I have yellow discoloration 6 months after sclerotherapy. Is this normal? It's very noticeable and runs in a line down both shins and calves.

It almost looks like bruising, only it runs in two thicker "lines" and it doesn't appear to be getting better. My legs look awful and need to be covered. I Have an appointment in a few weeks with a vascular surgeon, but when I made it, they didn't seem to have any idea why this would happen. Arnica gel has done nothing to reduce the discoloration. I had regular and foam injections after RF ablation.

Answers from doctors (4)


Vein Specialties of St. Louis

Published on Mar 21, 2017

It is possible you had areas of trapped blood which can happen when larger veins are treated. We typically have patients watch for these or check for them at a follow up appointment. It is easily drained and prevents the pigmentation changes you are seeing. It can also occur if a shallow saphenous vein is ablated. I would have them check with ultrasound or transillumination and see if they can release any accumulation. However, at this stage they may not be able to. You can also try Dermaka cream mixed with a few drops of licorice root extract (not licorice extract which smells like anise).

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Answered by Vein Specialties of St. Louis

It is possible you had areas of trapped blood which can happen when larger veins are treated. We typically have patients watch for these or check for them at a follow up appointment. It is easily drained and prevents the pigmentation changes you are seeing. It can also occur if a shallow saphenous vein is ablated. I would have them check with ultrasound or transillumination and see if they can release any accumulation. However, at this stage they may not be able to. You can also try Dermaka cream mixed with a few drops of licorice root extract (not licorice extract which smells like anise).

Published on Jul 11, 2012


Laser Vein Institute

Published on Mar 15, 2017

Skin pigmentation can occur after sclerotherapy. It is more likely if there is a large thrombosed vein under the skin. Tanning or sun bathing after sclerotherapy can cause hyperpigmentation of the treated area. The skin changes can fade with time (months to years) but may never completely resolve.

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Answered by Laser Vein Institute

Skin pigmentation can occur after sclerotherapy. It is more likely if there is a large thrombosed vein under the skin. Tanning or sun bathing after sclerotherapy can cause hyperpigmentation of the treated area. The skin changes can fade with time (months to years) but may never completely resolve.

Published on Jul 11, 2012


Center for Vein Care

Published on Mar 15, 2017

This can be one of the complications of sclerotherapy. The veins injected become inflamed and thrombose (clot) in the early phase after injection. In about 10% of patients this may lead to skin discoloration. Most of the time the discoloration fades but can take 6-12 months to slowly fade. In some, the discoloration is permanent.

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Answered by Center for Vein Care

This can be one of the complications of sclerotherapy. The veins injected become inflamed and thrombose (clot) in the early phase after injection. In about 10% of patients this may lead to skin discoloration. Most of the time the discoloration fades but can take 6-12 months to slowly fade. In some, the discoloration is permanent.

Published on Jul 11, 2012


San Fernando Valley Vascular Group

Published on Mar 14, 2017

This is an accepted side effect of the procedure and may take a long time for it to disappear.

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Answered by San Fernando Valley Vascular Group

This is an accepted side effect of the procedure and may take a long time for it to disappear.

Published on Jul 11, 2012


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