I have bruising from Sclerotherapy injections that I had 8 weeks ago is this normal?

Sclerotherapy . 7 answers . 4 years ago

It has been 8 weeks since I had spider and 1 surface blue vein injected by vein surgeon. I still have black blue spots and the surface vein looks worse, will this correct itself or do i need more treatments/ new doc??

ANSWERS


4 years ago by Vein Specialty Medical Clinic, Inc. (View Profile)

True bruising, color of released blood between the skin cells, does not last more than 3 weeks. So if there is a mark left 8 weeks after sclerotherapy, it should be something else, such as hyperpigmentation (light or dark brownish/rusty skin discoloration. Of course
consistent scratching of treated area, can induce more fresh bruising, if that is the case. I suggest to see the doctor who did the sclerotherapy, for clarification and further management.

4 years ago by Vein Specialty Medical Clinic, Inc. (View Profile)

True bruising, color of released blood between the skin cells, does not last more than 3 weeks. So if there is a mark left 8 weeks after sclerotherapy, it should be something else, such as hyperpigmentation (light or dark brownish/rusty skin discoloration. Of course
consistent scratching of treated area, can induce more fresh bruising, if that is the case. I suggest to see the doctor who did the sclerotherapy, for clarification and further management.


4 years ago by General Vascular Surgery Group (View Profile)

This can be the case after sclerotherapy it generally resolves with time.

4 years ago by General Vascular Surgery Group (View Profile)

This can be the case after sclerotherapy it generally resolves with time.


4 years ago by Angelo N. Makris MD (View Profile)

It is difficult to make a diagnosis without seeing the area, but what you are describing may be "staining." This is a discoloration of the skin related to the sclerosing agent. If this is the case, staining will fade, but will take several months. My suggestion is that you f/u
with your physician to see they think, but would avoid further treatments with that sclerosing agent.

4 years ago by Angelo N. Makris MD (View Profile)

It is difficult to make a diagnosis without seeing the area, but what you are describing may be "staining." This is a discoloration of the skin related to the sclerosing agent. If this is the case, staining will fade, but will take several months. My suggestion is that you f/u
with your physician to see they think, but would avoid further treatments with that sclerosing agent.


4 years ago by Miller Vein (View Profile)

It is common for patients to require several treatments before obtaining the results they are looking for. Without actually seeing the leg, it is difficult to give advice. You may have some trapped blood in the vein that you say looks worse, and your physician could drain it which may make it look and feel better. I would advise following up with the physician that treated you

4 years ago by Miller Vein (View Profile)

It is common for patients to require several treatments before obtaining the results they are looking for. Without actually seeing the leg, it is difficult to give advice. You may have some trapped blood in the vein that you say looks worse, and your physician could drain it which may make it look and feel better. I would advise following up with the physician that treated you


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

Although some marks might take some tome to fade away after sclerotherapy, eight weeks is already a long time and you should have seen some improvement.

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

Although some marks might take some tome to fade away after sclerotherapy, eight weeks is already a long time and you should have seen some improvement.


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

After sclerotherapy the treated veins often times look worse before they look better. This process takes 3 to 4 weeks. If there is continued bruising after this time I would first look for trapped blood within the treated veins which can be easily evacuated. If this is not the case then staining may need to be considered. Many of the local problems after sclerotherapy are self correcting. I would recommend following up with your treating physician before going to someone new.

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

After sclerotherapy the treated veins often times look worse before they look better. This process takes 3 to 4 weeks. If there is continued bruising after this time I would first look for trapped blood within the treated veins which can be easily evacuated. If this is not the case then staining may need to be considered. Many of the local problems after sclerotherapy are self correcting. I would recommend following up with your treating physician before going to someone new.


4 years ago by Laser Vein Center (View Profile)

Post sclerotherapy bruising is normal, however should be expected to resolve by 2-3 weeks.
Discoloration persisting beyond this period is most likely not bruising. Bruising can be easily confused with either or both Hyper-pigmentation and trapped fluid within the treated veins. In both of these instances, the veins ALWAYS look worse and more prominent that pre-treatment.

Trapped fluid within a treated vein can occur due to inadequate compression, walking, or failure to identify and treat those blue veins which flow into the spider veins. Also a combination of the above can exist. Depending on the cause, blue "feeder" veins need to be treated with sclerotherapy. In any case, the trapped fluid should improve after the veins are aspirated and the fluid expressed.

