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Public interest in laser and light treatment of leg veins is high, and, under the right circumstances, excellent results can be achieved with this treatment modality. With any laser or light source treatment, reverse pressure from associated reticular or varicose veins must be recognized and eliminated; otherwise, the treatment is doomed to fail. Many patients benefit from a combination of treatments such as sclerotherapy, ambulatory phlebectomy, and intravascular laser or radiofrequency closure, because external lasers and light sources do not effectively treat associated reticular and varicose veins. Lasers can be effective in treating vessels of less than 1-2 mm in diameter that are resistant to sclerotherapy and treatment for telangiectatic matting, which can occur postsclerotherapy. However, sclerotherapy