Can Hemosiderin staining be removed?

Venous Reflux Exams . 10 answers . 2 years ago

I was told when I was 42 that I have PAD and leaking valves in my lower legs causing Hemosiderin staining. Is there anything that can be done to remove the staining from my legs?

ANSWERS FROM DOCTORS


2 years ago by Advanced Vein Center

Not really. Some lasers may help, but it often resolves with time - can be years. If you take iron supplements it may not go away.

2 years ago by Advanced Vein Center (View Profile)

Not really. Some lasers may help, but it often resolves with time - can be years. If you take iron supplements it may not go away.


2 years ago by Vein Center of Orange County

Topcial lasers and intense pulsed light (IPL) have both been shown to reduce hemosiderin staining, but can be expensive.

2 years ago by Vein Center of Orange County (View Profile)

Topcial lasers and intense pulsed light (IPL) have both been shown to reduce hemosiderin staining, but can be expensive.


2 years ago by The Vein Clinic

You need to wear good 30-40mmHg compression hose to eliminate all the sources of superficial reflux.
PAD? This refers to Peripheral Arterial Disease and is not from leaky valves. If you really have this, you may not tolerate strong hose.

2 years ago by The Vein Clinic (View Profile)

You need to wear good 30-40mmHg compression hose to eliminate all the sources of superficial reflux.
PAD? This refers to Peripheral Arterial Disease and is not from leaky valves. If you really have this, you may not tolerate strong hose.


2 years ago by Intermountain Vein Center

There really is not an effective treatment for the staining alone, and because of those valves, the staining will continue even if there were treatment because the source of the problem is not treated.

2 years ago by Intermountain Vein Center (View Profile)

There really is not an effective treatment for the staining alone, and because of those valves, the staining will continue even if there were treatment because the source of the problem is not treated.


2 years ago by Austin Vein Specialists

You would need to consult with a vascular doctor and have the legs examined before that question could be answered completely. If you have significant pigment changes in your ankles, often it is not reversible. If your venous insufficiency is treated, though, it will typically prevent the condition from worsening over time (the pigment often darkens, spreads, and can even lead to ulcers). Occasionally the pigment changes will lighten after treatment of the vein problem causing it. There are some surface laser procedures that can help lighten the skin to some degree, but they often are temporary solutions and the pigment usually returns over time. Once the skin has been significantly damaged with the hemosiderin pigment and lipodermatosclerosis has set it, it is usually a permanent problem.

2 years ago by Austin Vein Specialists (View Profile)

You would need to consult with a vascular doctor and have the legs examined before that question could be answered completely. If you have significant pigment changes in your ankles, often it is not reversible. If your venous insufficiency is treated, though, it will typically prevent the condition from worsening over time (the pigment often darkens, spreads, and can even lead to ulcers). Occasionally the pigment changes will lighten after treatment of the vein problem causing it. There are some surface laser procedures that can help lighten the skin to some degree, but they often are temporary solutions and the pigment usually returns over time. Once the skin has been significantly damaged with the hemosiderin pigment and lipodermatosclerosis has set it, it is usually a permanent problem.


2 years ago by VeinCare Centers of Tennessee

Get your venous insufficiency treated and wear graduated compression support stockings under medical direction. Lose weight if you are overweight. Many such patients will find that the hyperpigmentation will improve for more than a year.

2 years ago by VeinCare Centers of Tennessee (View Profile)

Get your venous insufficiency treated and wear graduated compression support stockings under medical direction. Lose weight if you are overweight. Many such patients will find that the hyperpigmentation will improve for more than a year.


2 years ago by Heart and Vein Center

Leaking valves and hemosiderin deposits are associated with venous insufficiency more often than with PAD (peripheral arterial disease). PAD is a problem with arterial blockages. Unfortunately, there is not much that can be done to remove the hemosiderin deposits.

2 years ago by Heart and Vein Center (View Profile)

Leaking valves and hemosiderin deposits are associated with venous insufficiency more often than with PAD (peripheral arterial disease). PAD is a problem with arterial blockages. Unfortunately, there is not much that can be done to remove the hemosiderin deposits.


2 years ago by Vein Specialists

PAD and leaking veins are two very different problems, so I would question who told you this. Hemosiderin staining is one complication of longstanding venous hypertension related to venous insufficiency and is reversible in many cases once the underlying source of reflux is eliminated.

2 years ago by Vein Specialists (View Profile)

PAD and leaking veins are two very different problems, so I would question who told you this. Hemosiderin staining is one complication of longstanding venous hypertension related to venous insufficiency and is reversible in many cases once the underlying source of reflux is eliminated.


2 years ago by Vanish Vein and Laser Center

Unfortunately, there is little that can be done to reverse hemosiderin deposits. If you have venous valvular incompetence, then closing the valves may decrease the venous pressure and slightly lighten these areas. A moisturizing cream or a bleaching cream may offer some improvement. However, even with all of the above, significant improvement is unlikely.

2 years ago by Vanish Vein and Laser Center (View Profile)

Unfortunately, there is little that can be done to reverse hemosiderin deposits. If you have venous valvular incompetence, then closing the valves may decrease the venous pressure and slightly lighten these areas. A moisturizing cream or a bleaching cream may offer some improvement. However, even with all of the above, significant improvement is unlikely.


2 years ago by SOUTH PALM CARDIOVASCULAR ASSOCIATES

Staining from natural vein disease will not generally resolve after vein treatments. Staining may occur after vein treatments, but with time, staining will pass. Stay out of the sun after any vein procedure.

2 years ago by SOUTH PALM CARDIOVASCULAR ASSOCIATES (View Profile)

Staining from natural vein disease will not generally resolve after vein treatments. Staining may occur after vein treatments, but with time, staining will pass. Stay out of the sun after any vein procedure.


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