McKeown Medical
167 Bath Street, Glasgow, G2 4SQ
RFA vs EVLA treatment for varicose veins
Radiofrequency ablation (RFA) and endovenous laser ablation (EVLA) are two minimally invasive treatments used to effectively treat varicose veins, but what’s the difference?
Published by Dr Alex Vesey
Date posted — 29.09.24
What are Radiofrequency ablation (RFA) and endovenous laser ablation (EVLA)?
Radiofrequency ablation (RFA) and endovenous laser ablation (EVLA) are two minimally invasive treatments used to effectively treat varicose veins. Both procedures aim to close off problematic veins, preventing them from causing further symptoms and leading to their eventual absorption by the body.
RFA uses radiofrequency energy to generate heat within the vein. A thin catheter is inserted into the vein through a small incision, and once inside, the radiofrequency energy is delivered through the catheter, causing the vein walls to heat up, collapse, and seal shut. This treatment is performed under local anaesthetic, and most patients experience little discomfort, with a quick recovery time and minimal scarring.
EVLA works on a similar principle but uses laser energy instead of radiofrequency to achieve the same result. During EVLA, a laser fibre is guided into the affected vein, and when activated, the laser’s heat damages the vein walls, causing them to collapse and close off.
Like RFA, EVLA is performed under local anaesthetic and is considered highly effective for treating varicose veins. Both RFA and EVLA offer excellent outcomes with low risk of complications, making them preferred options over more invasive surgical treatments. These procedures allow patients to resume normal activities relatively quickly, with significant improvement in both the appearance of the legs and the symptoms associated with varicose veins.
What is the difference?
Although RFA and EVLA are very similar in terms of success rates at shutting down larger varicose veins, several studies have suggested that RFA may be associated with lower complication rates, so RFA is our preferred traditional endovenous method.
An even newer endovenous technique known as Venaseal™, however, is an exciting addition to our practice. The success rate of Venaseal™ is similar to both RFA and EVLA. However, it uses glue rather than heat to close the veins and is associated with even less discomfort.
What are the benefits of RFA treatment?
The benefits of RFA for treating varicose veins are numerous, making it a popular choice for both patients and doctors. RFA is minimally invasive, requiring only a small incision to insert a catheter into the affected vein. This results in less pain, minimal scarring, and a quicker recovery time compared to traditional surgical methods.
The procedure is typically performed under local anaesthetic, reducing the risks associated with general anaesthetic. RFA is highly effective, with a success rate of over 90%, and provides long-term relief from the symptoms of varicose veins, such as pain, swelling, and leg fatigue. Additionally, patients can usually return to their normal activities within a day or two, making it a convenient option for those looking for an effective and efficient treatment.
Expert Video
Dr Alex Vesey is our expert consultant vascular surgeon who heads up our varicose vein team. Listen to him explain the Radiofrequency Ablation (RFA) treatment.
Why is RFA better than “laser” or EVLA?
RFA is considered better than EVLA for treating varicose veins in our practice because it’s generally a more comfortable experience and has a lower risk of complications.
RFA typically causes less post-procedural pain and bruising because it uses radiofrequency energy, which generates a gentler heat compared to the intense heat from laser energy used in EVLA. This can result in a smoother recovery with less discomfort for patients.
Additionally, RFA has a slightly lower risk of nerve damage, particularly in areas where veins are close to nerves, such as the lower leg. The procedure’s outcomes are highly successful and comparable to EVLA but with a more favourable side effect profile, making RFA a preferred option for many patients and clinicians.
Are there other options for varicose vein treatment?
Recently, we have introduced the Venaseal™ procedure. Venaseal™ is even less invasive because it avoids the use of heat altogether, which causes even less discomfort whilst still achieving excellent closure rates and long-term outcomes for patients.
Interested in Radiofrequency Ablation (RFA)?
If you’d like to find out if RFA is the right treatment for you, the first step is to fill out our online consultation form. From there, our team will be able to arrange an initial consultation and ultrasound scan, and we can work together to create a treatment plan that is tailored to your needs.
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Another beautiful deep plane face and neck lift result from @bramhallplasticsurgery . For patients who want the best possible improvement the deep plane remains the gold standard!
