Thanks in advance for your help.I have had a few sessions of sclerotherapy for both varicose and spider veins. I am still dealing with staining from sessions I had two years ago. The doctor says that they will eventually fade away but everything i read says i should have seen more improvement by now. Fast forward to a month and a half ago, I had a two touch up sessions due two my curse. I had a small to medium vein in my calf shot. It is now a bluish red color and hard even after one draing. Help?
Post Sclerotherapy Lumps and Staining
Doctor Answers (3)
Staining is difficult to treat.
Staining and lumps after sclerotherapy
if the localized clots in the veins are extracted a short time after the sclerotherapy, there may be less risk of iron deposits (hemosiderin staining) in the dermis. Possibly some of the vitamin K creams and warm compresses might help, but too hot can cause hyperpigmentation and the doctor may advise you against warm compresses if it might decrease the effectiveness of the vein injections.
Pigment and stains 2 years after sclerotherapy
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.
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