In order to decrease the risk of cutaneous staining after sclerotherapy, what is recommended?

• A. Avoid sclerosing agents
• B. Superficial coagulum loads should be expressed
• C. Use of lower concentrations of sclerosant
• D. Applying compression immediately after procedure

Answer: (B)

To decrease the risk of cutaneous staining after sclerotherapy, expressing superficial coagulum loads is recommended. This process helps in ensuring that any blood or coagulum that forms around the site of the injection is removed, which minimizes the likelihood of staining. It effectively reduces the residual material that could lead to discoloration or staining of the skin.

In sclerotherapy, if the coagulum formed is left in situ, it can become pigmented over time, resulting in visible marks on the skin. By expressing or removing this coagulum immediately after the procedure, the risk of such post-procedure complications is significantly lowered, promoting better aesthetic outcomes for the patient.

The other options, while relevant to the overall understanding of sclerotherapy, do not directly mitigate the risk of cutaneous staining in the same manner. Therefore, focusing on the removal of superficial coagulum is a more targeted approach to preventing potential staining.