I can't tell if my veins are making any progress with Sclerotherapy?

Question

I had sclerotherapy done nearly three weeks ago and I can't tell if veins are improving. Parts of the veins have disappeared but the rest sometimes looks worse, other times a little better .. is this normal? Could the veins still be closing and clotting this far post treatment? My veins get pretty achy at times too, especially in the past week.

J. Jason Wendel, MD, FACS · Answer

Thank you for your question in regards to sclerotherapy. Sclerotherapy can take 8-10 weeks to notice results. It is important the post-care instructions are followed, along with wearing compression stockings. 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.

Raffy Karamanoukian, MD, FACS · Answer

It sounds like you have a normal process going on. I would advocate Venasmart compression stockings and gentle massage. Best, Dr. KaramanoukianLos Angeles

Jason Emer, MD · Answer

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. Best, Dr. Emer

Hratch Karamanoukian, MD, FACS · Answer

Compression is very important in the post procedure care and recovery from sclerotherapy ! Make sure you use the following topicals to reduce likelihood of hyperpigmentation of the overlying skin. 
You need to use some adjunctive measures after sclerotherapy to reduce post inflammatory hyperpigmentation. it is those that don't follow such instructions immediately following sclerotherapy, starting on day1 (next day) that seem to get retained hyperpigmentation. I recommend 2 creams: Scleroquin plus and Sclerovase and also Scler-X supplement to reduce post inflammatory hyperpigmentation (see link below) as well as compression stockings for at least 2 weeks.
H Karamanoukian MD FCS
certified vein specialist from ABVLM and double board certified surgeon

Ivan Brooks, MD · Answer

It is still too early to determine the results of your treatment. Everything you have described is very normal and expected.  Generally the improvement will be evident and significant around week 8 and continue to improve over the next few months.  Patience along with good technique by the treating physician is key to a nice cosmetic outcome.

I can't tell if my veins are making any progress with Sclerotherapy?

Answers (10)