Are there any topical creams that can be applied to the legs after sclerotherapy to promote quicker healing???
Jeffrey Roth (New York, NY) on Jul 30, 2011
There is no good topical therapy for this problem. The discoloration is normal, and is due to the entrapment of old red blood cells in the sclerosed vein. The resolution can take a month or more to resolve, but should go away on its own. Persistence of discoloration for longer periods can happen, especially around the ankles.
Jody Levine (New York, NY) on Jul 30, 2011
Black and blue marks are normal after sclerotherapy, as the blood that filled the varicose veins and other vessels that were dissolved accumulate on the surface of the skin. The blood and its components show up as black and blue marks that remain visible until the body can clear them. There are topical and oral products that can quicken the clearance of iron and other components of this blood. Arnica Montana and Bromelain are my personal favorites. Previdem by Neocutis is also a good product that is intended to hasten the absorption of the blood and its components.
Nelson Novick (New York, NY) on Jul 30, 2011
Discoloration following sclerotherapy can result from a number of causes. These include postinflammatory hyperpigmentation from any trauma or inflammation of the sclerotherapy procedure itself, or it can result from the leakage of blood and blood products outside of the vessel walls as they are pierced. Very often postinlammatory pigment problems will resolve with a tincture of time, typically taking six weeks to six months to fade on their own. A series of superficial chemical peels coupled with the home use o bleaching preparations may speed the resolution. If treatment was performed recently and dark blood clots are believed to be the problem, these can be nicked by the physician and the clot removed. Left untreated, these would resolve spontaneously as well, but it can take a long time. Scarring sometimes can occur following treatment, especially if there has been significant leakage of the sclerosing agent outside the blood vessel. Scars may improved by a variety of techniques depending upon the nature and extent of the problem.