Ulceration was more likely in the past where high concentration sclerosant solutions were used, such as 21% hypertonic saline. Remember that physiologic saline solution that is given intravenously while you are hospitalized is 0.9% whereas hypertonic saline is 23 times more concentrated...
Either laser or electrocautery would be preferred over sclero. Sclero can be tricky and if there is extravasation of the solution you can run into problems. If you do go this route, make sure the physician is very experienced.
If you vessels are small the V Star pulsed dye laser would be...
Venous lakes are treated with long pulse 532 or 1064 nm lasers. More than one session will be necessary and likelihood for recurrence in the future requiring maintenance treatment.
