An Ultrasound should not have been ordered or obtained without leg symptoms in the first place. Since an Ultrasound was ordered, I will assume you had symptoms of some kind that are lifestyle limiting. It is a common misconception among the public and many physicians that you must see varicose veins on the leg to be suffering from significant vein disease. False. About 50% of those with lifestyle limiting leg symptoms do NOT have bulging varicose veins. Nocturnal (night) leg cramps, Restless legs, and Ankle swelling are just a few symptoms people have that are usually caused by unrecognized vein disease. Don't let anyone tell you that ankle swelling is a normal part of the aging process. It is usually undiagnosed, untreated vein disease that may lead to phlebolymphedema and permanent leg swelling. Too much to get into on a post. Always seek a vein practitioner who is dedicated exclusively to vein care as they will generally have the most experience. They are not hard to find. Many dabble in vein care and don't have proper experience.
A focal red dot like this is typically a Cherry Angioma especially if it has been present for years. Cherry Angiomas are very common and can occur anywhere on the body. They start as a dot, become a spot and ultimately become raised and blood red. It represents a growing tangle of capillaries. They are eliminated in seconds with a VeinGogh machine (Ohmic Thermolysis). Instant results without pigmentation issues that may occur with surface laser.
A skin ulcer or wound is a rare complication of spider vein sclerotherapy. This complication may occur with even the most experienced spider vein treatment physician. It is best to keep the wound clean and dry and to be VERY patient as the ulcer usually takes months to heal. It is impossible to know what the ultimate cosmetic result will be until given a chance to heal. The cosmetic outcome may not be nearly as bad as the appearance of the healing ulcer. However, most healed skin ulcers will leave a scar that can be more disfiguring than the spider vein that was treated. The best cosmetic treatment, after given a chance to heal, and if the scar is cosmetically disturbing, is simple excision of the scar. An experienced plastic surgeon can easily perform the excision.
Always important to determine whether a patient has underlying, deeper (medical) vein disease before treating a cosmetic vein problem. Many or most who think they have only a cosmetic problem also have significant medical vein disease. Inexperienced vein care physicians or those who only treat surface vein disease will have many patients with the problem you describe. Untreated, medical vein disease will result in cosmetic vein disease that does not improve and/or discoloration as you describe. No substitute for experience in medicine and, certainly, vein care. Find an experienced physician who treats both medical and cosmetic vein disease, not just cosmetic vein disease.
We are a referral center for hand vein removal using exclusively ultrasound-guided foam sclerotherapy. While treatment is generally directed to hand veins, wrist and forearm veins can also be treated. Note that the veins demonstrated in the picture are normal in thin and/or athletic patients. However, if these veins are cosmetically disturbing, they can be treated.
