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In some cases, the doctor may find clinical evidence of significant varicose veins that appear linked to malfunctioning valves in the venous system. 

In that situation it is imperative that we refer you to our vascular surgeon, Dr. Russell Britz. He will conduct an examination including a specialized scan called a Duplex scan. This will enable him to advise whether there is a need for surgical treatment of the varicose veins. Failure to follow this advice will inevitably lead to a disappointing result when treating the associated smaller veins, spider veins and thread veins.

In certain cases, where the Duplex scan shows only minor valve problems, it may be possible to do the required surgery as a "pinhole" procedure under local anesthetic in the clinic rooms.