Post Sclerotherapy Pigmentation

by | Jul 17, 2015

This 48 year old patient presents with extensive lower leg varicose vein disease and associated pigmentation of the skin. She was treated with Endovenous Laser Ablation and Ultrasound Guided Foam Sclerotherapy.

pigmentation-before    pigmentation-before

The follow up photo was taken 4 months following her treatment and illustrates a massive improvement in the appearance of the leg. The pigmentation is resolving and will completely disappear in time.

It is important to note that visible pigmentation (skin discolouration) can represent one of 2 things:

  1. Severe varicose veins – where the pressure in the varicose vein is so great that blood is pushed into the very fine surface capillaries of the skin. If blood pools in the surface capillaries, Haemosiderin (Iron) in the blood can leak into the skin and stain it, as illustrated in the before photo.
  2. Post Sclerotherapy Healing – as the body gradually absorbs and eliminates the treated veins, haemosiderin (iron) is deposited into the superficial skin layer. This occurs because our immune system breaks down the dead vein and the dead blood within that vein, thereby releasing iron pigment into the skin.

Haemosiderin Pigmentation following sclerotherapy eventually resolves but can take up to 6-12 months or more to do so. Patients having treatment for their veins are reassured that it will eventually disappear and are monitored over time.

Haemosiderin Pigmentation associated with Varicose Veins, on the other hand, progressively worsens if the veins are left untreated. If the disease process continues, other complications are very likely to occur and may include Ulcers and Thickened, Malformed skin referred to as “Panniculitis”. This will be discussed in a future blog entry.

Worried about your veins?

Make an appointment to see phlebologist Dr Peter Paraskevas in our Vein Health Melbourne or Sydney clinics, and get your veins assessed and treated today.

We provide fast and easy, walk-in walk-out treatments. Our minimally invasive treatments utilise world-class technologies to achieve the best patient outcomes. Our results speak for themselves – see our before & after gallery.


Why choose us?

  • Walk-in, walk-out treatment in our accredited facility
  • High success rates
  • No general anaesthetic
  • No hospitalisation
  • Medicare rebates apply
  • Minimal downtime or time away from work
  • Comprehensive after-care and follow-up scans and reviews
Seek Expert Advice from one of Australia’s Leading PhlebologistsDr. Peter Paraskevas Phlebologist, Medical Director

Dr Peter Paraskevas is expert in the assessment and treatment of Varicose Veins. For 20 years Vein Health Medical Clinic has provided the latest in non-surgical laser, radiofrequency and sclerotherapy treatments and combined this with state-of-the-art ultrasound diagnostic testing to treat varicose veins and venous disease.

The content provided in this article is provided for information and educational purposes only and is not a substitute for professional medical advice and consultation.

You may also like