I'm 4 weeks post my second sclerotherap. What are the marks, will they go away and how can I speed up recovery? (photo)

Your situation is quite complicated. The marks are likely due to revascularization, non evacuated blood, and hemosiderin. I would perform additional sclerotherapy, evacuate any remnant blood, begin Melarase PM, and start q switch treatments. Best, Dr. KaramanoukianLos Angeles vein expert

Thank you for your question in regards to sclerotherapy. Pigmented areas after sclerotherapy is very common and can take up to a year to subside. Although some lasers can help break up the pigment to speed up the healing process, you are only one month post treatment. It is also important to keep sunscreen over the areas as well. To be sure, see two or more board-certified providers in your area for a complete evaluation to make sure you are a good candidate and that it is safe for you to have treatment. I hope this helps.

It is very common to have some leakage of blood from the treated blood vessel into the surrounding skin. This can take about 2 or 3 months to resolve. It is very important that you do not get unprotected sun on those areas or it will hyper pigment the skin. The elevated parts likely represent clotted parts which should also resolve over time as well. It is normal from what you are describing at this time. Elevation can help and sometimes pressure stockings can help. I would also discuss your concerns with your sclerotherapist.

Post sclerotherapy follow up is necessary and sometimes drainage of retained coagulum is key.
Recommend topical Sclerovase and Scleroquin plus and drainage of retained coaguum.
WE routinely advocate the use f these creams and oral Scler-X after scleortherapy to reduce hyperpigmentation and accelerate healing.
H Karamanoukian MD FACS
certified vein specialist from ABVLM

What your pictures show are normal changes post sclerotherapy treatment.  In general, treated areas look worse before they look better and I tell all patients that the usual healing process post treatments takes about 6 weeks.  Any clotted areas can be aspirated to drain them and the bruising will absorb.  I use dermaka cream topically for bruising and this aids in the healing process.  It is way too early to determine if you have any staining.