Sclerotherapy. Is this brown pigmentation normal?

I had sclerotherapy 8 months ago I have a little bit of brown pigmentation left bit today when I walk its a bit tender in a bit were the pigmentation is. Is this normal?

Doctor Answers 8


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This sounds like post inflammatory hyperpigmentation (PIH) this can happen.  It can take up to a year for it to subside.  Some lasers can help speed up the process of healing.  Follow up with your provider for options.

Los Angeles Plastic Surgeon
4.7 out of 5 stars 152 reviews

Hyperpigmentation over sclerosed veins

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This represents retained coagulum and post inflammatory hyperpigmentation. I recommend reevaluation. In the interim, take Scler-X and apply topical cream Sclerovase and Scleroquin plus.

H Karamanoukian MD FACS

certified vein specialist from ABVLM

Post sclerotherapy problems.

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Brown pigmentation or staining can occur following sclerotherapy and usually self resolves over 12 to 18 months.  New onset of leg pain should be evaluated.  See a vein specialist.

John Landi, MD
Naples General Surgeon

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Brown pigmentation after sclerotherapy

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I would use Melarase PM + Exfolase on the areas to help reduce the pigmentation. 


Dr. Karamanoukian

Los Angeles

Raffy Karamanoukian, MD, FACS
Los Angeles Plastic Surgeon
4.8 out of 5 stars 95 reviews


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Thank you for your question in regards to sclerotherapy. Brown pigment after sclerotherapy is common and can take up to a year to subside. Some lasers can help break up the pigment to speed up the process. 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.

J. Jason Wendel, MD, FACS
Nashville Plastic Surgeon
5.0 out of 5 stars 221 reviews

Sclerotherapy. Is this brown pigmentation normal?

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Pigmentation after sclerotherapy is comon and can take over 12 month to resolve. However, if you are developing tenderness over the vein, then please seek advice from your treating doctor

Sameh Dimitri, MD
London Vascular Surgeon

Hyperpigmentation On Face/Body -- Clear + Brilliant/Viva, Microneelding/PRP, Skin lightening/Peels, Aerolase, Pico Laser

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This can be improved with tattoo lasers and skin lightening. I suggest no more treatments till this improves. Best, Dr. Emer.

Jason Emer, MD
Los Angeles Dermatologic Surgeon
4.8 out of 5 stars 207 reviews

Hyperpigmentation after sclerotherapy

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Post-inflammatory hyperpigmentation can occur after sclerotherapy.  Unfortunately, it is a possible side effect of the procedure.  Luckily it is only temporary and should resolve.  There are lasers that can be used to expedite the healing.  Good luck.

Payman Kosari, MD, FAAD
Charlotte Dermatologic Surgeon
5.0 out of 5 stars 27 reviews

These answers are for educational purposes and should not be relied upon as a substitute for medical advice you may receive from your physician. If you have a medical emergency, please call 911. These answers do not constitute or initiate a patient/doctor relationship.