Ok. So this is a younger patient in her late 30s and a lot of people might reasonably say "She`s gorgeous, what does she need anything done for?"
And I agree. But she had a little bit of excess fatty tissue around her jawline and neck which really bothered her, especially when she moved her neck. She wanted her jawline to look a bit slimmer and more defined and so we did a Quantum Lift for her.
This is her just 24 hours later. Her bruising and swelling is not too bad at all, mainly because she didn`t have a huge amount done - although she still has a lot of healing to go over the next few months.
She is already loving the result however! What do you think?
Arm lift is rapidly becoming one of our most popular procedures in the clinic. For more minor cases we can often achieve enough tightening simply with some liposuction and Quantum RF.
When patients have more skin excess, however, and want the tightest result possible you cannot beat a traditional brachioplasty, which is what this patient had with the very talented Dr Kavita. The patient is delighted with the result.
What do you think?
This is a little sneak peek of our upcoming podcast between Dr Darren (@drdarrenmckeown) and our new body contouring expert, Dr George Christopolous (@gchristopoulos). The full video will be going live later this week.
On a scale of 1-10, how excited are we for George to start his body contouring in Scotland?
Thank you to this lovely 67 year old patient who has allowed us to share the early results of her deep plane face and neck lift.
She’s just three weeks post her procedure which she had under local anaesthetic and sedation with the ever-talented @bramhallplasticsurgery here in the clinic, and while she’s still a little swollen around the jawline (where swelling tends to hang around the longest), we think she’s looking absolutely fabulous already.
The patient is delighted. What do you think?
I’m super excited to welcome Dr George Christopoulos to the dream team at McKeown Medical.
George is a plastic surgeon with a particular interest in body contouring: liposuction, tummy tucks, arm lifts and thigh lifts.
What I really love about George’s work is his approach to liposuction. It’s not about simply emptying out as much fat as possible. He approaches the body almost like a sculptor, thinking about shape, proportion, contours, highlights and shadows. It’s those details that can elevate a fairly standard liposuction result into something really special.
You can check out some of his work on his own page @gchristopoulos
I’ve also filmed a podcast with George where we get into all things body contouring — what makes a great liposuction result, loose skin, tummy tucks, lipoedema, technology and quite a lot more. I’ll be posting that over the next couple of days.
In the meantime, if you want to meet the man himself, George’s diary is now open for consultations at McKeown Medical.
What does filler look like? This!
So many people are terrified of fillers. When it’s done well, this is what it looks like. Everything looks softer. The bags under the eyes look less obvious. But nothing looks different.
The patient is delighted. What do you think?
IS THE QUANTUM LIFT A CUT-PRICE FACELIFT?
No, and here’s why.
A deep plane facelift goes deeper into the face, removing deep fat, muscle and salivary glands which is how you get those sharp neck contours. The Quantum Lift works more superficially, tightening skin and reshaping jowls in 90 minutes under local anaesthetic, but it can’t reach those deeper structures.
I believe in the Quantum Lift. I just won’t pretend it suits everyone.
Good aesthetic medicine means the right procedure for the right patient, not one treatment doing it all.
#QuantumLift #FaceliftAlternative #NonSurgicalFacelift #SkinTightening #AestheticMedicine MedicalAesthetics GlasgowAesthetics GlasgowClinic
Some more Quantum Lift magic!
This patient is just 24 hours after her Quantum lift with fat redistribution. As part of the procedure we sometimes take some of excess fat that’s been removed from the neck and jowls and replace it along the chin and jaw to create more definition.
Although she’s still bruised and swollen, I think we can all already see where this result is heading.
The patient is delighted! What do you think?
Join us on Instagram to keep up with the latest results and expert insights from the clinic team.
Our dedicated team of experts are on hand to help you as you navigate your journey with us.
When you first make contact with us you will be assigned your own personal Patient Relationship Manager. They’ll start by understanding your needs and liaising with our doctors to book you an appointment with the most suitable specialist. For any additional questions or needs, you can message or call them anytime and they’ll be delighted to assist you. Our entire team is dedicated to providing you with the best possible treatment and care tailored to your needs.
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