Endovenous Laser Ablation

  • endovenous laser ablation is performed on painful or swollen varicose veins
  • endovenous laser ablation (or EVLA) is minimally invasive and highly effective
  • diagram of how endovenous laser ablation treats varicose veins
  • endovenous laser ablation treatment for varicose veins is available at The Cooden Medical Group

Treatment of painful, swollen varicose veins used to require a surgical procedure called vein stripping. This involved a complete removal of the vein from the leg under general anaesthetic with a painful 2 to 4 weeks recovery period. Thankfully, there is now a much better option.

Here at The Cooden Medical Group, we perform a revolutionary technique called ‘endovenous laser ablation’ or EVLA; a minimally invasive and highly effective procedure which effectively destroys the veins from the inside.

Walk-in, Walk-out Treatment

No surgery is required for this ‘walk-in, walk-out’ treatment and the entire procedure can be performed by our specialist consultant in less than an hour under local anaesthetic in our comfortable, state of the art facility.

Carried out on an outpatient basis under local anaesthetic, the EVLA procedure is performed according to our own tested protocol. EVLA is a minimally invasive, ultrasound-guided procedure involving endovenous ablation of the affected saphenous vein. At Cooden Veins, our EVLA protocol uses our micropuncture technique and the laser is introduced to the diseased vein which is then ablated. The lasering is painless but you will get some discomfort from the local anaesthetic injections. Experience and skill is required to do this quickly and with the minimumal discomfort.

Initial Consultation For Endovenous Laser Ablation

All our vein treatments require an initial, investigative consultation. We will perform a range of comprehensive diagnostic tests and scans, based on a foundation of Duplex Ultrasound Scanning, in preparation of any treatment plan. Here we will review your symptoms and exclude the likelihood of a deep vein thrombosis. Further to this, we can then create a unique treatment plan for you and accurately outline the type and cost of your procedure.

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Cooden Vein Clinics

Cooden Bexhill Clinic, East Sussex

Cooden Bexhill Clinic, East Sussex

The Cooden Medical Group is a specialist vein clinic in East Sussex offering pioneering vein treatments and medical procedures.

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Canterbury Veins Clinic, Kent

Canterbury Veins Clinic, Kent

Our new medical facility located at All Health Matters in Canterbury to treat patients with varicose veins and other problem veins.

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Cooden Medical of Harley Street

Cooden Medical of Harley Street

The Cooden Medical Group is a specialist vein clinic with a branch on Harley Street offering pioneering vein treatments, aesthetics and a wide range of orthopaedic and sports injuries diagnostic and therapeutic services.

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  • What happens during the treatment?

    A laser fibre is inserted into the varicose vein through a tiny puncture site. The laser energises this fibre as it is withdrawn from the vein, causing the treated vein to close. Your deep veins are not touched by the laser and they will continue to carry blood away from the legs.

    Is EVLA painful?

    Most patients experience little to no pain during the procedure. Often the only sensation is felt during the delivery of anaesthetic to the leg. After the procedure you may feel some tenderness tingling, itching or tightness in the treated leg, which is nothing to worry about and will disappear within a few weeks.

    How successful is EVLA?

    Clinical results have been published which prove that EVLA is extremely successful as well as being recommended by NICE guidance. Failure of the procedure however may occur due to inability to place probe inside the vein, or if the laser fails to destroy the vein.

    EVLA has an excellent safety record with few reported significant complications. In our hands it is over 96% successful at obliterating the cause of the varicosities and over 95% of patients are happy with the results. Recurrence of varicosities after EVLA is very uncommon.

    Will I notice a difference straightaway?

    The follow up post procedure is at 8 weeks as this is the optimum time to see results and see if any further treatment (foam) is required. It is unlikely that you will see an improvement before this time, sometimes the veins can look worse before they look better. While they are healing they often appear hard, lumpy and bruised.

    What are the potential risks of EVLA?

    This is a very safe treatment; however there are risks associated with nearly all procedures and these may include any of the following:

    • Mild numbness in thigh area
    • Mild bruising
    • Mild phlebitis (a redness and tenderness of the skin). This can treated with medication and usually diminished within 3-7 days.
    • Deep venous thrombosis. This can be prevented by wearing compression bandage or compression stocking and walking immediately after the procedure.
    • Infection of incision site

    What happens post procedure?

    A dressing is placed over the point of entry after the procedure and a compression stocking will be placed on your treated leg. You can resume normal activities but should avoid swimming, vigorous exercise, hot bathes or excessive sun for the first two weeks.

    What is the downtime? How long will I need off work?

    Most people can return to normal activities including work the following day, however if you have a job where you are on your feet for most of the day it is advisable to take a couple of days off.

    Will I have to do much walking after the procedure?

    A minimum of 30 minutes a day is recommended but you can walk as much as you are comfortable doing.

    When can I resume exercising after EVLA?

    You must avoid vigorous exercise for 2 weeks post procedure, you need to avoid anything that will put strain on the groin area. You can ease back into vigorous exercise after 2 weeks.

    How long until I can drive after the procedure?

    You can not drive home following EVLA but you are able to drive the next day as long as you are not restricted by pain or the stockings and can do an emergency stop easily if required. You are able to drive following foam and micro sclerotherapy.

  • Single - start from £2,100
    Bilateral or multiple - start from £2,900

    This cost includes one standard 8-week follow-up. The charge thereafter for reviews is £150 within the first 6 months and £200 after this time.

    Consultation & Venous Doppler Ultrasound: £200
  • Endovenous Laser Ablation Before & After

    Endovenous Laser Ablation Before & After
    Endovenous Laser Ablation Before & After
    Endovenous Laser Ablation Before & After

Contact The Cooden Medical Group 01424 846190


  • "True excellence, would not hesitate to recommend. Thank you team, you are all wonderful."
  • "Always felt welcomed, always felt well informed, always felt taken care of. Thank you Dr Faris & Shannen!"
  • “I received a very high standard of care from initial consultation to after treatment. All staff were unfailingly polite and courteous and I would recommend the clinic unreservedly.”
  • “I was very satisfied with the treatment and Dr. Mo Faris carried out the procedure in a very efficient and professional way. I wouldn't hesitate to have any further problem carried out at your clinic.”
  • “Excellent reception welcome and procedure on my legs was very quick and painless. Thank you all. I would definitely recommend The Cooden Medical Group.”
  • "The clinic made my whole procedure as comfortable and relaxing as possible. Would certainly recommend Dr Faris and his team to my friends and family."
  • "Very professional, friendly staff with a good range of treatments on offer to make me look and feel better."