I Believe I Have Hemosiderin Staining After Sclerotherapy. How Can I Tell and What Should I Do?

asked 10 months ago by 6524anon in ohio
Latest answer by K. Alex Kim, MD
Question viewed 1,048 times
Tags: 1 month post-op, hemosiderin staining, options, stained

I am post Sclerotherapy a little over a month. I am trying to look up what "Hemosiderin" or "staining" looks like because I think I have this in one of my large veins injected. I cant find any pictures, so I posted my own. From my picture you can't tell but I also seem to have stagnant blood in the vein as well. Does this look like "staining" and should I consult my Physician to have the blood removed that is sitting there making the vein more puffy, than it was prior to the injection?

5 answers to I Believe I Have Hemosiderin Staining After Sclerotherapy. How Can I Tell and What Should I Do?

Heating pad, Massages, Yag laser

Hemosiderin deposition after sclerotherapy usually occurs because either the blood from the treated varicose vein leaks out into your tissue, staining them, or blood clotting within the treated vein, and keeping the area inflammed and "hard." Here's how you take care of it. Apply heating pad several times a day to the area. Rub/massage the area several times a day, or whenever you get a chance. Call bellagiomedspa.com at 480-788-5621, for a free consultation, ad I will... more

K. Alex Kim, MD
Chandler General Surgeon

Hemosiderin deposition after sclerotherapy commonly resolves on it's own.

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.

Leyda Elizabeth Bowes, MD
Miami Dermatologic Surgeon

Bruising One Month After Sclerotherapy

After a sclerotherapy procedure, bruises around the treated areas usually disappear within the first week. A tan or brownish pigment may persist from several weeks to several months, especially when larger veins are involved. This is typically caused by the clotted blood which is being slowly reabsorbed. Although Lasers can speed up the resolution of this darker color, the best course is simply waiting as they typically will completely resolve over several months. If there is trapped blood... more

Mitchell Schwartz, MD
South Burlington Dermatologic Surgeon

dorsetstreetdermatology.com

Hemosiderin following sclerotherapy may last months or years.

Hemosiderin following sclerotherapy may last months or years. It is likely that the amount of hemosiderin that you have will fade away within a few months. If the hemosiderin persists, I have had good results treating the hemosiderin with low dose q-switched alexandrite lasers using multiple treatments spaced a month apart.

Mark Taylor, MD
Salt Lake City Dermatologic Surgeon

Lumps and Staining after Sclerotherapy

The picture seems to indicate that you do have some hemosiderin depostion although it may be some trapped blood which is the lumpiness you have described. Distinguishing between the two is a matter of splitting hairs. Both of these reactions can occur after sclerotherapy. Trapped blood can occur when larger vessels are injected during sclerotherapy. I would see your treating physician as some do prefer to drain them to hasten their resolution. Others feel differently... more

Ted Brezel, MD
Long Island Dermatologist

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