How to sort post sclerotherapy scarring ?

I had some sclerotherapy treatments and have severe scarring , and pigmentation as a result. it is over 4 months and they show no sign of abaiting . What are my options ? Can it be treated and should i go back to the therapist?

Doctor Answers 5

Post sclerotherapy hyperpigmentation treatment with topicals and Q switched lasers

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I agree with the use of topical creams to reduce post sclerotherapy hyperpigmentation and PIH relief (see link). Residual permanent staining can also be addressed with Q switched lasers.

H Karamanoukian MD FACS

certified vein specialist from ABVLM

Sclerotherapy complications and treatment with expert

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I would use Melarase PM followed by laser treatments with q switch laser to remove the pigmentation. 


Dr. Karamanoukian

Los Angeles

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

Post sclerotherapy staining

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Post sclerotherapy staining in most cases resolves on its own and may take up to one year.  Staining may be improved by evacuating any trapped blood in the area as well as by ensuring that any feeding veins to the area are closed.  A Q switch laser can also help with the staining.  You should follow up with your treating physician or see a vein specialist.

John Landi, MD
Naples General Surgeon

Hyperpigmentation Post Sclerotherapy

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The hyperpigmentation should be improved by now. The healing time also depends on the size of the veins treated. If your veins were the large, blue colored type (varicose veins or large reticular veins), they can sometimes take several months to disappear. There are also certain factors that result in the treated veins to remain discolored for a longer time, such as hormonal therapy (for menopause, or birth control) and sun exposure to area soon after sclerotherapy. The most effective treatment for the hyperpigmentation would be laser, if it still remains after 6 months. Hope this helps!

Harry Sharata, MD
Madison Dermatologic Surgeon

Bruising, Scarring and Hyperpigmentation Post Sclerotherapy

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t is common to have bruising and swelling post sclerotherapy, but this should have resolved by now. If this hyperpigmentation persists, this can be improved with tattoo lasers and skin lightening. Please see your physician if you continue to have concerns or find a new expert. Best, Dr. Emer 

Jason Emer, MD
Los Angeles Dermatologic Surgeon
4.8 out of 5 stars 204 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.