Whereas facial spider and reticular veins are easily removed by
topical lasers, large and bulging leg varicose veins can only be
removed by endovenous laser techniques, such as Endovenous Laser
Treatment (EVLT). The procedure involves inserting a laser fiber
inside a vein, guiding it in the vein with the help of Ultrasound
Imaging, and then applying laser pulses. It is usually performed in
a doctor's office using local anesthesia only.