How do you prevent and treat hyperpigmentation after sclerotherapy?


It has been shown by many clinical researchers that every type of sclerosant solution can cause hyperpigmenation.

Glycerin is rarely sued, is difficult to inject, but is associated with minimal hyperpigmentation post sclerotherapy. 

I have always followed the principle that feeding veins, refluxing veins should be treated BEFORE the spider veins and varicose veins are treated in order to reduce hyperpigmentation.

We use topical products called VenoLucent and VenaQuin creams in our practice to reduce hyperpigmentation following sclerotherapy. You can get more information about these products on

Q switched lasers can alos be used to address hyperpigmentation. 

Wearing compression stockings for a period of at least 2 weeks and up to 3 months will also provide compression to prevent retention of coagulum and resultant hyperpigmentation. 

Article by
Buffalo Phlebologist