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Laser Vein Removal Procedures

What are the risks?

  • If the long wavelength is used for deep pigment problems, immediate reddening occurs at the treatment sites and fades over 24-48 hours.
  • If the NdYag is used for superficial vein problems, the treated area may be bruised for 10-14 days.

Crusting and/or slight bleeding may occur.

  • There may be swelling of the treated skin for two to three days. Skin around the eyes is particularly prone to swelling, which may lead to partial closure of the eye.
  • There is always the possibility of unwanted changes in skin colour after the treatment, either slightly darker or lighter.
  • Your skin will be sensitive to the suns rays after treatment and we would recommend wearing sun protection cream (factor spf30) directly after treatments and for up to a year after.
  • Sometimes a scab may form on the treated area. If a scab forms, it is very important not to pick it. Picking a scab may leave a scar and may lead to an infection and long term scarring.
  • There is a slight risk of infection, but this is very rare. Infection is most likely to happen if scabs form in the treated areas.
  • Damage to the eye will occur if eye protection is not used. This will always be provided.
  • It is the Clinic policy not to provide laser treatment during pregnancy, therefore please let us know if you are pregnant or are planning a pregnancy.


How can I prepare for Nd:Yag Laser treatment?

There is no specific preparation for Nd:Yag laser but some patients like to book some annual leave from work after having the treatment, as bruising may be present. Many often book into our Thursday/Friday or Saturday Vascular Appointments to allow a long weekend prior to going back to work.

Will I feel any pain?

An anaesthetic cream maybe applied to the treatment area up to one hour before your treatment time. This greatly reduces any discomfort during treatment, but does not completely numb the area. We have a cooling ice jet available, which can reduce the discomfort further. There can be a slight stinging sensation during treatment but this quickly fades once the treatment has finished.

Standard painkillers such as paracetamol can be purchased from your local pharmacy, if you feel you need these after your treatment. Please follow the instructions on the packet.

Avoid taking any medicines containing aspirin for pain relief for five days after the laser treatment, as it increases the risk of bruising. If however you are prescribed aspirin by your doctor, please continue with this as normal.

What happens after laser Nd:Yag treatment?

Bruising usually occurs at the treatment site and may worsen over 48 hours before fading after a week.  Also you may notice a rosy appearance around the treated area or dark lines where the blood has coagulated in the vein.  These will be absorbed and broken down naturally by the body over a few weeks normally.

Campbell De Morgan blood spots will appear dark brown, however again as the body reabsorbs and breaks down the blood spot these fade.  A follow up treatment on more pronounced spots is generelly required.

Immediately after the treatment, the laser operator will show you the treated area and will usually apply Aloe cooling gel to cover the treated area. You will be able to return home as soon as the treatment is complete.

What do I need to do after I go home?

  • There may be swelling of treated skin for a few days. Skin around the eyes is particularly prone to swelling which may lead to partial closure of the eye for a few days after treatment.

To help reduce swelling, apply an ice pack for two to three minutes every quarter of an hour for 3 or 4 hours on the day of treatment and use extra pillows under your head when sleeping to help reduce swelling from areas treated on the face.

  • You can shower and bathe the treated area as normal but you should pat the skin dry. Try to avoid shaving in and around the lesion until any bruising has faded.
  • Use a greasy moisturiser (such as Vaseline) on the treated area at least twice daily, as it is often soothing and stops scabbing and crusting occurring.
  • Use an antiseptic cream(for example Savlon®) on the treated area if crusting occurs, to reduce the risk of infection. Continue to moisturise in between applications of the antiseptic cream.

Please let the Therapist know if you have any allergies to any medicines.

  • Avoid using any makeup on the lesion for five days after the treatment, as applying or removing it may damage the skin, which is very fragile during this time.
  • Avoid sports involving physical contact, until any bruising has faded.


Generally you can resume normal activities straight away, but some of our clients like to book annual leave, whilst the bruising is fading or arrange treatments for school holidays.


Will I have a follow up appointment?

Not everyone will need a follow up appointment, but if it is necessary, you will be given an approximate time duration for booking your next appointment.

Successive treatments are usually six weeks apart to allow your skin to recover.

Laser Vein RemovalAppointments