Not all endovenous procedures require phlebotomies to achieve an excellent result. However, the treatment of the varicose veins themselves by removal is usually said to result in a better cosmetic outcome, and is thus optimal, particularly in procedures mandating local anaesthesia for truncal ablation. The alternative would be delayed treatment with ultrasound-guided foam sclerotherapy, though that would make the course of treatment longer, and may result in patchy skin discolouration.

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