Hyper pigmentation can occur secondary to trapped fluid. It can also occur depending on several factors including skin characteristics, concentration of sclerosant solution, and technique. The pigmentation will usually fade, although slowly, continuing for up to, but not necessarily requiring, two years.

4 years ago by Laser Vein Center (View Profile)

Post sclerotherapy bruising is normal, however should be expected to resolve by 2-3 weeks.
Discoloration persisting beyond this period is most likely not bruising. Bruising can be easily confused with either or both Hyper-pigmentation and trapped fluid within the treated veins. In both of these instances, the veins ALWAYS look worse and more prominent that pre-treatment.

Trapped fluid within a treated vein can occur due to inadequate compression, walking, or failure to identify and treat those blue veins which flow into the spider veins. Also a combination of the above can exist. Depending on the cause, blue "feeder" veins need to be treated with sclerotherapy. In any case, the trapped fluid should improve after the veins are aspirated and the fluid expressed.

Hyper pigmentation can occur secondary to trapped fluid. It can also occur depending on several factors including skin characteristics, concentration of sclerosant solution, and technique. The pigmentation will usually fade, although slowly, continuing for up to, but not necessarily requiring, two years.


Related Questions

Sclerotherapy - 4 years ago
Why is it necessary to wear Compression Stockings after Sclerotherapy?
See More
Sclerotherapy - 4 years ago
How long does it take to see spider veins vanish after Sclerotherapy? Is there any hope the veins will disappear after more time has gone by?
See More
Sclerotherapy - 1 year ago
I have a lot of green veins on my legs, calves, even my arms and other parts of my body. Are those on my legs reticular veins, or could they be normal veins? They are very obvious. I never had them un...
See More
Sclerotherapy - 3 years ago
I had 6 treatments of sclerotherappy one week apart. Much of the treatments were injecting "feeders". It's been over 2 months since my first treatment and my veins look worse. I have new quite dark ...
See More
Sclerotherapy - 4 years ago
Will the length of time be longer then two weeks?
See More
Sclerotherapy - 5 years ago
What chemicals are in the saline solution and does it have mercury in it and if not what is in it? what are the side effects if any.
See More
Sclerotherapy - 2 years ago
I recently just noticed that all of my veins are visible all over my body, including a few in the chest area....is this normal? I'm currently on Accutane too.
See More
Sclerotherapy - 4 years ago
I hade sclerotherapy yesterday, but I can still see a few of the veins that were treated. How long until all the veins disappear?
See More
Sclerotherapy - 4 years ago
I've heard that occasionally, small lumps of clotted blood can be felt after sclerotherapy. Aren't blood clots quite dangerous?
See More
Sclerotherapy - 3 years ago
How soon after sclerotherapy can I play tennis? run? dance?
See More
Sclerotherapy - 1 year ago
I just had the sclerotherapy procedure today. I would love to cut off the feet of my compression stockings. I feel like it would be much more comfortable. Would that defeat the purpose?
See More
Sclerotherapy - 1 year ago
I had a sclerotherapy treatment, but instead of being prescribed compression stockings, my doctor advised me to use an elastic bandage. Is the bandage just as effective as compression stockings?
See More
Sclerotherapy - 4 years ago
How long after Sclerotherapy can you get in the sun?
See More
Sclerotherapy - 4 years ago
How long does the Sclerosing agent remain in bloodstream after procedure? I had it done while breast feeding and was told to just disregard and continue. How long does sclerosing agent remain in blood...
See More
Sclerotherapy - 3 years ago
Can you go in a hot tub after sclerotherapy and how long do you have to wear the stocking for?
See More
Sclerotherapy - 4 years ago
While pregnant with my first child I've developed a large number of spider veins on my legs/thighs. Are spider veins more prevalent during pregnancy? Do they go away after delivery? Can I get scleroth...
See More
Sclerotherapy - 4 years ago
Could some or all of the cost be covered?
See More
Sclerotherapy - 2 years ago
After sclerotherapy, there is a small section that is lumpy and discolored. My treating pysician does not drain these, is there any way to speed up the healing/fading of pigmentation?
See More
Sclerotherapy - 3 years ago
I had sclerotherapy 1 week ago. Painful, swollen, hematoma(black) is blood trapped? There is also redness and new blue veins around the spot. Went to a dermatologist and he said it would take 2 months...
See More
Sclerotherapy - 4 years ago
Is it possible to do sclerotherapy on veins on the hands/wrist/arms?
See More
Need Help?
Get answers from experienced doctors
Ask Now

Most Active Doctors


,

,

Recently Asked Questions