Mysterious black veins under skin - Will laser treatments help? (photo)

Question

Hi, I notice I started developing this black veins under skin, it started as just a very tiny dot and now I can see it getting bigger over time. Im so worried. What is this? And what can I do about this? It doesn't hurt, it’s just there under the surface.

Anna Chacon, MD, FAAD · Answer

The appearance of black veins or discoloration under the skin can be concerning, and it's important to have this evaluated by a healthcare professional to determine the underlying cause. Here are some general considerations and potential next steps:

Consult a Dermatologist: The first step should be a consultation with a board-certified dermatologist. They can examine the area and may perform or recommend diagnostic tests to determine the cause of the discoloration.

Possible Causes: The discoloration could be due to various factors, including but not limited to:

Superficial veins or varicosities
Hemosiderin staining from previous bruising or trauma
Pigmentation changes
Other dermatological conditions
Treatment Options: Depending on the diagnosis, treatment options may vary:

Laser Treatments: Certain laser therapies may be effective for treating vascular lesions or pigmentation issues. However, the suitability of laser treatment will depend on the specific diagnosis and should be discussed with your dermatologist.
Topical Treatments: In some cases, topical treatments might help lighten pigmentation.
Observation: If the condition is benign and not causing any symptoms, your dermatologist might recommend monitoring the area.
Avoid Self-Diagnosis: It’s important not to self-diagnose or self-treat, as improper treatments may worsen the condition or lead to unnecessary complications.

Follow-Up: Regular follow-up appointments may be necessary to monitor the condition and adjust treatment as needed.

Seeking professional advice will provide the best guidance tailored to your specific situation.

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