Endovenous laser treatment — EVLT — has replaced open surgery as the standard treatment for varicose veins worldwide, and it is available in Jaipur as a walk-in, walk-out day procedure. This page explains exactly what happens before, during and after laser treatment, performed by Dr. Nikhil Bansal, the interventional radiologist Jaipur patients know for varicose veins laser treatment.
What EVLT Actually Does
Varicose veins form when one-way valves inside a leg vein fail, letting blood pool backwards (reflux). The bulging surface veins are the symptom; the refluxing vein underneath is the disease. EVLT closes that faulty vein from the inside: a thin laser fibre is passed into the vein through a needle puncture, and as it is withdrawn, laser energy seals the vein shut. Blood immediately reroutes through healthy veins. No cutting, no stitches, no scar.
For varicose veins laser treatment in Jaipur, Dr. Nikhil Bansal brings the combination that makes this procedure safe: an MD in Radiology, a Vascular & Interventional Radiology fellowship (FVIR), 8 years of interventional practice, and an academic post in Interventional Radiology at Mahatma Gandhi Hospital, Jaipur. Laser ablation is an ultrasound-guided procedure from first minute to last — it belongs in the hands of a doctor whose specialty is image-guided treatment.
Step by Step: What Your Treatment Day Looks Like
- Mapping (before treatment day). A Doppler ultrasound maps exactly which veins are refluxing. This map decides whether laser is the right tool — and where.
- Local anaesthesia only. You stay awake. The leg is numbed along the vein’s path with dilute local anaesthetic, which also protects surrounding tissue from heat.
- A single needle entry. Under ultrasound, the laser fibre enters the vein through a puncture the size of an IV drip. No incision.
- Controlled closure. The fibre is withdrawn steadily while the laser seals the vein — typically 20–40 minutes for one leg.
- Walk immediately. You get up from the table and walk. A compression stocking goes on, and you go home the same day.
Recovery: What’s Normal and What’s Fast
- Same day: walking is not just allowed but encouraged.
- 1–3 days: most patients return to desk work. Mild tightness or bruising along the treated vein is normal.
- 1–2 weeks: compression stockings during the day; avoid heavy lifting and long standing.
- Follow-up: an ultrasound confirms the vein has stayed closed — part of Dr. Bansal’s standard protocol, not an optional extra.
Results You Can Expect
Published closure rates for endovenous laser ablation are consistently above 90% at long-term follow-up, and the aching, heaviness and night cramps caused by reflux typically improve within days. Cosmetic improvement of bulging veins follows over weeks as the sealed vein is absorbed. Dr. Bansal’s practice maintains a 4.9 Google rating across more than a thousand treated patients.
Is Laser Right For You?
EVLT suits most patients with reflux in the main superficial veins. Smaller residual or spider veins often respond better to sclerotherapy, and some vein anatomies favour radiofrequency ablation — both of which Dr. Bansal also performs. That range matters: Dr. Nikhil Bansal is known in Jaipur for treating varicose veins with whichever method your ultrasound says will work best, not the one method a clinic happens to sell.


