This patient presents with angiogenesis 3 months after sclerotherapy. The reticular feeding vein was injected with foam. The spider veins were treated with Sotradecol 0.1% ½ NS. Tumescent was injected subdermally under the entire complex. The final image show half of the complex is still untreated while the top half has had micro-phlebectomies to remove the clot. Subdermal tumescent will always cause immediate thrombosis of treated spider veins.