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Why do you perform a screening ultrasound before fixing my spider veins? They’re just spider veins. This is one of the most common questions I receive from patients during their initial visit to our vein center. I understand. You can see the spider veins on the surface. That’s all there is, right? You simply inject them with a solution and they magically disappear. Yet some people who have had treatments before will tell you that’s not always the case. “They came right back” is what they tell me. That is a red flag. There is probably something else going on under the surface that may need to be treated first.