Best method to remove brownish (iron) skin staining due to sclerotherapy?

Question

Is the Picoway or the Q-switch laser more effective in removal of hemosiderin brownish (iron) skin staining due to sclerotherapy-treated leg spider veins from many years ago that has not resolved on its own? Or some other treatment? Bleaching is too surface.

Jason Emer, MD · Answer

A lot of options can be used to treat hyperpigmentation, I am not sure the pico laser is the best treatment for this but would not be a bad option. Best, Dr. Emer.

John Landi, MD · Answer

Both the q Switch and the picoway lasers help with hemosiderin staining. Sometimes topical creams such as dermaka and licorice extract topically will help.  Most importantly, a large portion of staining will spontaneously resolve over about one year.

Bruce E. Katz, MD · Answer

Thank you for your question. There are various treatments and lasers that
remove skin pigmentation or discoloration like the PicoSure Laser Treatment and
the Alexandrite Laser, just to name a few. It’s best to have an in-person
consultation so that a qualified physician can help decide which laser
treatment is best for you.

Jeanine B. Downie, MD · Answer

Best method to remove brownish staining due to sclerotherapy? I would recommend Q-switched lasers and to return to the doctor that did the sclerotherapy on you. This should work well.

Hratch Karamanoukian, MD, FACS · Answer

Thank you for your question.I have experience with Q switched lasers and they work veery well for hemosiderin pigment which is the underlying cause for PIH with sclerotherapy.The use of two topical cremes is advocated immediately after sclerotherapy to reduce hyperpigmentation (see link below) along with an oral supplement called Scler-X. This is a PIH Relief Complex.Dr. Karamanoukian

Best method to remove brownish (iron) skin staining due to sclerotherapy?

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