Purplish spots on my legs 3 weeks post laser treatment. Will they ever go away? I am 43 yr old.

It’s important to distinguish between varicose veins and spider veins when choosing between laser therapy, sclerotherapy, and vein surgery. With two board certified vein specialists, our center uses a combination of visual examination, functional flow measurements, ultrasound, transillumination, and infrared light to map out vein networks prior to therapy. Lasers can be used to treat deep varicose vein insufficiency, vein perforators, and varicose veins. Sclerotherapy is ideal for spider veins and reticular veins. Whereas surgery is reserved for severely incompetent varicose vein segments.


Best,
Dr. Karamanoukian
Realself100 Surgeon

Sometime veins can leak after laser treatment.  These spots should go away with time but may take weeks to a few months.  I usually recommend arnica cream which can sometimes help expedite clearing of the spots.  Also very important to avoid sun exposure if possible.  If not, use sun block.  Exposure to sun increases the risk of these spots becoming darker (this is known as hemosiderin hyperpigmentation) and can take a long time to go away.

Hyperpigmentation and post inflammatory hyperpigmentation occurs after sclerotherapy and topical laser and we recommend the use of two products that can be applied in the morning (Sclerovase) and evening (Scleroquin plus). The products reduce the hyperpigmentation of the overlying skin. See the link below. Hratch L Karamanoukian MD FACSABVLM certified vein specialist