About EVLA

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.

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 destroys the walls surrounding the varucose veins. The treated veins are then absorbed by the body.

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

What to expect during an EVLA removal

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.


The first stage of removal is assessment of your area of concern. 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.

Your doctor may suggest another
type of treatment. Sclerotherapy is another successful, less invasive solution for treating Varicose veins.

Vein Removal Procedure

Your surgeon will, with the use of ultrasound, place a 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.


After your prcoedure, we do not recommend driving. The minimum time before you can drive again is 24 hours.

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.

Dr Simon Payne - ELVA Varicose Vein Surgeon

Meet your skilled and specialist
EVLA 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

Benefits of EVLA for Varicose Veins

• Walk in and walk out
• No time lost being away from work or normal daily duties
• Pain free
• Relatively quick healing time – 2 days in bandages, then 14 days in surgical stockings
• No unsightly legs. Be free to show your legs again!
• Rid yourself of the discomfort of varicose veins


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    All enquiries and questions are dealt with in the strictest of confidence.

    What you need to know

    Before The Procedure

    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.

    You are welcome to eat as normal before an EVLA treatment as it is much easier for you to be relaxed if you are not hungry.

    After The Procedure

    Straight after your procedure, we do not recommend driving due to the local anaesthetic. We recommend arranging a lift, walking or public transport.

    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 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.

    What is Sclerotherapy?

    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.



    Interested in EVLA or Sclerotherapy?

    Contact our team today about taking you next steps to becoming more body confident.

    Call us on 02392 382 000 or email info@changesclinic.co.uk

    Book Appointment: 02392 382 000