Miami Sclerotherapy doctors

Sclerotherapy is a Safe Procedure with Minimal Risk of Scarring. However, if the sclerosant solution is mistakenly injected outside the intended blood vessel, there may be a blister and crust formation, which may result in a scar. This is not a common occurrence and may be avoided with proper technique. Patients with connective tissue disease (lupus and antiphospholipid antibody syndrome) may be at greater risk of ulceration and scarring if extravasation occurs.

Your images are consistent with hemosiderin deposition after sclerotherapy. The pigment inside the destroyed blood vessels, hemoglobin, becomes hemosiderin and looks brownish red. Most commonly, it will go away on its own, although this may take several months in some patients. If after 6 months it is still present, I advise you to consult your doctor regarding laser treatment to remove the pigment.

There are two types of stains after sclero, hemosiderin which is iron that leaks in the the skin when the vein is punctured, and melanin which occurs secondary to inflammation and sun exposure (called post inflammatory hyperpigmentation or PIP).  Hemosiderin resolves very slowly over years and there is little that will improve it except for patience.  PIP can be improved with any laser that affects melanin, like the Intense Pulsed Light or IPL. It usually takes several treatments but improvement is likely.