Severe matting after Sclerotherapy, will it go away? (Photo)

Question

I had EVLT treatment on both of my legs about a month ago. A week after the procedure I had my first session of sclero. Two weeks later I had a second session. I know it may take a while to heal but after the sclero sessions I was left with little red veins through out my legs, clusters of little veins in some places like around the knee area especially. I've never had red veins like that and I'm wondering, will it go away in time or will I need to have more treatment?

Andres Zavala, DO · Answer

While Matting does occur after sclerotherapy it often resolves with time. Give your legs a while to heal (4-6 weeks) in order to see your true results after treatment. If at that time, you still have spider veins or evidence of matting, additionally sclerotherapy or laser may be necessary to give you the best results. This is not uncommon. Hang in there and make sure to follow up with your doctor. With a little patience you should get where you want to be.

Jason Emer, MD · Answer

I recommend following up with your Doctor for a formal evaluation and after care recommendations. Swelling can be typical for a few weeks after your procedure. I recommend wearing compression to help give improvement. Typically it takes 2-3 treatments of sclerotherapy for improvement otherwise you can try lasers for the smaller vessels.  Best, Dr. Emer

Ramandeep Sidhu, MD · Answer

Its very hard to see in the pictures if the red areas are from the vein treatment or just residual veins. Anyways I would wait for 4-6- weeks and at that time all the successfully treated veins should start to disappear but if the area still blanches and has tiny red veins then those veins will need to be injected again. Its common that after the bluish veins are injected successfully the tiny pink ones start showing. They were always there but the blue color from reticular veins has been dominating them.

Gabriel Goren, MD · Answer

My dear lady, If you had only spider veins and whoever did on you EVLT, that physician  is a crook. Any form of ablation of the long or short Saphenous vein (thermal, surgical, injections) is needed only in the presence of Varicose Veins, NOT spider veins. NEVER! Unfortunately, insurance companies pay well for thermal ablation and physicians use it to milk money. Besides, by closing your saphenous vein, you lost a by-pass material in case you will have coronary artery problems later in life. Lastly, do not permit anymore any injections in those red matted spiders. It will get worse. He/she is also probably using high concentration of the sclerosing solution or saline that can produce matting.
I am sorry that I can't help you!!

Albert Malvehy, MD · Answer

Matting after this treatment usually resolves on it's own, though that process usually takes at least 3-6 months and can take as long as 12.  If it persists after that, you should consider sclerotherpay of the area.

Craig Schwartz, DO · Answer

Please remember you are only a few weeks out from your treatment, so this is not abnormal. We always tell patients that after sclerotherapy it is common for your legs to look worse before looking better, as pigmentation, bruising, matting or staining are not uncommon. These generally will slowly go away over time, so the biggest thing is for you to be patient. Also understand that spider vein treatment will take multiple sessions, typically done at a 4-6 week interval, to allow any inflammation to resolve before retreating. If the matting remains over time, it can be improved with various lasers, if it does not go away with your subsequent vein treatments.

Michael Nguyen, MD · Answer

Sometimes treated areas may cause micro veins appear (matting). It can be treated with another sclerotherapy session; however, healing is needed before any other treatment to your veins for at least 6 weeks. Sometimes "matting" is the reason why patients may need more than 1 treatment of sclerotherapy for adequate cosmetic results. Follow up with the vein specialist for a treatment plan. 
Best,

Ivan Brooks, MD · Answer

Having had both 2 sessions of sclerotherapy and EVLT done all within a month is a lot a trauma to your venous system. With certain exceptions I generally recommend waiting a month after EVLT to start sclerotherapy.  After sclerotherapy I would recommend letting the area heal for 2 months before another session. You have a combination of phlebitis along with bruising from the sclerotherapy.  At this point I would recommend compression and time to let your body heal.  Arnica cream over the area may help speed up the process.

Gary Nackman, MD, FACS · Answer

You need to wait a while.  Matting sometimes does occur and can be treated with either sclerotherapy or laser

John Landi, MD · Answer

I wait 6 weeks between sclerotherapy treatments on the same areas.  You are only 2 weeks out and much can improve over the next 4 to 6 weeks.  I would allow more time to heal and then have your treating physician reevaluate your veins.

Severe matting after Sclerotherapy, will it go away? (Photo)

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