Sclerotherapy may give you the results you are looking for, however, consider a visit to a vein specialist who you can trust. Using ultrasound to scan your legs, your physician will determine if venous reflux is present. Healthy leg veins contain valves that open and close to help the blood return back to the heart. Venous reflux disease develops when the valves that keep blood flowing out of the legs and back to the heart no longer function, causing to pool in the legs and leading to signs and symptoms like dilated veins that you can see close to the skin in your legs among other symptoms you may or may not present. Factors that contribute to this include age, gender, family history, heavy lifting, pregnancies, obesity, and prolonged standing. Your physician can help you make informed health care decision on the best treatment for you according to the ultrasound results and according to your specific goals. If reflux is present, you might need more than cosmetic sclerotherapy and you can discuss this with your physician.