I had sclerotherapy done five months ago. Now there are two dark dots from shots and more veins appeared around area with some discomfort. Is
Dark spots in the vicinity of vein treatment usually represent successfully closed veins that will disappear in a few months. A flurry of new veins is called "telangiectatic matting" and requires re-evaluation to determine the
correct course of action.
Published on Jul 11, 2012
This could have a number of causes and would require further evaluation.
Published on Jul 11, 2012
This happens occasionally.
Published on Jul 11, 2012
This can be normal. It is called "matting." It can occur when larger veins are treated. Matting usually goes away on its own. However, if it doesn't, this can be treated as well. You can request a follow-up evaluation.
Published on Jul 11, 2012
This can happen. The dark spots are probably pigmentation and will fade with time. Injecting the new veins should make them go away.
Published on Jul 11, 2012
The darks may be hyperpigmentation from the solution if some leaked around the vein. The new veins could be your body's response to the injection. I would ask if the practitioner used a light to treat underlying "feeder" reticular veins if present. If left untreated, these will continue to flow into the area, causing veins to reopen or surrounding veins to dilate.
Published on Jul 11, 2012
This is probably from the staining of the sclerosant. It may stain veins that you would not normally be able to see, but the staining is only temporary. The sclerosant breaks down the veins and causes the blood to clot, which is probably the reason for your discomfort. Most offices will do normal follow up appointments after treatment, especially if that area is of any concern to you.
Published on Jul 11, 2012
This is a phenomenon known as "matting." The area of discoloration appears to be darker and more concentrated than the veins originally treated. Matting is very difficult to treat, even if laser is used. It appears to
occur more frequently in certain ares of the leg, such as the medial and anterior thigh.
Published on Jul 11, 2012
This probably indicates insufficient sclerotherapy. Return for evaluation.
Published on Jul 11, 2012
This can happen and is called neovascularization and is due to new veins forming around an are of closed veins. Often times this will spontaneously resolve within one year. I tend to treat these areas with additional sclerotherapy and frequently with a glycerine solution. If there are significant new vein formations, then a venous ultrasound may be indicated to look for valvular reflux.
Published on Jul 11, 2012