Vein care · Dr. Ashutosh Misra at Freyea
Varicose vein treatment in Delhi
Enlarged leg veins can cause aching, heaviness and skin changes as well as concerns about appearance. Assessment of blood flow helps determine whether treatment such as endovenous laser ablation is appropriate.
Consult Dr. Ashutosh Misra at Freyea Aesthetics, East of Kailash, New Delhi.
Call +91-9211988809Understanding the treatment
What are varicose veins?
Varicose veins are enlarged, twisted veins, most often visible in the legs. When the valves that help blood travel back towards the heart do not work properly, blood can pool and increase pressure within superficial veins.
The concern may be visible veins alone or symptoms that affect standing, walking and skin health. Treatment is based on the symptoms, examination and vein anatomy rather than appearance alone.
Contributing factors
Why varicose veins develop.
Risk can increase with age and a family history of varicose veins. Pregnancy, particularly repeated pregnancies, can contribute to changes in venous circulation. Excess weight and long periods of standing can also play a part.
Discuss work that involves prolonged sitting or standing, previous vein problems and any history of blood clots during your assessment.
When to seek assessment
Symptoms beyond visible veins.
- Aching, heaviness or discomfort during prolonged standing.
- Swelling, itching, eczema or other skin changes.
- Bleeding from a superficial vein after minor injury.
- A tender, inflamed or hardened vein.
- A sore or ulcer near the ankle that does not heal.
Bleeding veins and new marked pain or swelling need prompt medical assessment. Skin ulcers and recurrent inflammation should not be treated only as cosmetic concerns.
Assessment
Understand which veins need treatment.
The examination considers your symptoms and circulation. Duplex ultrasound can assess the junctions and connecting veins, including saphenous and perforator veins, and identify abnormal backward flow.
The findings help determine whether endovenous treatment is suitable. Other options can include compression, foam sclerotherapy or surgery in selected cases. The clinician should explain why a particular approach is recommended.
The procedure
Endovenous laser ablation.
Endovenous laser ablation uses heat to close a vein that is contributing to the problem. A thin laser fibre is introduced through a small access point, with ultrasound guidance. Local anaesthetic is commonly used around the vein.
Laser energy is delivered as the fibre is withdrawn, causing the treated vein to close. Blood then returns through other functioning veins. The procedure is often performed as a day-case treatment; the time required depends on the veins and any additional procedures.
Small access points and local anaesthesia may allow a quicker recovery than some open operations, but they do not mean the treatment is free of pain, scarring or complications.
After treatment
Recovery, results and risks.
You will receive advice about walking, wound care and whether compression stockings are needed. Return to work, exercise and travel depends on the treatment and your circumstances. Bruising, soreness or a pulling feeling along the treated vein can occur.
Possible complications include inflammation of the vein, skin discolouration, numbness, burns, infection and blood clots such as deep vein thrombosis. Your clinician should explain your individual risks and symptoms that need urgent review.
The aim is to improve the problems caused by the affected veins. Not every visible vein will necessarily disappear, and further varicose veins can develop over time. Outcomes depend on the anatomy and procedure; a single success percentage does not predict an individual result.
A closer look
Treatment images
Illustrations and clinical images support the discussion of treatment. Your assessment and treatment plan are individual.



Continue exploring care at Freyea Aesthetics, our centre in East of Kailash, New Delhi.
Meet Dr. Ashutosh Misra at FreyeaDr. Ashutosh Misra at Freyea
Discuss your next step.
Call the clinic to arrange a consultation and discuss your concerns, options and treatment plan.
Call the clinic+91-9211988809Visit Freyea Aesthetics
F-46, East of KailashNew Delhi – 110065, India
Monday–Saturday · 10am–7pm
Sunday closed