Spider and reticular veins around the ankle always have a source that must be identified. In this patient the GSV and Cockett’s perforator were normal. Her etiology is incompetent reticular veins, secondary to a small perforator from the anterior tibial vein. Four modalities of treatment were done as is common in all of our treatments. This is before and 10 minutes after treatment. Most of this will resolve without further treatment. Find out more at the ‘Aesthetic Vein Conference’, West Palm Beach Marriott Hotel, April 27, 2019. The only Vein Conference’ that specializes in cosmetic issues.