Painful spot and hematoma

Sclerotherapy . 6 answers . 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 to heal. I'm afraid it wont heal nice and there will be pigmentation. Are there alternative treatment options?

ANSWERS


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

It could be trapped blood, and usually this is not dangerous. Sometimes this trapped blood can be drained and this can resolve the problem quicker, (and decrease the pigmentation) but you'll have to check with your provider to see if this is feasible in your case.
Michael D. Ingegno MD

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

It could be trapped blood, and usually this is not dangerous. Sometimes this trapped blood can be drained and this can resolve the problem quicker, (and decrease the pigmentation) but you'll have to check with your provider to see if this is feasible in your case.
Michael D. Ingegno MD


3 years ago by Arizona Vein and Laser Institute & Cosmetic Surgery (View Profile)

Small hematomas can appear after sclerotherapy. They can be drained
easily. Redness should go away in a few weeks. Blue veins can
sometimes appear after sclerotherapy. It takes a few weeks/months for
pigmentation to disappear.

3 years ago by Arizona Vein and Laser Institute & Cosmetic Surgery (View Profile)

Small hematomas can appear after sclerotherapy. They can be drained
easily. Redness should go away in a few weeks. Blue veins can
sometimes appear after sclerotherapy. It takes a few weeks/months for
pigmentation to disappear.


3 years ago by Vein Specialties of St. Louis (View Profile)

It is possible that you have trapped blood if you have some hard, painful areas although it is early after your treatment. You should see your treating physician for evaluation and possible release - a simple needle stick usually will take care of it. It could also be phlebitis which can be treated with over the counter motrin or aleve for 7 - 10 days. The redness will resolve. Occasionally in some people, areas of "matting" or angiogensis can develop in the form of fine red veins or scattered blue veins. This can be treated with IPL or laser. In experienced hands these are rarely seen.
Norman N. Bein MD FACS RVT

3 years ago by Vein Specialties of St. Louis (View Profile)

It is possible that you have trapped blood if you have some hard, painful areas although it is early after your treatment. You should see your treating physician for evaluation and possible release - a simple needle stick usually will take care of it. It could also be phlebitis which can be treated with over the counter motrin or aleve for 7 - 10 days. The redness will resolve. Occasionally in some people, areas of "matting" or angiogensis can develop in the form of fine red veins or scattered blue veins. This can be treated with IPL or laser. In experienced hands these are rarely seen.
Norman N. Bein MD FACS RVT


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

You may be describing trapped blood which often can be partially removed very easily with an 18 gauge needle and massage of the area. You would need to ask your physician about this option.
Stephen F. Daugherty, MD, FACS, RVT, RPhS

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

You may be describing trapped blood which often can be partially removed very easily with an 18 gauge needle and massage of the area. You would need to ask your physician about this option.
Stephen F. Daugherty, MD, FACS, RVT, RPhS


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

Early evacuation (drainage) of a hematoma usually improves it significantly. Sclerotherapy tends to look worse before it looks better. Would recommend evacuation of hematoma and allow 4 to 6 weeks for sclerotherapy to heal.

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

Early evacuation (drainage) of a hematoma usually improves it significantly. Sclerotherapy tends to look worse before it looks better. Would recommend evacuation of hematoma and allow 4 to 6 weeks for sclerotherapy to heal.


3 years ago by Vein and Vascular Diagnostic and Treatment Center, Cardiovascular Consultants of South Florida (View Profile)

They may be able to drain the blood out. This happens in around 30 % of people and usually goes away over 6 to 12 months. I would ask if they can possibly drain some of the trapped blood which may speed healing.

3 years ago by Vein and Vascular Diagnostic and Treatment Center, Cardiovascular Consultants of South Florida (View Profile)

They may be able to drain the blood out. This happens in around 30 % of people and usually goes away over 6 to 12 months. I would ask if they can possibly drain some of the trapped blood which may speed healing.


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