What solutions are more likely to cause telangiectatic matting and hyperpigmentation?

Sclerotherapy . 6 answers . 3 years ago

I cannot tolerate STS due to severe telangiectatic matting that never goes away without treatment. Are there other solutions less likely to cause these problems?

ANSWERS FROM DOCTORS


2 years ago by General Vascular Surgery Group

The other good drug available for injections is polidocanol. They all have a risk of matting and pigmentation.
Michael D. Ingegno

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

The other good drug available for injections is polidocanol. They all have a risk of matting and pigmentation.
Michael D. Ingegno


2 years ago by Bella MD Laser Vein and Aesthetic Center

Other options are hypertonic saline and polydocanol. Not known if they will do any better. Just have to try. I would suggest polydocanol.
David A. Engleman M.D.

2 years ago by Bella MD Laser Vein and Aesthetic Center (View Profile)

Other options are hypertonic saline and polydocanol. Not known if they will do any better. Just have to try. I would suggest polydocanol.
David A. Engleman M.D.


2 years ago by Vein Specialties of St. Louis

It is not necessarily related to a particular solution. There
Are many "theories" about what causes matting. Pressure of injection, foam use in smaller vessels, too strong a solution for size of vessels, aggressive or overtreatment and experience of the injector. However some people are more prone to this and it may be a genetic predisposition. Polidochanol in low doses seems to have the least side effect for staining and other complicarioms but I think experience is the best way to go to avoid problems.
Norman N Bein MD FACS RVT

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

It is not necessarily related to a particular solution. There
Are many "theories" about what causes matting. Pressure of injection, foam use in smaller vessels, too strong a solution for size of vessels, aggressive or overtreatment and experience of the injector. However some people are more prone to this and it may be a genetic predisposition. Polidochanol in low doses seems to have the least side effect for staining and other complicarioms but I think experience is the best way to go to avoid problems.
Norman N Bein MD FACS RVT


2 years ago by Angelo N. Makris MD

Glycerin

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

Glycerin


2 years ago by Vein Specialists

Polidocanol is one such solution and is my standard for injection
sclerotherapy. Less matting, less discoloration or staining and less pain.

2 years ago by Vein Specialists (View Profile)

Polidocanol is one such solution and is my standard for injection
sclerotherapy. Less matting, less discoloration or staining and less pain.


2 years ago by Vanish Vein and Laser Center

Polidocanol(Asclera) is purported to cause less matting and staining than other sclerosing solutions. You may want to try this with your next treatment.

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

Polidocanol(Asclera) is purported to cause less matting and staining than other sclerosing solutions. You may want to try this with your next treatment.


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