What To Expect After Endovenous Laser Vein Ablation (EVLA)

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September 29, 2022

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Varicose veins are caused when the valve directing blood flow back to the heart weakens and malfunctions, allowing blood to pool or flow backward (reflux). They are the most common sign of underlying vascular injury, and they are more than a cosmetic concern. Without treatment, varicose veins can contribute to more vascular complications. Dr. Verebelyi, one of Colorado’s prominent vein surgeons, is one of just a few physicians certified by the American Board of Venous and Lymphatic Medicine, and he can treat your varicose veins and restore your vascular health.

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*Individual Results May Vary.

How Does Vein Ablation Work?

Endovenous Radiofrequency Ablation (EVRF) Ablation is simply a way of using heat to close damaged veins. Radiofrequency has become our go to procedure for ablation due to its excellent results and minimal post procedural discomfort. During the procedure a small catheter is placed inside the damaged vein. The damaged portions are heated to the point where the body will remove the vessel over the next several months without any invasive surgery.

Endovenous Laser Ablation (EVLA) is another way to add heat to vessels or order to close them. Through the early 2000s this was preferred vein closure treatment. However, as radiofrequency became more effective in the last 10 years, patients have shown a clear preference for the shortened discomfort time associated with RF versus laser. Laser is still used sometimes if a patient has a very short segment of diseased vessel or occasionally for very large vessels. 

Why Do I Need To Treat My Vein If I Cannot See Any Major Varicose Veins? 

Over time, after the valves within leg veins fail, other medical problems follow if they are not treated. Aside from the obvious superficial vessels, varicose veins and swelling several other serious medical issues eventually develop. Restless Leg Syndrome and night time cramping get worse the longer veins are left untreated. More serious skin problems such as skin thickening, ulcers and blood clots will also develop over time.  Unfortunately there are no prescription medications or supplements that can effectively treat the vein problem. Although compression can help decrease symptoms it does not stop the vessel from refluxing, so closing the damaged vessels in order to re-route the blood into the healthy vessels has become the standard of care for treatment.

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Am I a Good Candidate for Vein Ablation?

If you suffer with enlarged, twisted veins that are the hallmark of underlying vein disease, you are not only a candidate, but should seek immediate treatment in order to prevent further damage to your vascular system. Any patient with symptoms of heaviness, aching, Restless Leg Syndrome, leg swelling or varicose vein will get significant relief with proper vein treatment. Untreated vein disease can lead to further health concerns like those above which require much more intense medical attention.

What is an EVRF Treatment Like?

EVRF for vein ablation was originally developed around 1999. As the procedure has matured, it has become extremely effective and the treatment of choice for refluxing leg veins. Dr. Verebelyi has done several thousand of these treatments. He focuses on not only ensuring the procedure is as safe and effective as possible but also making sure all of our patients are incredibly comfortable both during and after procedures. The micro puncture to place the tiny catheter is so small it requires only a tiny bandage to close. The total treatment time is only about thirty minutes to an hour and patients are able to do mild exercise the same day. Patients may experience some mild swelling afterwards but should only expect minimal discomfort that can easily be controlled with Ibuprofen. 

Is There Any Downtime with These Vein Treatments?

You’ll need to wear a compression bandage for a few days following your treatment, but you will be up and walking the same day. Light activity is encouraged the day of your procedure and may be increased each day following the treatment.

What Results Can I Expect?

Vein ablation is highly successful, with Dr. Verebelyi’s patients experiencing a success rate of 98% or better, even after four years. The other good news is that many symptoms begin to improve within a few days of the procedure. 

Dr. Verebelyi is one of the most highly trained vascular physicians in the country, and he is a fellow of the American Society for Laser Medicine and Surgery (ASLMS). Colorado Skin & Vein is an ASLMS preceptor site, and Dr. Verebelyi has trained many of the field’s top physicians. He has also worked nationally as a legal expert to explain the physiology behind laser energy treatments. There really is no better expert to handle your vascular treatment than Dr. Verebelyi and the Colorado Skin & Vein team.

\”All of my expectations were met, friendly and informative. I am looking forward to my procedures! Thank you, Renae\”

RH

Take the Next Step

To request your vein treatment consultation with us, please call (303) 683-3235 or fill out our online contact form today. Colorado Skin & Vein serves Englewood, Centennial, Parker, Highlands Ranch, Castle Rock and the greater Denver, CO area.

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Colorado's Vascular & Aesthetic Medicine

Stay Informed, Stay Healthy

Explore expert tips, guides, and the latest updates on vein health and treatments.

Danielle Killingsworth, NCMA, Aesthetics Coordinator at Colorado Skin & Vein in Denver

Danielle Killingsworth

NCMA, Aesthetics Coordinator

Danielle is a Colorado native who brings more than 22 years of experience in the medical field. Throughout her career she has developed a diverse clinical background across infectious disease, general surgery, and pain management — giving her a well-rounded understanding of patient care and of what it takes to create a safe, comfortable, and personalized experience.

