Endovenous Laser Ablation

Jane Smith, MD -  - Phlebologist

Swan Medical Aesthetics at Veincare

Jane Smith, MD

Phlebologist & Internist located in Raleigh, NC

Endovenous laser ablation is the first treatment in the multi-step systematic approach to treating varicose veins used by Dr. Jane Smith. It's the gold standard in treating varicose veins: Laser energy heats and seals the vein, causing it to close down. In Raleigh, North Carolina, Dr. Smith has performed thousands of successful laser treatments to date and provides even more by using this exciting technology. Problem veins can be melted away by the endovenous laser ablation procedure. Visit Dr. Smith at Swan Medical Aesthetics at Veincare by calling or booking an appointment online today.

Endovenous Laser Ablation Q & A

How is endovenous laser ablation performed?

When doing the endovenous laser ablation (EVLA) procedure, Dr. Jane Smith inserts a small laser fiber into a non-functioning varicose vein using the laser’s heat to melt the lining of the vein, sealing it shut.

First, Dr. Smith places a small needle in the non-functioning vein, and she threads the laser fiber through the needle to the point of origin of the problem in that vein. Then she injects fluid around the vein to prevent the laser's heat from damaging the tissues surrounding the vein.

As Dr. Smith slowly withdraws the laser from the vein, the vein seals, and eventually gets reabsorbed by the body.

How do I prepare for my endovenous laser ablation?

This procedure is performed by Dr. Smith in her office and only requires the use of local anesthesia. Most patients are prescribed a mild sedative to help them relax, which they take 1-2 hours before the treatment.

You should also eat a good meal, drink plenty of water or juice and minimize activity the day of the procedure to ensure your comfort. These steps also enhance the size of the vein to be treated.

How many endovenous laser ablation treatments do I need?

The initial series of treatments typically involves two EVLAs per leg and 2-4 ultrasound-guided foam sclerotherapy sessions. Dr. Smith usually performs these procedures over a period of 4-6 weeks although this varies with each patient.

The primary goal of treatment is to get the abnormal veins under control, which helps restore healthy blood flow. As a result, you get legs that look and feel great.

What happens after endovenous laser ablation?

Immediately after the procedure, Dr. Smith places a small bandage over the treatment area. You can remove this bandage at home 4-6 hours after the procedure, with specific instructions from Dr. Smith.

You also wear compression hose for approximately five days, and walk for 15 minutes immediately after the procedure and again upon arrival at home. For the rest of the day, you rest and elevate your legs, and get up to walk 5-10 minutes every hour.

You can return to school, work, or to caring for children the next day. However, you should avoid lifting more than 15-20 pounds when possible. Walking 30 minutes 2-3 times a day is advised for several weeks. Dr. Smith can provide specific instructions as to when more vigorous activity may be resumed.

How do I know if I am a candidate for endovenous laser ablation?

Most patients with varicose veins can be treated using the EVLA procedure with great success.

After mapping your veins with ultrasound testing, Dr. Smith assesses your candidacy for endovenous laser ablation as the first step in treating your varicose veins. She evaluates specific properties of the vein, such as the size, the depth below the skin, the shape, and any unusual internal weakness.

Based on her interpretation of the mapping, Dr. Smith makes her assessment as to whether EVLA is the best treatment option.

When done with a systematic and thorough approach, the results of EVLA are excellent: They correct both the cosmetic and medical aspects of varicose veins. And when you follow the treatment plan designed by Dr. Smith, the results are almost always long-lasting.  


What We Offer
Services We Offer & Conditions We Treat

truSculpt 3D

TruSculpt 3D is a safe, effective treatment that’s gaining momentum in the body-sculpting world.



SculpSure is an FDA-cleared treatment that reduces hard to get rid of body fat.


Laser Genesis

Laser Genesis is a pain-free procedure that feels almost as relaxing as a facial.



Intense Pulsed Light

IPL uses high-intensity flashlamps to create bursts of electrical energy that are directed toward highly pigmented areas of the skin that you wish to fade.


Spider Veins

Many people see spider veins as a cosmetic nuisance, unaware that spider veins can cause symptoms (aching, burning, throbbing or itching).



Sclerotherapy is the injection of a chemical into a vein using a tiny, thin needle which irritates the lining of the vein and causes it to swell shut.



Varicose Veins

Varicose Veins occur when the muscle in the walls of the veins weaken and the valves deteriorate.


Endovenous Laser Ablation

A small laser fiber is inserted into a non-functioning varicose vein using the laser’s heat to melt the lining of the vein, sealing it shut.


Arterial and Venous Ultrasound

An ultrasound uses sound waves at a high frequency that are inaudible to the human ear.




Melasma is a skin condition that causes the color-making cells in the skin to make too much color, turning patches of your skin brown or brown-gray.


Skin Care

If you struggle to find the right routine and skin care products for you, schedule an appointment with Dr. Smith for a skin consultation.


Stretch Marks

Stretch marks are scars that develop when the collagen and elastin that support your skin rupture.



Acne Scars

Scars form after the skin tries to repair itself. Acne scars are no different.



Platelet-rich plasma (PRP) is a substance full of concentrated growth factors.


Radio Frequency Microneedling

Microneedling, also known as collagen induction, is a skin treatment for which your provider uses a specially-designed device to deliver tiny, micro-injuries to your skin.