painful vein striping surgeries, often performed in a hospital setting, a procedure of the past.  Today, The Skin Center Medical Spa, with locations in Columbus, OH and Pittsburgh, PA, offers the less invasive EVLT treatment for varicose veins using laser energy to seal diseased veins, while encouraging circulation through healthy unaffected veins.

Once an entry point for the EVLT treatment is identified, the area is desensitized with a local anesthetic, and a tiny puncture incision is made. A narrow tube, which carries the laser fiber, is inserted into the diseased vein. The laser fiber delivers energy in short pulses causing the vein to collapse and close, preventing blood flow. By closing off this diseased vein, blood is diverted to other healthy veins.

In the months following the surgery, the body naturally absorbs the vein remnant leaving virtually no sign of the vein in the treated area.

Recovery for Varicose Vein Laser Surgery

After EVLT, the treated leg will be wrapped in a compression bandage and medical compression stockings will be needed for approximately one week.  Walking immediately following the treatment is encouraged.  With the exception of strenuous activity and vigorous work-outs, a normal routine can be resumed.

Over the next 7 to 10 days, there may be light bruising and varying degrees of soreness, which can be relieved with an over-the-counter pain reliever.

EVLT and Insurance Coverage

Most insurance carriers either fully or partially cover expenses associated with the treatment of varicose veins if those treatments alleviate symptoms associated with vascular disease. At the time of your consultation, the severity of your vein disorder will be evaluated to determine if EVLT treatment is considered "medically necessary."  If you are experiencing symptoms associated with varicose veins, there is a good chance that it will be considered "medically necessary".  The following is a list of primary insurances accepted at The Skin Center Medical Spa for vein treatment:

  • Aetna
  • Anthem/BCBS
  • Cigna
  • Medical Mutual
  • Health America
  • Highmark/BCBS
  • Medicare
  • Tricare
  • United Health Care
  • UPMC

From Our Blog

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Frequently Asked Questions FAQ
Does EVLT surgery provide permanent results?
EVLT is very reliable, with a 98 percent success rate for the destruction of varicose veins. However, in an extremely small percentage of cases, the varicose vein is damaged by the laser, but not absorbed by the body. Therefore, it may still be visible under the surface of the skin. If this occurs, additional treatments may be necessary to achieve optimal cosmetic results.
Are there any risks associated with EVLT surgery?
There are very few risks associated with this type of treatment. Because a puncture wound is made to insert the fiber-optic laser, redness and swelling may occur at the site and the risk of infection is increased. As with any medical treatment, there are associated risks. Individual risk factors will be discussed during the comprehensive vein consultation.
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