How long does it take to recover from Vein Stripping procedures?

I have recently had Vein Stripping Surgery and was wondering if the dark purplish area where my ulcers were will ever return to normal color?

ANSWERS FROM DOCTORS (4)


2 months ago by Advanced Vein Center

It can take months or longer and may not resolve.

2 months ago by Advanced Vein Center (View Profile)

It can take months or longer and may not resolve.


2 months ago by Vein Specialties of St. Louis

Vein stripping is rarely performed today with the introduction of laser ablation. But if the stripping was done recently, it does take time for areas to resolve and heal. Areas where there were ulcers will take even longer and may remain discolored. If they appear to be getting worse, you should have an ultrasound to look for perforator or reticular veins in the area and, if so, they should be injected (sclerotherapy).

2 months ago by Vein Specialties of St. Louis (View Profile)

Vein stripping is rarely performed today with the introduction of laser ablation. But if the stripping was done recently, it does take time for areas to resolve and heal. Areas where there were ulcers will take even longer and may remain discolored. If they appear to be getting worse, you should have an ultrasound to look for perforator or reticular veins in the area and, if so, they should be injected (sclerotherapy).


2 months ago by Lafayette Regional Vein & Laser Center

This is a common question for patients with leg ulcers. The reason for treatment is to assist in preventing recurrence and help to promote quicker wound healing (as many argue is possible with isolated superficial incompetence is evident). It took years to develop inflammatory changes, and though you should see benefit in coloration, it often goes from purple to deep brown pigment. Unfortunately, you are likely to have this for the rest of your life. If you have not had treatment for vessels below the knee, you may find additional treatment is helpful. Regardless, not knowing your pattern, the honest reply is that you will likely have some form of discoloration forever. But with treatment, you will be at less risk for developing a new ulcer with healthy vein habits. Good luck!

2 months ago by Lafayette Regional Vein & Laser Center (View Profile)

This is a common question for patients with leg ulcers. The reason for treatment is to assist in preventing recurrence and help to promote quicker wound healing (as many argue is possible with isolated superficial incompetence is evident). It took years to develop inflammatory changes, and though you should see benefit in coloration, it often goes from purple to deep brown pigment. Unfortunately, you are likely to have this for the rest of your life. If you have not had treatment for vessels below the knee, you may find additional treatment is helpful. Regardless, not knowing your pattern, the honest reply is that you will likely have some form of discoloration forever. But with treatment, you will be at less risk for developing a new ulcer with healthy vein habits. Good luck!


2 months ago by Hratch Karamanoukian, MD, FACS, RVT, RPVI , RPhS

Pictures would be helpful, but unfortunately they're not possible to send on this forum. However, purple areas imply reticular veins, and they may be injected. Dark brown areas indicate long standing hemosiderin deposition and lipodermatosclerosis, and these are unlikely to resolve. You need to discuss this with your vein specialist. I would focus more on procedures to prevent recurrence of ulcers and less on cosmesis, considering that you have already had venous stasis ulcers. Also, make sure you wear compression stockings DAILY to prevent recurrence of ulcers and do targeted leg exercises.

2 months ago by Hratch Karamanoukian, MD, FACS, RVT, RPVI , RPhS (View Profile)

Pictures would be helpful, but unfortunately they're not possible to send on this forum. However, purple areas imply reticular veins, and they may be injected. Dark brown areas indicate long standing hemosiderin deposition and lipodermatosclerosis, and these are unlikely to resolve. You need to discuss this with your vein specialist. I would focus more on procedures to prevent recurrence of ulcers and less on cosmesis, considering that you have already had venous stasis ulcers. Also, make sure you wear compression stockings DAILY to prevent recurrence of ulcers and do targeted leg exercises.


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