As Aesthetics Coordinator at Colorado Skin & Vein, Danielle combines that clinical knowledge with a genuine passion for aesthetics. She is dedicated to helping patients feel confident, informed, and supported throughout their aesthetic journey, from the initial consultation through treatment and follow-up care.

She believes one of the most rewarding parts of her career is building meaningful relationships with patients and helping them look and feel their very best.

Outside of work, Danielle enjoys spending time with her family, including her four boys, getting lost in a good book, and working in her garden. Fun fact: she is a dedicated Dallas Cowboys fan.

Nikki Moyta, Operations Director at Colorado Skin & Vein in Denver

Nikki Moyta

Operations Director

For over 26 years, Nikki has dedicated her career to the dermatology and aesthetics industry, building her experience from the ground up — starting in a patient scheduling call center, moving to the front desk, and rising to executive leadership overseeing multiple providers and locations.

Originally from Pittsburgh, she moved to Orlando before starting 10th grade and later attended Seminole State College of Florida. Her career in dermatology began in 2002, scheduling appointments for a multi-location practice. She grew quickly within the organization, moving into front-desk and checkout roles before being promoted to Office Manager in 2008. In 2012, her leadership and operational expertise led the CEO to seek her out for an expanded role overseeing multiple providers and locations — a position she held through 2022.

Outside of her professional career, Nikki is passionate about giving back to the community:

  • Community outreach
  • Voted “Cheerleader of the Practice”
  • 1st Place Winner — Miles for Melanoma

With a career built on leadership, dedication, and a genuine passion for patients and the aesthetics industry, she is excited to bring her experience and enthusiasm to the Colorado community. When she is not in the office, you can find Nikki with her Siberian husky, Compass, somewhere on top of a mountain.

Betina Lacson, RVT at Colorado Skin & Vein in Denver

Betina Lacson

RVT

Betina graduated from the Cardiovascular Technology Program at Grossmont College in California in 2020, and brings more than six years of experience in the duplex world of venous insufficiency. Much of her career has centered on superficial vein mapping and assisting in surgery while providing attentive patient care.

At Colorado Skin & Vein, she assists with venous ablation procedures as well as ultrasound-guided sclerotherapy. She is committed to quality care at every stage — from the initial consultation, through surgery, to post-operative appointments — making sure each patient feels fully supported.

In her free time, Betina loves Kizomba dancing with her Afro-Latin dance community, and can often be found at electronic dance music shows in different cities. If you are feeling generous, she will happily accept a karaoke room or an iced Thai milk tea.

Brooke Owens, PA-C, MPAS at Colorado Skin & Vein in Denver

Brooke Owens

PA-C, MPAS

Brooke Owens, PA-C, MPAS is a compassionate Physician Assistant who brings a strong clinical foundation, exceptional attention to detail, and a patient-centered approach to Colorado Skin & Vein.

Prior to joining the practice, Brooke spent several years in pediatric primary care, caring for patients with a wide range of acute and chronic conditions. She became known for her thorough evaluations, thoughtful clinical decision-making, and ability to build lasting relationships with patients and their families. That experience strengthened her diagnostic expertise while reinforcing the importance of listening carefully, educating patients, and creating individualized treatment plans.

Drawn to the unique blend of medicine, procedures, and patient transformation, Brooke was excited to move into vascular medicine and aesthetic care. She is passionate about helping patients improve not only their health but also their confidence — whether they are seeking treatment for vein disease, skin concerns, or cosmetic enhancements. By combining broad medical experience with advanced specialty training and a meticulous eye for detail, she delivers safe, effective, and personalized care.

Brooke believes the best outcomes begin with trust. She values taking the time to understand each patient’s goals, answer questions, and ensure they feel informed and comfortable throughout their care.

Angel Croce, Staff Manager at Colorado Skin & Vein in Denver

Angel Croce

Staff Manager

Angel has been in healthcare for more than 20 years. Her journey began in 2004, after her father suddenly passed away from a stroke. Losing him was a life-changing experience, and it inspired her to choose a career where she could help others and give patients and their families the care, compassion, and support they need during difficult times.

Throughout her career she has worked across cardiology, neurology, family practice, and urgent care — each experience helping her grow both personally and professionally. She now works in vascular care and aesthetics, where she enjoys building relationships with her patients, helping them understand their care, and making sure they feel comfortable and supported throughout their journey.

Outside of work, Angel is a proud mom of two. Family is incredibly important to her, and in her spare time she loves being outdoors with her husband and their two dogs — hunting, fishing, and enjoying Colorado.

For Angel, healthcare is more than a career — it is personal. What started as a way to honor her father’s memory has become more than two decades of caring for others, and she is grateful to keep doing something that means so much to her every day.