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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?
No, there is not a way to speed up healing/fading of pigmentation. Removing the trapped blood is the best treatment.
The clot will fade and heal after time, but if the area continues to grow in size and/or become more painful, I would be a good idea to find a physician or nurse practitioner who would drain that clot.
Yes, there are ways to speed the healing/fading process.
This includes :
1)drainage (although you said your doctors did not advise this)
3)avoiding sun exposure
4)compression stocking use
5)flushing the area of discoloration by injection of sterile water or saline
6)time and patience, as it usually resolves over time
I hope this helps.
The small lumpy and discolored sections that you see are due to trapped blood. Normally, I would recommend that the trapped blood be removed as much as possible because when left untreated, they can result in a permanent discoloration or staining on the skin in the distribution of where the trapped blood resides. The staining originates from the iron in the trapped blood gradually being deposited into the skin resulting in a bronze-like discoloration. The more blood trapped, the larger the reservoir of iron potentially being left in the skin. If you get rid of the trapped blood, you effectively removed this reservoir and the discoloration will eventually fade out like a suntan.
Oftentimes, it is possible for the physician to make a small opening in the vein and drain the trapped blood clot. That will speed up the healing.
They should be drained by your physician with an 18 gauge needle, otherwise you will likely have problems with long term pigmentation in these areas. Since this was done for cosmetic reasons, in part, I would think long term appearance does matter. Insist on drainage of these areas at the treating clinic or find another that will.
Trapped blood is best treated by evacuating the area. This expedites the healing and decreases the chances of increased pigmentation.
If this is due to "trapped blood" the best treatment would be to remove the trapped blood for fast healing and to avoid hyperpigmentation.