Time and good wound care is the best treatment for ulcers after sclerotherapy. After the ulcers heal, there are many effective treatments for improving the appearance of the scar.

Published on Jul 11, 2012

I don't under the question. You shouldn't get ulcers after sclerotherapy.That is a complication. It would managed like any wound with antibiotics if necessary and keeping the ulcer bed moist.

Published on Jul 11, 2012

The ulcers (chronic open wounds) heal by themselves and do not require any treatment. Hyperpigmented (dark) spots left after ulcers heal do usually get much better with time. If they don't, there are special bleaching creams, which can speed up the process. If there are either scars or de-pigmented areas left long after the treatment, it would require aesthetic plastic surgery consult for further assessment and management. Hope it helps. Good luck!

Published on Jul 11, 2012

Time helps the most. Silicone products that help with scarring sometimes can help.

Published on Jul 11, 2012

Skin ulceration, also known as "cutaneous necrosis," can occur as a complication of sclerotherapy. Ulceration is the loss of healthy skin, and starts with a bright red tender area that develops a thick dark scab over time. This occurs frequently with inexperienced providers, but only rarely with experienced doctors.

If the treating physician observes an intensely bright violaceous area immediately after or during an injection (which often precedes ulceration), nitroglycerin cream can be applied to limit the skin damage. Often there is no warning and an ulcer will develop a week or two later. In those cases, nothing can be done to limit the damage, at which point compression, anti-inflammatory medication, and debridement (removal of dead tissue) are indicated to hasten healing. Regardless, it usually takes several weeks if not several months for complete healing with variable scarring.

If you developed true skin ulceration in more than one spot after a sclerotherapy session, consider finding a different provider.

Published on Jul 11, 2012

Not clear what you mean by 'small ulcers'? There are normally no ulcers after sclerotherapy. Compression and antibacterial ointment helps most venous ulcers heal.

Published on Jul 11, 2012

You need an ultrasound but usually an incompetent perforator vein is just under a non healing ulcer which needs ablation to help the ulcer heal and stay healed

Published on Jul 11, 2012

You should not be getting ulcers from sclerotherapy. You should go to someone who is experienced. Keep the areas covered with some antibiotic ointment until healed. Ulcers can be caused by fluid in the tissues instead of veins or by injecting small arteries (AV malformations).

Published on Jul 11, 2012

It is rare to have the small ulcers after sclerotherapy. Usually keeping it clean, moist with bacitracin or something similar and covered helps. There is no procedure when they are small just time and patience to heal

Published on Jul 11, 2012

Simple wound care is required. There are no specific procedures.
I recommend keeping it clean, covered, and dry. Avoid ointments.

Published on Jul 11, 2012

Lipodermatosclerosis is a result of chronic venous insufficiency or chronic lymphedema and many times both. You require a full evaluation for both lymphedema and CVI. See a vein specialist. If you have underlying venous reflux, treating this will help and then medical therapies including topical emollients, support hose, lymphedema compression hose and lymphedema massage will also help.

Published on Jul 11, 2012