Two weeks after sclerotherapy, some of my treated veins are purple but the skin is not bruised. Others that were treated disappeared immediately. I followed all recommendations post-treatment. Will these veins fade and eventually disappear or do they need a second treatment?
Are they spider veins? If they are then a good time to wait in between treatment is about 6-7 weeks. Also, in order to completely treat spider veins, usually 2-3 sessions is typical for spider vein treatment. Now, if they come back after 3 sessions, an ultrasound would be the next step because there is a possibility of having underlying feeder veins that may keep the spider veins open.
Published on Jul 11, 2012
In our clinic, we bring patients back 3 weeks post injection to evaluate. If the blood on those purple veins blanches with pressure, they may be open and require an additional treatment. If those purple vessels are closed, they may fade over time or they may require making a small needle hole in the vessel to release the debris.
Published on Jul 11, 2012
Treating spider veins takes an average of 3-5 treatments. Larger vessels can appear darker as the flow of blood is stopped in the vein. If you press on the vein and the vein turns white then returns to blue, it needs re-injection. We always recommend two treatments initially about 4 weeks apart for successful long term healing. Then observe and return 6-8 weeks if more treatment is needed.
Published on Jul 11, 2012
If you are referring to sclerotherapy for spider veins, then it is very likely you need a second treatment. I would wait to see how your skin responds after another few weeks before making a decision.
Published on Jul 11, 2012
Larger veins take longer to go away. One way to tell they are closed is to press on them and if they don't disappear then the are closed and should disappear in the next 4-6 weeks. If the do disappear and you see blood flow back into them the they may need another injection. Either way I would wait 4-6 weeks from your first injections to see how they respond and then decide if you would like to retreat them.
Published on Jul 11, 2012
What you probably have is trapped blood in some of your treated spider veins. The reason you have this is because the doc who treated you failed to treat the reticular veins feeding into your spider veins. The result is blood getting pocketed into those treated veins giving you that dark color. If you do not treat the reticular veins feeding these veins, the discoloration can last for a long time.
Published on Jul 11, 2012
Following sclerotherapy what you describe is exactly what happens. Some veins resolve immediately and some look worse before they look better and some will not go away and will need to be retreated.
Published on Jul 11, 2012