Vein treatment. It looks worse now, after 5 months. What should I do?

Thank yu for your question.1. You can treat the hyperpigmented areas with Q switched lasers.2. Topical products such as Sclerovase and Scleroquin plus help reduce the pigmentation. Sclerovase is applied in the morning. Scleroquin plus is applied in the evening. See the link below for more information. 3. You need a Duplex vein scan to see if there are untreated sources of venous insufficiency.BestDr Karamanoukian

I usually come across patients who have hyperpigmentation "stains" in my office after they have had spider vein injections performed at other clinics.  I believe a common culprit for these ugly stains is that the medication concentration is too strong.  Especially in people who have naturally darker skin (i.e. African-American, Caribbean, Latin American).  I use a weaker concentration in people who have darker skin because these stains can look worse than the original veins.  The above-mentioned lasers can be effective in removing some of these hemosiderin stains.  Prevention is the best medicine!  Good luck.  Dr. C.