Endovenous Laser Ablation (EVLA, EVLT)


Modern medicine is always developing new and less invasive techniques to improve your health and well-being.

Endovenous laser ablation is the latest treatment for removing varicose veins. This minimally invasive technique can completely eliminate varicose veins. Dr. Dmitry Gorelik of the Varicose Vein Center of New York City is an expert in using this laser procedure. Call to see if endovenous laser ablation can solve your visible vein issues. Endovenous laser ablation (EVLA) is the newest procedure for eliminating varicose veins. It delivers excellent results on painful and unsightly veins throughout your body. EVLA uses the energy from a laser to heat the wall inside a damaged vein, causing it to shrink and collapse. After the problem vein has been closed, your blood flows freely through healthier veins nearby.


In the past, you had to rely on the antiquated vein ligation technique to surgically close the veins to spanert the blood flow. Today’s vein doctors, like Dr. Dmitry Gorelik of the Varicose Vein Center of New York City, have endovenous laser treatment (EVLT) at their disposal. Endovenous ablation is a fast and minimally invasive treatment for men and women seeking to hide bulging veins in their arms, face, legs, hands and feet.

Reasons You May Need Vein Ablation

Arteries and veins form your body’s circulatory system. Your arteries carry oxygenated blood away from the heart to the rest of your body, and your veins carry the deoxygenated blood back to it. Both arteries and veins have valves that only allow the blood to flow in one direction.

When your veins swell, you likely have a vein valve that isn’t closing correctly. The blood begins to pool and eventually puts pressure on the walls of your vein, forcing it to bulge. The damage from faulty valves creates the vein conditions that are both cosmetically and medically unwelcome, including:

  • Varicose veins. The increased pressure from standing upright causes most varicose veins to form in the legs. These swollen leg veins are dark purple or blue, and they protrude to the surface of your skin.
  • Spider veins. Named for the spider web-like appearance of their thin blue and red lines, spider veins are a mild form of varicose veins. They’re generally harmless, although cosmetically unappealing. Spider veins may, however, signal an underlying condition that could lead to worse complications.
  • Venous insufficiency. This condition happens when a vein valve fails to keep your blood flowing in the right direction. Venous insufficiency can become severe enough that blood starts flowing backward in the vein.
  • Venous stasis ulcer. Often a chronic condition, venous stasis ulcers usually appear on your legs below the knee. Venous insufficiency puts so much pressure on the vein wall that blood begins to leak into the surrounding tissue. An ulcer can form either beneath or on top of your skin.


Call for an appointment today!212.400.3966

Endovenous Laser Ablation Procedure

Only after a thorough physical examination and review of your health history can Dr. Gorelik at the Varicose Vein Center of New York City determine whether you would benefit from venous ablation, also known as vein ablation, EVLT and endovenous laser ablation.

During your vein consultation, discuss any medications you’re taking. Dr. Gorelik also needs to know if you’re allergic to latex or anesthesia. When you’re ready for the procedure, avoid eating and drinking for eight hours beforehand.

The procedure for endovenous laser ablation of varicose veins involves a number of steps, including:

  • Your vein specialist numbs the treatment area with a topical anesthetic.
  • A Doppler ultrasound creates an image of the problem vein.
  • Dr. Gorelik makes a small incision, through which he inserts a catheter into the vein.
  • A laser fiber is inserted into the vein, and the catheter is withdrawn.
  • The laser fiber generates heat, which cauterizes the vein.
  • Your doctor then safely removes the laser fiber.


This in-office procedure takes less than an hour. The cut doesn’t even require stitches, only a bandage. After the treatment, you must walk for 30 to 60 minutes to get your blood flowing, but it’s still wise if someone else drives you home. Any endovenous laser ablation complications and endovenous laser ablation side effects are minimized by choosing the seasoned experts at the Varicose Vein Center of New York City.

Endovenous Laser Ablation Post-Op Instructions

To aid your healing process, apply an ice pack every 15 minutes to reduce swelling. Keep the bandage dry for the first 48 hours and monitor it for excessive fluid or blood. If the treatment is on your lower leg, your doctor may recommend compression stockings to prevent the formation of blood clots. Mild exercise is essential to a speedy endovenous laser ablation recovery. Walk three times a day for 10 to 20 minutes and avoid extended periods of standing or sitting. You can return to work immediately, but avoid baths, especially hot baths, for the next week or two.

There’s never been a better time to have unsightly and potentially dangerous veins removed. Contact the Varicose Vein Center of New York City today to schedule an appointment.

There are three convenient locations in NYC:

  • Parsippany, the main office
  • Old Bridge
  • Sayreville


Call for an appointment today!212.400.3966

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book consultation My visit with Dr. Gorelik was possibly one of the best experiences I’ve had. Starting from the front desk on to the medical assistants, her staff are all top notch and very pleasant. Vein specialist Dr. Gorelik took his time to explain all my concerns, and made sure all my questions were addressed. verified user google
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