EVLT, Sclerotherapy, Phlebectomy

What is EVLT?

EVLT stands for endovenous laser treatment. This groundbreaking procedure is known as the newest generation in venous insufficiency treatment. Traditional vein stripping can be very painful and tedious, and many patients prefer avoiding it. EVLT uses a very thin laser fiber that can be inserted through a minimally invasive opening in the skin. Inside the vein, the fiber emits heat and causes the affected vein to close. The body will then reroute blood flow through other, healthier veins.

EVLT is incredibly effective and can be performed in less than an hour. Many patients see immediate relief with this option and experience far fewer complications than traditional surgery. At South Florida Vascular Associates, we offer this state-of-the-art, outpatient procedure in our spa-like surgical setting. We also offer the following options for venous insufficiency which are easily combined with EVLT for more complete treatment.

Sclerotherapy

Sclerotherapy is a minimally invasive treatment that uses a sclerosing agent to close weakened veins. A sclerosing agent is a chemical irritant that causes inflammation in the vein when injected. Sclerotherapy has been in use for many decades and has a very safe and effective history. It has benefits over EVLT in that it can also treat smaller “feeder veins” with a single treatment. It may be the best option for very small veins such as spider veins.

Phlebectomy

Ambulatory phlebectomy is a micro-surgical procedure. It involves removing the affected veins through a very tiny incision in the skin (less than 2-4mm) using a special instrument. It’s often used to treat varicose veins that are not caused by saphenous vein reflux.

“Dr. Julien and his people are the most cohesive, personable and professional I’ve ever come across. From the time I walk in to when I leave I feel like they care about me. The result is good healing.”

– James R.

“Staff is awesome! Extremely knowledgeable & professional. They explained every step to me and spent plenty of time to answer my questions.”

– Anthony P.

“I was referred to Dr. W. Julian by my PCP and very happy that I was. Dr. Julian found a clogged artery that could have been life threatening if left untreated. My experience from consult to discharge was met courtesy, warmth and professionalism which helped me through my procedure. Sean greeted me and my son who explained the whole process and what to expect. I was also looked after by Josh, Jackie and Reuben who could not have been more supportive or communicative through this adventure.”

– Lorette K.

“The whole staff were very professional and very helpful in navigating me through every procedure, treatments and follow ups. I would certainly recommend South Florida Vascular Associates.”

– Don S.

“I have been very impressed by the way this office functions. Each and every person I’ve encountered has been very personable and professional. I’ve had minimal wait times before being seen. The tests I’ve had were done efficiently and results explained to me quickly. I would highly recommend this office.”

– Robert G.

“All of the staff were friendly, courteous, and professional. Examination and consultation were thorough and expedited in a timely manner. I felt relaxed throughout the visit and all my medical questions and concerns were met and answered to my satisfaction. Would recommend this office to anyone seeking vascular care.”

– Felix G.

“I highly recommend this office for any vascular procedure you may need. The staff are awesome. They were very considerate and professional. My procedures were all a success and I am very happy with the end result. Top marks on everything.”

– Todd H.

“I'd like to express my gratitude for taking care of me this past Monday for the venous procedure on my legs. Please extend my gratitude to the staff who took care of me, like Anissa Rodriguez, Josh Rush, Kerx, Maruli, Rosaline, and Daniela. You were all so very professional and kind.”

– Luis M.

Read More Testimonials

Who is a Candidate for EVLT?

EVLT is a versatile technology that can be used for varicose veins and many different types of venous insufficiency. It’s safe and effective for most patients, but a vascular surgeon will determine if EVLT is the best option for your needs. For example, veins that are too small for EVLT or the presence of a deeper vascular concern may necessitate exploring other treatments.

The EVLT Procedure

EVLT is performed using only a local anesthetic at our comfortable, state-of-the-art treatment suite. Your vascular surgeon will insert a tiny catheter through an opening in the skin, using ultrasound guidance to locate the appropriate veins. The catheter contains a very thin laser fiber that emits heat energy, irritating the inside of the vein and causing it to permanently close. After your treatment, you can return home with minimal restrictions on your activity.

Receive Expert Care No Matter Where You Are

Traveling to South Florida for vascular treatments like Prostate Artery Embolization, Uterine Fibroid Embolization, Hemorrhoidal Artery Embolization, and Genicular Artery Embolization allows you to access expert care from our renowned vascular specialists, regardless of your location. We offer same-day consultations, and most procedures can be scheduled within a week—making it easier than ever to receive timely, effective care. Our team is dedicated to helping you plan a seamless and comfortable visit to our state-of-the-art facilities in South Florida, ensuring that your medical journey is complemented by a relaxing stay. Whether you’re seeking relief from BPH symptoms or fibroid-related discomfort, we invite you to explore our travel resources to make your visit to South Florida both therapeutic and enjoyable.

LEARN MORE

EVLT Aftercare

Very little downtime is required after EVLT – in fact, you can return to your normal activities immediately. It’s recommended to walk around regularly to keep blood moving and wear compression stockings to support the veins. You may experience some minor swelling and discomfort around the treatment area, which can be treated with over-the-counter painkillers. Avoid strenuous activity such as exercising or lifting heavy objects until indicated by our team. You’ll check in after your procedure to monitor your progress and ensure a good, long-term result.

Providers

William Julien, MD

---

Board-Certified Vascular Interventional Physician

MEET THE PROVIDER

Mana Khatkar, PA-C

---

Certified Physician Assistant

MEET THE PROVIDER

Anissa Rodriguez, NP-C

---

Certified Nurse Practitioner

MEET THE PROVIDER

Gina Lowy, PA-C

---

Certified Physician Assistant

MEET THE PROVIDER

Schedule a Consultation

EVLT is an industry-leading treatment option for varicose veins and more. To learn more about your options, contact South Florida Vascular Associates today by calling or filling out our online form. We conveniently serve the greater Southeast Florida areas with locations in Coconut Creek, Palm Beach, and Plantation, FL.

Frequently Asked Questions

William Julien, MD

Board-Certified Vascular Interventional Physician at South Florida Vascular Associates |  + postsBio ⮌

Dr. William Julien, MD, is a nationally recognized, board-certified vascular interventional physician and President of South Florida Vascular Associates, known for advancing minimally invasive, outpatient vascular care. Trained at top institutions and fellowship-trained in interventional radiology, he brings deep expertise to the treatment of complex conditions including abdominal aortic aneurysm, PAD, BPH, uterine fibroids, and venous disease. A former chief and director of interventional radiology for multi-hospital systems, Dr. Julien is actively involved in device trials, national endovascular education, and leadership within major professional societies. He also pioneered one of the nation’s first advanced outpatient endovascular surgery suites, reinforcing his role as an innovator shaping the future of vascular intervention.

• William Julien, MD

  What Is Peripheral Artery Disease (PAD)? Early Signs You Shouldn’t Ignore
• William Julien, MD

  What Are Varicose Veins? Causes, Symptoms & When to Seek Treatment in Palm Beach
• William Julien, MD

  Who Is a Good Candidate for Hemorrhoid Embolization?
• William Julien, MD

  Minimally Invasive Prostate Care: Why More Men Are Choosing PAE Over TURP