Not sure if my veins are responding to Sclerotherapy (Photo)

Thank you for your question in regards to sclerotherapy. Veins tend to appear worse after sclerotherapy treatments and can take up to 8-10 weeks to achieve results, along with needing additional treatments. To be sure what is best for you, 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.

Keep in mind, it may take a few sessions for improvement and it is common to have bruising, swelling and some achiness post sclerotherapy.  You should be wearing compression for a few weeks. Please follow up with your physician if you have any concerns post-treatment. Best, Dr. Emer

It is difficult to tell from the posted pictures if you have had a response to sclerotherapy.  The veins do appear darker but the pictures are not that good.  I wait 6 weeks between sclerotherapy treatments.  Treated veins look worse before tey start to look better.  It appears that some of the veins need to be evacuated.  Follow up with your treating physician.

Once sclerotherapy is done, there is green grey discoloration along the sclerosed vein which may seem more noticeable. I recommend compression stockings and taking an oral supplement called Scler-X to reduce post inflammatory hyperpigmentation (see link below).H Karamanoukian MD FACScertified vein specialist from ABVLM and double board certified surgeon

It
can take up to 2 month or more to see full results after sclerotherapy. However, if sclerotherapy  is not giving you the
results you are looking for, consider a full venous reflux evaluation with a vein
specialist including ultrasound to scan your legs to determine if venous reflux is present. 
Best, 

It is difficult to tell based on the photo if the veins are closed or not.  Typically the veins will look worse after sclerotherapy because there will be some trapped blood in the closed veins, causing them to appear darker.  A good indication that the vein is closed is if it feels hard or lumpy to the touch.  I recommend waiting another 3-4 weeks and then going back for a recheck.  It typically takes a good 4-6 weeks or longer for the closed veins to be absorbed. Also, it is not unusual to have to go back over an area a second time to reinject any veins that did not close completely on the first treatment.