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

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.