I developed a blood clot after sclerotherapy - what should I do?
Clots can form when sclerosing solutions are injected in large dermal vessels, such as a 1 mm to 3 mm veins. These are reticular veins, which by definition are 1 mm to 3 mm in size. This is called a postsclerotherapy coagulum or coagula. They should be 'nicked' with a small blade to evacuate the clot. This decreases the likelihood of skin pigmentation.
Short answer, have the doctor who did the sclerotherapy evacuate this 'sclerus' (vein clot) as soon as possible.
Hratch L Karamanoukian, MD