What To Expect

The Heart and Vein Center specializes in EVLT in Southeast Michigan. Endo-Venous Laser Treatment (EVLT) or Endo-Venous Laser Ablation (EVLA) are synonyms of the same procedure. It is a novel method to eliminate venous reflux, the underline problem that creates varicose veins. It is done in the office under local anesthesia. It does not require hospital stay. There is no scarring and essentially no recovery down-time. The side effects are minimal. In less than an hour you can be free from bulging, twisted varicose veins and ready to go back and enjoy your everyday activities. The procedure is quite safe, very fast, and highly effective. With EVLT you will be proud to show off your legs with confidence again.

EVLT/EVLA uses special targeted laser energy to seal the abnormal veins shut and help you look and feel better fast. The treatment is done in less than an hour performed at Heart and Vein Center. The success rate is more than 98% in eliminating the abnormal blood flow in the legs. Most patients experience immediate relief of the symptoms. You can return to daily normal activity immediately with little or no pain and no scars.

The Procedure

Dr. Farhy uses ultrasound to map out the vein. After applying a small amount of local anesthetic a small venous access tubing is inserted in the vein. Then a thin laser fiber is inserted through that venous access. After securing the laser fiber in the right position in the vein more local anesthetic is infused along the vein. Once the anesthetic is delivered the laser is turned on Dr. Farhy slowly withdraws the fiber sealing shut the abnormal portion of the vein. Once the fiber and the access tubing are completely removed a small bandage is applied to the entry point and compression stockings are fitted on the leg mostly up to the thigh. You will be encouraged to walk immediately after the procedure.


You can resume normal daily activity essentially without limitations. You will need to wear compression stockings for 1-2 weeks. There may be minor soreness and bruising that can be easily treated with anti-inflammatory medications.

What is sclerotherapySclerotherapy is a technique in which a special FDA approved medication is injected in abnormal vein to produce its closure and eventual elimination. There are a number of medications available for sclerotherapy. At The Heart and Vein Center we use Sotradecol and Polydecanol. Both are FDA approved for use in vein sclerotherapy. They are very safe if used appropriately. The side effects are minimal. Occasionally patients might have allergic reaction to one of these medications.

  • Surface (visual) vs. Ultrasound-guided sclerotherapy: Surface or visual sclerotherapy is used to treat veins that are seen with the naked eye, mostly spider and reticular veins. Ultrasound-guided sclerotherapy uses the help of the ultrasound equipment to locate other veins (often called tributaries and perforators) that cannot be seen on the skin surface.
  • Surface sclerotherapy, what to expect:After inspecting the legs you will be lying on an exam table. Dr. Farhy will inject the veins using an ultra thin needle. The needle is then withdrawn and some pressure is applied to the area. Usually a cotton ball is placed on the site of the injection and secured with tape. Injections are continued throughout the course of the vein and then other veins are injected. At the end of the procedure you will wear compression stockings and will keep in place for a few days. There is no restriction on activities after this procedure.
  • Ultrasound-guided sclerotherapy, what to expect: Dr. Farhy will begin scanning your legs with the ultrasound equipment. Once Dr. Farhy locates the abnormal vein with the ultrasound he will inject the sclerotherapy solution in the vein. The injections are painless except for feeling the small needle used. A cotton ball and tape are applied at each site. Most patients need 2-6 injections on each leg and depend on the severity of the vein problem on each patient. You will need to wear compression stockings after the procedure and will be asked to walk 5-10 min immediately after the procedure and then daily.

Post procedure

You will return to the office after three to four weeks. Dr. Farhy will examine the treated veins to check the effects of the treatment. If things have gone as anticipated, the treated veins will have been sclerosed on the inside and will begin dissolving. If additional treatments are necessary, the residual veins are treated again, and so forth. Spider veins usually require just one or two treatments, but deeper reticular veins and larger varicose veins may be treated two, three or even more times depending upon the patient’s individual response to the treatment, how well the patient follows the post-procedure recommendations, and how severe is his or her venous disease.

Heart and Vein Center
18915 Twelve Mile Rd
Lathrup Village, MI 48076
Phone: 248-277-5205
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