Exploring Varicose Veins Treatment technology: A Comparative Review

In the realm of varicose vein treatment, advancements in medical technology have led to the development of innovative procedures aimed at providing effective and minimally invasive solutions. This article aims to provide a comprehensive understanding of different procedures, highlighting their characteristics and exploring the intersection where they complement each other.

  1. HIFU (SONOVEIN): Non-invasive Treatment
  2. EVLA – Laser Treatment
  3. What is EMWA?
  4. Micro-Phlebectomy: Aesthetic Vein Removal
  5. The intersection of SONOVEIN, EMLA, EMWA, and Micro-Phlebectomy
  6. Conclusions


HIFU (SONOVEIN): Non-invasive  Varicose Vein Treatment

This non-invasive method stands out by precisely focusing ultrasound energy at the focal point within the venous wall. The absorbed ultrasound energy induces vibrations in intracellular water, transforming into heat energy. This process leads to cellular death and collagen fiber contraction, ultimately causing the closure of the treated vein.

Noteworthy for its non-invasive nature, SONOVEIN eliminates the need for catheter introduction into the vein. Additionally, the required local anesthesia is significantly reduced compared to alternative endovenous procedures such as laser treatments.

EVLA – Laser Treatment

Endovenous Laser Ablation (EVLA) has been a pioneering method in the realm of varicose vein treatment. This non-surgical approach involves heating abnormal veins using laser technology, ultimately causing the veins to be destroyed and absorbed by the body. The procedure is performed inside the vein, necessitating the insertion of a laser fiber into the affected area after injecting a small amount of local anesthesia.

EVLA eliminates the need for surgery, as the heat from the laser effectively kills the walls of the affected veins. The patient may experience a burning smell or taste during the procedure, but pain is minimized. Typically conducted in a treatment room rather than an operating theater, EVLA is a convenient and efficient method.

hifu-varicose vein treatment

What is EMWA?

Endovenous Microwave Ablation (EMWA) stands out as a novel and minimally invasive method in varicose vein treatment. This cutting-edge approach utilizes microwaves instead of laser technology. The procedure involves applying local anesthesia, making it comfortable for patients. The term “endovenous” emphasizes the treatment’s focus on the interior of the affected vein.

In contrast to Endovenous Laser Ablation (EVLA), EMWA shares fundamental principles but diverges in its use of microwaves for ablation. Unlike laser treatments, EMWA is a Varicose Veins Treatment technology that generates an electromagnetic field, eliminating the need for direct contact with the vein wall. This approach allows the vein to be successfully ablated without invasive measures. Notably, safety precautions during EMWA are less stringent than those associated with EVLA, with no requirement for safety goggles for both the medical team and patients.

Micro-Phlebectomy: Aesthetic Vein Removal

Micro-phlebectomy, a term denoting the removal of large or medium-sized protruding varicose veins, represents a complementary outpatient procedure. Executed under local anesthesia, this method involves the removal of veins through tiny incisions, each no longer than 2 mm. The incisions, too small to necessitate stitches, are closed using adhesive tape, ensuring a cosmetically acceptable outcome.

Blood flow is seamlessly redirected to deeper veins in the leg, enhancing overall circulation. This outpatient procedure is often employed to finalize treatments following the elimination of varicose vein roots using laser, microwave, or HIFU methods such as SONOVEIN.

Intersection of SONOVEIN, EMLA, EMWA and Micro-Phlebectomy

Microphlebectomy is considered a relatively safe and effective method for treating varicose veins, providing both cosmetic and symptomatic relief. It is often used in conjunction with other vein treatments to address different aspects of venous insufficiency.

After treating the root veins with SONOVEIN, EMLA or EMWA, Micro-Phlebectomy becomes instrumental in addressing the larger branches, completing the overall procedure. This combined strategy ensures a thorough and aesthetically pleasing resolution to varicose vein issues, with minimal discomfort and efficient results.

This approach acknowledges the multifaceted nature of varicose vein issues and tailors the treatment to address both medical concerns and cosmetic considerations.



In varicose vein treatment technology, the combination of different approaches emerges as a patient-centric solution. This collaborative approach offers patients a comprehensive, minimally invasive, and aesthetically pleasing resolution to varicose vein concerns, underscoring the continual advancement of medical science in improving patient outcomes.

Take charge of your vascular health! Schedule a consultation with Dr. Omar today to explore personalized solutions and cutting-edge treatments.

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