Results of sclerotherapy for small varicose veins or spider veins usually show in 3 to 6 weeks. Cutaneous necrosis, telangiectatic matting, and hyperpigmentation following sclerotherapy. Acta Phlebologica. Phlebology. Myers KA, Jolley D, Clough A, Kirwan J. I had 6 treatments of sclerotherappy one week apart. . (2021). Oftentimes, it is possible for the physician to make a small opening in the vein and drain the trapped blood clot. 8. I've heard that occasionally, small lumps of clotted blood can be felt after sclerotherapy. Bad results are usually the consequences of an inappropriate use or indication. Am J Cardiol. J Dermatol Surg Oncol. (2017). Matting after extensive foam sclerotherapy oftelangiectasia in the lateral thigh with underlying reflux in thereticular veins.The underlying reflux resolved with treatment of the reticularveins at a lower volume and concentration of sclerosant and theuse of medical compression stockings, and finally resolved withsclerotherapy of telangiectasia using glycerin. Sclerotherapy using liquid or foam sclerosants is associated with both sensory and motor nerve damage that is usually transient in nature. Ultrasound is a painless procedure that uses sound waves to create pictures of structures inside the body. Physicians who perform sclerotherapy should have an emergency plan in the event of neurological deficits, intra-arterial injections, severe systemic adverse reactions, or anaphylaxis, including transport to emergencies services for further evaluation and treatment of vital emergencies. Possible risks and complications of sclerotherapy include: Also, if tiny air bubbles from foam sclerotherapy get into the bloodstream, it may cause chest tightness, a dry cough, dizziness, and nausea. Kang S, et al., eds. The red blood cells extravasate after rupture of treated vessels or perivenulitis. Medicines or supplements you take, especially aspirin, ibuprofen (Advil, Motrin IB, others), naproxen sodium (Aleve, Anaprox DS), blood thinners, iron supplements or herbal supplements. A person may need to have a follow-up appointment with their doctor for a physical examination and possibly imaging or blood tests to check the effects of the sclerotherapy. How long after the Sclerotherapy treatment will I see the results? How long before this goes away? 33. Figure 6. 4. Telangiectatic matting is the proliferation of new small vessels (<0.2 mm) in the area of a sclerosed vein that typically appears 4 to 6 weeks after sclerotherapy.61 The most common locations are on the inner and outer thighs and near the knees and calves. The thrombi are apparent by ultrasound within 3 to 7 days of treatment, are nonocclusive, asymptomatic, and rarely identifiable after 14 days. Accessed July 21, 2017. Minor complications, such as telangiectatic matting and hyperpigmentation, require time, a side-by-side follow-up by the practitioner, and a careful examination and treatment of residual inadvertent vein reflux that may cause these minor, but worrisome side effects. Side effects that can occur where the needle goes into the skin include: These side effects usually go away within days to weeks. Skin necrosis from extravasation of intravenous fluids in children. I would love to cut off the feet of my compression stockings. Wear loose, comfortable clothing. 2009;24(6):270-274. 42. White blood cells (or cells from the immune system) begin to break down and absorb the dead vein and any trapped blood after treatment. Before & After Sclerotherapy photos personally taken by Dr. Raffi Dishakjian before starting a sclerotherapy treatment and several months after the completion of the treatment. Simons FE, Ardusso LR, Bil MB, et al. Telangiectatic matting may affect one-third of patients undergoing sclerotherapy, and usually resolves spontaneously in 3 to 12 months.62 In many cases, inadequate or no treatment of the underlying reflux is the cause of telangiectatic matting (Figure 5).63,64 The precise cause of telangiectatic matting remains unknown, but its development is attributed to a reactive inflammatory or angiogenic mechanism, and it is more prevalent with high concentrations or volumes of sclerosant or high-infusion pressures that can result in inflammation o excessive vein obstruction (Figure 6).63,64 Patient risk factors include excessive body weight, female sex, hormone treatments with estrogens, a longer duration of spider veins, and a family history of telangiectasia.61,63,64.