Novi Vein answers your questions about Endovenous Laser Ablation, a type of varicose vein therapy.

How many times can you do Endovenous Laser Ablation on same leg?

Endovenous laser ablations can be performed as many times as necessary. Veins that have been treated in the past can "re-open" and veins that were previously normal can become abnormal. The main veins of the lower extremities are the deep veins. The superficial veins are where you are having your problems and can be treated as many times as needed.

Should I wait to have Endovenous Laser Ablation until I’m finished having kids?

It’s a personal decision. If you have treatment now and get pregnant, you could form a new vein that refluxes and new varicose veins. However, if that does occur, there would be less to treat vs. if you wait.

Is Endovenous Laser Ablation better long-term than Radiofrequency Occlusion?

Overall the recurrence rate is about the same, with both modalities having a high success rate and low recurrence rate.

How should I choose my Endovenous Laser Ablation provider?

Experience is most important. You should look for a practioner who is fully dedicated to venous disease, as opposed to one who is dabbling in veins. Board certification in a specialty that relates to veins such as interventional radiology, general or vascular surgery as well as Board certification in phlebology indicates at least some degree of proficiency. Perhaps most important is what other patients say about the physician as well as your gut reaction to the office.

Will I be able to drive home after endovenous laser ablation?

It’s safest to have someone drive you. You can drive the next day. Recovery is quick; you can expect bruising for two to three weeks.

Should I take ibuprofen after Endovenous Laser Ablation, or not?

As long as you don’t have a contraindication to taking it, Ibuprofen will help avoid the post-procedural pain.

What is the recurrence rate of varicose veins after endovenous laser ablation?

Less than 10% chance of recurrent reflux after an ablation.