Can Matting That Occurs After Sclerotherapy Be Eliminated? It Seems to Just Get Worse Each Time.

Though matting after sclerotherapy is somewhat normal, there are steps that can be taken to eliminate and prevent it from occurring more often than it should. First and foremost, visiting a sclerotherapy specialist will be able to bring you the best injection results possible, as they have the highest level of knowledge to do so. As a board certified dermatologist, Diplomat of the American Board of Cosmetic Surgery, and pioneer of sclerotherapy, I always make sure to treat the root source of the spider veins rather than each tiny vein itself. To help get rid of matting that is already present, make sure that you are following your post treatment guidelines and properly wearing your compression stockings. It may also be a viable option to consider laser vein removal for smaller veins that are not dissolving as you would like from sclerotherapy injections.

Matting can occur after sclerotherapy and sometimes the best treatment is a tincture of time.  They can sometimes take some months to resolve on their let own, otherwise I sometimes use a combination of an Nd:YAG laser with a pulsed dye laser to treat them.

Matting can occur following sclerotherapy and the treatment that you describe does seem appropriate.  Re injecting the matted area and looking for a feeder are all appropriate.  If this fails, then you have three choices- 1.allow time for it to resolve and it could take up to one year, 2. a topical laser such as 532 may help or IPL, and 3. have a venous reflux exam to see if you have underlying malfunctioning valves in the saphenous system which may be feeding the matting.

Matting can be a potential side effect of Sclerotherapy.  Often the matting goes away in several months.  However, if these small veins do not go away, I use a combination of lasers to get rid of these small unsightly veins.  I used to see a lot more matting from injections of saline.  Now with Asclera, I do not see this side effect in patients as much as before.  Please find someone experienced in your area to treat your spider veins.

It can be frustrating to get skin side effects after sclerotherapy, as the treatment is usually done to rid your skin of an unsightly vein and it is very disappointing when a new unsightly skin lesion forms in its place.  Luckily, skin reactions are relatively rare and they usually fade away over time.  Yes, the reaction that you have (as documented in your photograph) is known as matting.  It looks like a bruise or cluster of very tiny capillaries. Luckily, matting usually resolves on  its own with time (give it at least 6 months).  I would avoid any further treatments or trauma to the area until it resolves.  Repeat treatments or attempt to inject it again usually just aggravates things. If it fails to resolve on its own, surface laser can often resolve it.