Endovenous Laser Treatment

For treating the venous reflux in the main superficial venous system, Dr. Juleff performs a procedure called Endovenous Laser Treatment. 

Endovenous Laser Treatment, simply known as EVLT, is a minimally invasive vein treatment procedure used to treat venous insufficiency as an alternative to painful stripping procedures that demanded a lengthy and trying recovery period in order to see results. Today’s EVLT is fast, safe and effective compared to archaic surgeries.

Many patients find immediate alleviation of their troublesome symptoms such as leg pain, throbbing and more. Moreover, these procedures allow patients to resume normal activities almost immediately following treatment.

Additional benefits of EVLT Procedure include:

  • Procedure is usually performed in a single session
  • Procedure time is typically under an hour
  • Performed on an outpatient basis
  • Offers immediate relief from symptoms
  • Little to no downtime or lengthy recovery
  • No need for general anesthesia
  • Exceptional effectiveness with up to a 98% success rate
  • Minimal incisions with less chance for scarring than traditional treatment

Upon beginning the EVLT procedure, your Hawaii vein doctor will pinpoint the affected veins with an ultrasound-imaging device after the treatment leg is prepared in a sanitary manner. A local anesthetic is also used to diminish any discomfort during treatment. During the procedure, a laser fiber is inserted through a tiny needle into the affected vein. Once the laser in place, the laser is turned on and the heat energy that emanates from the tool closes off the vein. Finally, the fiber is removed and the only surgical reminder the patient is left with is a miniscule 1-millimeter perforation at the treatment site. Over time, the body naturally reroutes blood into properly functioning veins.

After the EVLT procedure, patients may perceive slight sensitivity and minor bruising at the treatment site. To improve these minor side effects, patients can easily treat them with Ibuprofen or other over the counter anti–inflammatory medication. Patients are usually free to go back to regular activities the following day and will soon experience the outstanding results of their treatment in a few short weeks.


Leg Swelling

Radio Frequency Ablation

Varicose Veins

Facial and Body Rejuvenation

Spider Veins and Scierotherapy

Venous Insufficiency

Laser Hair Reduction

Tattoo Removal


Dr. Juleff and the Vein Clinics of Hawaii provide a wide arrange of services that include, but are not limited to:

          -Endovenous laser ablation
          -ClosureFast: Endovenous Radio-frequency ablation
          – VenaSeal: Endovenous Biologic Adhesive Closure
          – Clarivein: Endovenous Mechanico-Chemical Closure
          – Varithena: Endovenous Chemical Closure
          – Ambulatory Microphlebectomy
          – Ultrasound Guided Sclerotherapy
          – Cosmetic Sclerotherapy

For any questions or concerns regarding conditions and treatments, please feel free to contact our office to speak to a member of our friendly staff.