Varicose Veins removal with EVLA Varicose Vein Treatment.

Varicose Veins or any kind of spider vein, for some, can be embarrassing, an unwanted feature to your body that might make you think twice about baring your legs or body in public. They can also be painful.

WHAT IS Endovenous Laser Ablation (EVLA) VEIN TREATMENT?

Also referred to as Endovenous Laser Ablation (EVLA), it is a new method of laser treatment for removing varicose veins, safely removing the varicose veins without the need for surgery.

An EVLA procedure involves:

  • Heating the veins with a laser to safely remove them
  • The heat from the laser destroy the walls surrounding the varicose veins
  • The treated veins are then absorbed by the body

Simple to conduct, laser ablation can be completed at Changes Clinic!

The Consultation

The first stage of removal is assessment of your area of concern. You may be in some discomfort – aching or pain – from your veins or you may just find them unsightly.

You will be able to meet with our surgeon who can answer any questions, assess what treatment is needed based on colour duplex ultrasound scanning during your consultation. Full EVLA is not necessary in every case and it may be that you require Sclerotherapy instead.

How does EVLA work?


Unsure of what to expect during your varicose vein treatment? A simple and quick process, this treatment will take approximately 60 minutes on each leg.

  • Your trained and highly skilled surgeon will, with the use of ultrasound, place a thin, plastic tube (catheter) into your vein using a needle and wire.
  • With a laser fibre positioned in the catheter, the area will be heated using the laser. The laser will then be drawn along the length of the vein in order to completely close it.
  • Both the catheter and the laser will be removed from the vein before a dressing is added to the needle puncture. This treatment will remove the varicose vein rerouting blood through healthier veins.

Before your treatment

Can I eat before treatment?

Yes, eat as normal as it is much easier for you to be relaxed if you are not hungry.


Please do not use any oil or moisturiser on your legs when you come in for your procedure as your Specialist Surgeon will need to mark your veins with surgical skin marking pen.
Please wear loose clothing that will accommodate you being bandaged, so that you are comfortable when you go home.

The area being treated will be painted with an antiseptic solution numbed using a local anaesthetic where the Surgeon will insert the laser.


Afterwards, as you may still feel the effects of the local anaesthetic so we do not recommend driving. Walking, public transport or arranging for someone to pick you up is best. The minimum time before you can drive again is 24 hours.

What Dressings Do I Have to Wear?

Following the procedure, your doctor will wrap your legs in bandages. These bandages can be removed after a few days and swapped for compression stockings. Surgical stockings are worn for 2 weeks during the healing process.

How long does it take to recover from varicose vein ablation?

You will be pleased to note that after EVLA treatment the healing time is incredibly short with patients recommended to continue walking throughout healing. It is highly recommended that you stay mobile, to reduce your likelihood of DVT and stiffness. Walking every day for at least 10 minutes will also help reduce swelling and bruising.

However, heavy physical activity, such as aerobics and running, is recommended not to be conducted for up to 2 weeks after your treatment.

Does Laser Varicose Vein Treatment Hurt?

The area will be numb during your procedure so you will not feel any pain. There is little discomfort for the first four or five days afterwards. Then for about a week the veins that have been lasered will be uncomfortable before settling down again.
You may experience numb, sore or bruising legs. This is only temporary and can be eased with pain relief as recommended by your prescribing doctor. Pain killers like Ibuprofen can help with discomfort and inflammation too.


An effective, fast and safe treatment for removing Varicose Veins. There are a number of benefits to conducting EVLA treatment for varicose veins. With minimal, long-lasting effects from the laser procedure, along with a short healing time, EVLA vein treatment is relatively pain free and leaves no scars.


Regain your body with confidence, and remove varicose veins for good. All treatment and consultations involving EVLA varicose vein removal are carried out at Changes Clinic and are conducted by our experienced and skilled surgeons. Discover whether our EVLA vein treatment is right for you and contact us..

Meet your skilled and specialist EVLA Surgeon 

Dr Simon Payne - ELVA Varicose Vein Surgeon

Conducting this Varicose Vein Treatment at Changes Clinic is Vascular and General Surgeon Simon Payne. Skilled and highly trained, Simon studied Medicine in the Leicester University Medical School and trained in general and vascular surgery at Oxford University associated hospitals. 

Following his training, Simon then went on to set up a vascular laboratory at Leicester where he conducted vital research into the functions of veins, this resulted in him being awarded a Doctorate in Medicine.

With years of experience, there is no one more suited to conducting Varicose Vein Removal. With a keen eye to detail, Simon Payne is a respected EVLA surgeon by both his colleagues and his patients


If you are still unsure of whether to book a EVLA vein removal or wish to speak to our experienced surgeons about the best option for you, please do not hesitate to get in touch and contact us.

Experienced and passionate about offering a premium experience, when it comes to your health and well-being, our devoted team is here to help. With a selection of different treatments available, we can find and recommend the best treatment available for your needs.


Your doctor may suggest another type of treatment to effectively reduce the look of or remove your Varicose or Spider veins. Sclerotherapy is another successful, less invasive solution for treating Varicose veins.


Sclerotherapy is when we treat a vein by injecting an irritant solution causing inflammation & the blood to coagulate. This then causes the vein to shrink and be destroyed. The body then naturally absorbs and rids itself of these broken veins. Sclerotherapy is a simple and effective solution to reduce veins for a lot of patients.

As an alternative to EVLA, able to be performed under local anaesthesia, a vein sclerotherapy procedure is a top recommended choice for patients by their doctors.

If you would like to book a consultation to assess whether you need Sclerotherapy or EVLA, please contact us.

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    EVLA Varicose Vein Treatment

    A simple and fast vein treatment, when it comes to removing veins, everyone is suitable. The perfect treatment for those with a busy lifestyle and on the go, the healing time is minimal.
    EVLA is a quick procedure. Our specialist and skilled team can complete an EVLA vein treatment in under an hour for both legs. With each leg taking 45-60 minutes to treat, an EVLA Varicose Vein Treatment is painless and effective.
    Conducted with the use of a laser, this is placed onto the abnormal veins and the laser will destroy the varicose veins and their cell tissue.
    A safe form of treatment, EVLA vein treatment is recommended for people with varied health due to the low complications.
    With a small healing time, we recommend that patients remain active straight away.
    Driving away from the procedure? We recommend patients do not drive on the day of the EVLA treatment. This is due to the anaesthetic.
    What about flying? If you are planning on booking a long haul holiday after your EVLA procedure, we recommend waiting 4 weeks before flying over 4 hours. Flight times of under 4 hours are safe after your treatment.


    Procedure Time
    60 mins
    couple weeks depending on patient
    Full Recovery
    hour or so, then couple weeks
    Duration Of Results


    A simple vein removal treatment for spider veins which are smaller, red & purple vessels that also twist and turn. Spider veins are easily visible through the skin and are typically visible on the legs, face, sometimes chest. The treatment uses an injected medicine into the vein to shrink them. There is little discomfort & it's a very quick process.


    Procedure Time
    30-45 minutes
    couple weeks
    Full Recovery
    30 mins or so then 2 weeks in stockings
    Duration Of Results


    Treatment areas:

    • Legs
    •  Face
    •  Chest
    •  Hands


    Pricing guidelines discussed during initial consultation: Sclerotherapy is £275 plus stockings, some vein removal from £1599, full EVLA £2499 per leg    

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