Is blood bruising/scarring at the injection site typical with Sclerotherapy? (photos)

Thank you for your question. It's hard to tell from the photo if it's just bruising or if there are any surface irregularities to the skin. The bruising is fairly typical after a vein treatment, it always looks worse before looking better. The bruising will fade with time. Finally results are usually seen at 1-2 months post treatment at which time you should follow up with your treatment provider if any marks remain.

Terrible!! You are right; the skin looks damaged. The reason, the high concentration of the solution that was used.  With time it should fade. 

Post sclerotherpay many skin changes can occur and veins tend to look worse for several weeks before they look better.  This seems to be the stage that you are at and I would expect all of your skin changes to improve over the next one month.  Try applying Dermaka cream to the areas and you may see quicker improvement.

You can get more bruising and bleeding after sclerotherapy due to a number of factors. I'm assuming you are not taking any aspirin or other blood thinners for medical reasons. It looks like time is healing those injection sites as they are starting to fade. I would give it more time to heal as the highest satisfaction post sclerotherapy has been reported up to 12 weeks after injections. No matter what medication is used on injection, there can be leakage of red blood cells from the veins into the skin causing the discoloration. It is possible the doctor used a larger needle which can cause more bruising or bleeding and slower recovery. I doubt this is permanent as most goes patients see resolve after several months, and if not, you can talk to someone about doing some IPL on the spots that remain.