Dermal Necrosis After Sclerotherapy?

Question

I had sclerotherapy done 10 months ago. I developed an area of dermal necrosis and ulceration in my anterior leg (1.5cm diameter of true necrosis with 1-2 cm of surrounding skin changes) . This area has slowly healed although the skin still remains very thin in the central area and easily sloughed off. My doctor then recommend fractionated laser to help improve the scar. This was done a month ago and the wound is still occasionally oozing. What kind of doctor and treatment should i get for this?

Sam Naficy, MD, FACS · Answer

I would highly recommend that you see a board certified dermatologist specializing in treating wounds.

John Landi, MD · Answer

Post sclerotherapy ulcerations fortunately are uncommon but when they do occur they are usually difficult to heal.  Certainly vein specialists have expertise in this area and this is who I would recommend seeing.  Dermatologists and plastic surgeons trained in wound care may also be able to treat this.

Hratch Karamanoukian, MD, FACS · Answer

Vein specialists know more about venous wounds than dermatologists (true and hard to believe). Cosmetic dermatologists are good when you need a peel or if you need facial fillers and Botox.

	Of course, there are dermatologists that have expertise in venous disease and recognize how to treat this problem.

	If the ulcer is without evidence of infection, electical stimulation therapy will help heal it. If it is active and has a lot of drainage, it can be treated with unna boot compression and antibiotics. If it is a healed ulcer with a resultant scar, it can be revised by a Board Certified Plastic Surgeon. Mobilization of tissue in the face of scarring in an individual who has a healed ulcer is prone to tissue necrosis and left best to plastic surgeons who are experts in this area - their expertise in microcirculation, raising tissue flaps, mobilizing tissue is unparalleled among other surgical specialists or dermatologists - that is what they are trained to do ...

Channing R. Barnett, MD · Answer

I actually suggest you see a board-certified dermatologist experienced in treating wounds and in sclerotherapy (therefore familiar with its side effects). Dermatologists are the skin experts and the most adept with how to treat ulcerations in the skin.

Samir Shureih, MD · Answer

See a Board Certified Plastic Surgeon (American Board of Plastic Surgery). You may need a scar revision

Dermal Necrosis After Sclerotherapy?

Answers (5)

Answer: Poor Healing After Sclerotherapy

Answer: Poor Healing After Sclerotherapy

Answer: Sclerotherapy

Answer: Sclerotherapy

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Dermal Necrosis After Sclerotherapy?

Answers (5)

Answer: Poor Healing After Sclerotherapy

Answer: Poor Healing After Sclerotherapy

Answer: Sclerotherapy

Answer: Sclerotherapy

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Recommended reading

Everything you need to know about Sclerotherapy

Our mission is to create a world where every investment in modern beauty is Worth It.