What is this dark brown spot? I have it on both legs, two different areas. (Photo)

These had scleropathy done 4 months ago. Will this go away? Do I give it time or this a permanent thing? Is there anything that I can put on it to make it fade? These are on the lower parts of my legs.

Doctor Answers 5


Staining is a complication of sclerotherapy and usually over about 1year will resolve on its own.  I see a area of clotted vein that I would drain (evacuate) with a needle.  This will help the blood to reabsorb.  Some topical creams such as retin A, hydroquinolone and malerase may help.  A q-switch can be used but I would give it more time to heal on its own.

Naples General Surgeon
5.0 out of 5 stars 5 reviews

Melarase PM and Qswitch laser for sclerotherapy marks

I would recommend a combination of Melarase PM creams, Melapads, and initiation of q switch laser therapy. 


Dr. Karamanoukian

Los Angeles

Raffy Karamanoukian, MD, FACS
Los Angeles Plastic Surgeon
4.8 out of 5 stars 94 reviews


Thank you for your question in regards to sclerotherapy. Discoloration can occur after vein treatments and can take up to a year to resolve on its own. Although, some lasers are used to help break up the dyschromia. To be sure what is best for you, see two or more board-certified providers in your area for a complete evaluation to make sure you are a good candidate and that it is safe for you to have treatment. I hope this helps.

J. Jason Wendel, MD, FACS
Nashville Plastic Surgeon
5.0 out of 5 stars 183 reviews

Brown Spot On Leg After Sclerotherapy

This is hyperpigmentation from the vein treatment and can use laser treatment. I suggest seeing an expert physician.  Best, Dr. Emer.

Jason Emer, MD
Los Angeles Dermatologic Surgeon
4.8 out of 5 stars 196 reviews

Retained coagulum after sclerotherapy needs to be drained

Looks like retained coagulum from inadequate compression after sclerotherapy. Your doctor could drain that with needle puncture to improve cosmetic appearance,

Dr H Karamanoukian
RealSelf100 Member

Hratch Karamanoukian, MD, FACS
Buffalo Phlebologist
4.8 out of 5 stars 41 reviews

These answers are for educational purposes and should not be relied upon as a substitute for medical advice you may receive from your physician. If you have a medical emergency, please call 911. These answers do not constitute or initiate a patient/doctor relationship.