Dermal Necrosis After Sclerotherapy?

I had sclerotherapy done 10 months ago. I developed an area of dermal necrosis and ulceration in my anterior leg (1.5cm diameter of true necrosis with 1-2 cm of surrounding skin changes) . This area has slowly healed although the skin still remains very thin in the central area and easily sloughed off. My doctor then recommend fractionated laser to help improve the scar. This was done a month ago and the wound is still occasionally oozing. What kind of doctor and treatment should i get for this?

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necrosis scar 10 months post-op second opinion

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4 Doctor Answers | Asked by allie80

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Sclerotherapy

I would highly recommend that you see a board certified dermatologist specializing in treating wounds.

Sam Naficy, MD

80 reviews

Seattle Facial Plastic Surgeon

www.seattleface.com

See a Board Certified Phlebologist (Vein Specialist) and Board Certified Plastic Surgeon

Vein specialists know more about venous wounds than dermatologists (true and hard to believe). Cosmetic dermatologists are good when you need a peel or if you need facial fillers and Botox. Of course, there are dermatologists that have expertise in venous disease and recognize how to treat this problem. If the ulcer is without evidence of infection, electical stimulation therapy will help heal it. If it is active and has a lot of drainage, it can be treated with unna boot... more

Poor Healing After Sclerotherapy

I actually suggest you see a board-certified dermatologist experienced in treating wounds and in sclerotherapy (therefore familiar with its side effects). Dermatologists are the skin experts and the most adept with how to treat ulcerations in the skin.