Professor Dr. S.M.G. Kibria
Walk-in laser treatment · Same-day discharge · 35,000+ procedures
Modern laser-based vein treatment has replaced traditional vein-stripping in most cases — no general anaesthesia, no large wounds, walk in and walk out.
Varicose veins are enlarged, twisted veins that develop when valves inside the leg veins fail, allowing blood to pool. They cause aching, heaviness, swelling, and skin changes — and in severe cases, leg ulcers. Modern EVLA (endovenous laser ablation) seals the diseased vein with laser energy through a tiny puncture, under local anaesthesia, in a single outpatient visit.
Varicose veins often start cosmetically but progress to cause real symptoms and complications. One or more of the following warrants assessment.
Prof. Kibria selects the most appropriate technique based on duplex ultrasound mapping and the size and distribution of the veins.
Gold-standard treatment for truncal vein reflux. A laser fibre is passed inside the diseased vein under ultrasound guidance and seals it shut. Local anaesthesia, walk-in walk-out, >95% closure rate at 5 years.
Uses radiofrequency energy instead of laser to seal the diseased vein. Equally effective, also performed under local anaesthesia with similar recovery times.
A foam solution is injected into smaller varicose branches or residual veins, causing them to scar shut. Often combined with EVLA for a complete result. Quick, painless office procedure.
Open surgical stripping of the diseased vein under general or spinal anaesthesia. Now reserved for very large veins or selected anatomy not suited to endovenous techniques.
EVLA recovery is remarkably quick — most patients are back to normal life within days.
45–60 minute outpatient procedure under local anaesthesia. Compression stocking applied. Walk out of clinic and resume light activity the same evening.
Walking is encouraged. Compression stocking worn day and night for the first week. Most return to office work within 1–3 days. Some bruising and tenderness along the treated vein.
Review appointment with duplex scan to confirm successful vein closure. Compression stocking switched to daytime use only. Resume light gym work.
Any residual branch veins treated with foam sclerotherapy at this stage. Gym training, running, and swimming all resumed. Bruising fades.
Final cosmetic result visible — bulging veins gone, skin clear, symptoms resolved. Long-term success supported by compression hosiery, regular walking, and weight control.
EVLA is the modern gold-standard treatment. A thin laser fibre is passed through the diseased vein under ultrasound guidance and local anaesthesia; laser energy seals the vein shut and blood is redirected to healthy veins. Walk-in, walk-out procedure.
No — EVLA is performed under local anaesthesia. Most patients feel only mild pressure during the procedure and minor bruising for a few days afterwards.
Most patients walk out of the clinic immediately and return to office work the next day. Compression stockings for 2 weeks. Light exercise resumed at week 1, gym by week 3.
EVLA has excellent long-term results — over 95% of treated veins remain closed at 5 years. New veins can develop elsewhere over time, especially with pregnancy, prolonged standing, or obesity.
If they cause symptoms (aching, heaviness, swelling, skin changes, or ulceration), treatment is recommended to prevent progression. Purely cosmetic veins can be observed.
EVLA seals the main truncal vein with laser. Sclerotherapy injects foam for smaller branches. Conventional surgery strips the vein — effective but longer recovery. Most patients today benefit from EVLA, often combined with sclerotherapy.
Visible bulging or twisted veins, heaviness and aching, throbbing, itching, ankle swelling, restless legs at night, skin discolouration, and in severe cases leg ulcers.
Lake View Clinic — House-05, Road 79, Gulshan-2. SMG Kibria Foundation — Ta-97, Middle Badda, Gulshan. Call +880 1711-402445.
Whether you need a surgical consultation, a second opinion, or emergency care — Professor Dr. SMG Kibria and his team are here for you.