New arm veins bulging after hand sclerotherapy? (photos)

Question

I had liquid Sotradecol sclerotherapy done on my hand and wrist veins in both hands. Now, 10 days later I have a new bulging arm vein that popped up yesterday in both arms in the same spot. The first photo shows all of the veins I had done and the second photo shows the new bulging one. Is this normal?? The dr who did sclerotherapy says I should have foam done instead but she doesn't do foam. I am really bothered by these manly looking veins and no one will help me

Hratch Karamanoukian, MD, FACS · Answer

Microphlebectomy is recommended after a Duplex scan to exclude deep vein thrombosis. H Karamanoukian MD FACS
certified vein specialist from ABVLM

John Landi, MD · Answer

I treat hand and forearm veins with a combination of endovenous laser (laser inside the larger veins) and foam sclerotherapy.  Following sclerotherapy the treated veins frequently become hard and more prominent about 1 to 2 weeks later.  The veins then look as if new veins have formed.  This is due to the clotted blood in the vein and usually resolves if the clotted blood is drained (evacuated) with a small needle.  This is very common post hand vein treatment and I tell all patients to expect this.  This appears from the posted picture to be what has happened.

New arm veins bulging after hand sclerotherapy? (photos)

Answers (2)