Bulging leg veins
EVLT may be considered where larger varicose veins are related to an underlying superficial vein that can be closed endovenously.
St Mary's Medical Clinic · Vein Treatment
EVLT in Malta
EVLT (Endovenous Laser Therapy) is a minimally invasive treatment for selected varicose veins. A thin laser fibre is introduced into the affected vein so controlled heat can close it from within, allowing blood to redirect through healthier veins.
Varicose veinsEndovenous laserLocal anaesthesiaAround 2 hoursWalk after treatment
What EVLT treats
EVLT treats the problematic vein from inside rather than through the skin surface.
Unlike external vascular laser treatment, EVLT places a laser fibre inside the vein. It is used for selected larger varicose veins and venous problems where closing the affected vein is clinically appropriate.
Aching, heaviness & swelling
Some patients seek treatment because visible varicose veins are accompanied by heaviness, discomfort or swelling.
Underlying venous function
The visible vein alone does not determine suitability. Assessment is used to decide whether an endovenous pathway is appropriate.
Assessment & suitability
EVLT starts with identifying the vein that is actually driving the problem.
Assessment considers symptoms, vein pattern, previous treatment, vascular history and whether further investigation or imaging is appropriate before an endovenous procedure.
Who may be suitable
EVLT may be considered for selected patients with larger varicose veins or venous symptoms where the affected superficial vein is suitable for endovenous closure.
What the consultation looks at
We discuss symptoms, previous clots or vein procedures, medication, relevant medical conditions and the distribution of the varicose veins.
Anaesthesia
The current clinic page describes the procedure as being performed under local anaesthesia, helping minimise discomfort while the vein is treated.
Additional visible veins
Closing an underlying vein does not necessarily remove every visible tributary immediately. Other treatment may occasionally be considered according to the remaining vein pattern.
Procedure & recovery
The affected vein is closed from within using a laser fibre.
A thin fibre is inserted into the selected vein and laser energy is delivered along the vessel. The treated vein seals, and circulation is redirected through other functioning veins.
Assessment
The vein problem is assessed and the clinician determines whether EVLT is an appropriate treatment pathway.
Preparation
The treatment area is prepared and local anaesthesia is used according to the planned procedure.
EVLT
A thin laser fibre is positioned within the affected vein and controlled energy is delivered as the fibre is withdrawn.
Immediately after
Walking is generally encouraged after the procedure. Compression stockings may be advised.
First 1–2 weeks
The current clinic guidance recommends compression for approximately one to two weeks and avoiding vigorous activity for several days while recovery progresses.
Results & expectations
Symptoms can improve earlier than the visible veins fully settle.
The treated vein closes at the time of the procedure, while bruising, local tenderness and the visible appearance of varicose veins can take longer to settle.
Early recovery
Walking is generally possible straight away, with many patients returning to normal light activities within approximately 24–48 hours.
3–6 months
The current clinic guidance describes visible varicose veins continuing to fade and settle over several months.
Long-term reality
A successfully closed treated vein can remain sealed, although new varicose veins can develop elsewhere over time.
Prices
EVLT prices
Current published St Mary's Clinic pricing for consultation and EVLT.
Consultation€60
EVLT Procedure€1,200
Our vein team
Meet the clinicians involved in your vein care.
Your consultation is where suitability, expected recovery, limitations and the treatment plan are discussed before proceeding.
Vein Team
Dr Frank Farrugia
MD, MRCP, M.Sc Health SciencesDr Frank Farrugia is listed across St Mary's Clinic's vein-treatment services and is involved in assessment and treatment planning according to the individual vein concern.
Vein Team
Dr Alexey Vinokur
Aesthetic & Reconstructive SurgeonDr Alexey Vinokur is listed as part of the St Mary's Clinic vein team across the clinic's current vein-treatment pathway.
Frequently asked questions
Common questions about EVLT.
These answers are general guidance. Your consultation is where we assess your medical history, the treatment area and the procedure-specific considerations that matter in your case.
01How long does EVLT take?
The current St Mary's guidance is approximately two hours including preparation and immediate post-procedure care.
02Is EVLT performed under anaesthesia?
The current clinic page describes EVLT as being performed under local anaesthesia.
03When can I walk after EVLT?
Walking is generally encouraged immediately after the procedure unless your clinician advises otherwise.
04How long are compression stockings worn?
The current clinic guidance advises compression stockings for approximately one to two weeks.
05When do results become visible?
Symptoms may begin improving within days to weeks, while visible varicose veins can continue settling over approximately 3–6 months.
06Can varicose veins develop again?
The treated vein can remain closed, but treatment does not prevent new varicose veins from developing elsewhere in the future.