Bluish/red discoloration after Sclerotherapy. Will this clear up?

Some bruising and slight discoloration is normal after sclerotherapy. Darker discoloration is usually the result of larger volumes of trapped blood within the vein and in these cases it is best to do a micro-thrombectomy which is removal of the trapped blood via a tiny incision.  This will allow the area to heal quicker and lessen risk of longer lasting or even permanent discoloration. Matting or the formation of tiny little red veins around the treated site will often go away on its own but may take a year or more and in some cases it can be permanent. Treating this areas with a different sclerosing agent like Glycerin can often help speed up recovery of the matting.

It is common that treated areas with sclerotherapy may cause micro veins to appear, a side effect known as matting. If this happens, it can also be treated with another sclerotherapy session for more improved results. It could take up to 2 months or more to see full results after spider vein treatment. Overall improvement per session is expected to be 50-75% each time. In general, most patients may need between 2 to 6 sclerotherapy sessions. According to how the patient reacts, vein doctor can adjust treatment plan if necessary.

Bruising and darkening of trhe veins are very common post sclerotherapy.  If the veins are dark then evacuation of the trapped blood should be done.  If there is bruising then this should cleear over 6 weeks.  Ibuprofen, wet heat to the bruised areas and topical creasms such as dermaka will also help.