Matting After Sclerotherapy

Telangiectatic matting is a diffuse area of very fine spider veins that start to grow in an area after injury or after varicose vein treatment.

Matting after sclerotherapy. It is caused by the formation of microscopic blood vessels in a dense fine network. It is harmless and sometimes can be diminished with surface laser treatment. 75 the most common location is on the inner and outer thighs near the knees and calves. Staining can be treated with heat modalities such as laser or intense pulsed light ipl.

Compression use after sclerotherapy has been shown to be helpful in preventing some staining. They often go away on their own but may get worse especially if there is an active vein feeding the area with blood. Although this is somewhat limited in effectiveness. Unfortunately even in the most expert hands telangiectatic matting occurs in a significant percentage of patients.

It occurs in up to 20 of women receiving estrogen therapy and in 2 to 4 of all patients. 61 the most common locations are on the inner and outer thighs and near the knees and calves. Patients are advised that telangiectatic matting is usually not permanent and usually resolves spontaneously in 3 12 months. Telangiectatic matting is the proliferation of new vessels 0 2 mm in the area of a sclerosed vein.

This refers to the development of new very fine blood vessels in the area of the treated vein. Matting is a pink blush appearance of the skin that can occur after sclerotherapy. Although the exact mechanism of the phenomena remains unknown reactive inflammatory and or angiogenic mechanisms are felt to play a role. The more treatments you get the more matting you will probably get and the longer it will ultimately take to resolve.

They typically appear 4 to 6 weeks after sclerotherapy treatment figure 12 75 and is predominantly seen in women even though it can also occur in men. 15 20 of patients treated by sclerotherapy. This phenomenon occurs 2 to 4 weeks after treatment and usually resolves within 4 to 6 months. Most matting issues following sclerotherapy will resolve in 6 8 months provided that you do not get any more injections.