Understanding Hyperpigmentation

What is Hyperpigmentation?

Hyperpigmentation refers to areas of the skin that become darker than the surrounding skin. The hyperpigmentation which is associated with CVI is typically seen in the lower legs, and it is caused by chronic inflammation. This type of hyperpigmentation is an indicator of unhealthy tissue, which is seen in advanced venous disease.

What Are the Signs and Symptoms of Hyperpigmentation?

The signs and symptoms of hyperpigmentation are similar to those of CVI. These include:

• Swelling in the lower legs and ankles, especially after prolonged standing
• Aching, throbbing, or a heavy feeling in the legs
• Itching and tingling in the affected area
• Varicose veins (enlarged, twisted veins that are visible under the skin)
• Skin changes such as discoloration, dryness, or a leathery texture
• Soft tissue infections (cellulitis or abscesses)
• Venous ulcers or open sores on the legs

What Causes Hyperpigmentation?

Hyperpigmentation associated with CVI is caused by chronic inflammation from fluid buildup in the legs.

What Are the Risk Factors for Hyperpigmentation?

The main risk factor for Hyperpigmentation is uncontrolled CVI, Lymphedema and/or Phlebolymphedema.

How Do You Treat Hyperpigmentation?

Treatments for hyperpigmentation mainly target the underlying conditions (CVI/lymphedema/phlebolymphedema) and include:

• Compression Therapy: Wearing compression stockings helps reduce swelling and improve blood flow.
• Lymphedema therapy: This would include evaluation and treatment by a certified lymphedema therapist, Manual Lymphatic Drainage (MLD) techniques at home, and, when indicated, the use of a lymphedema pump.
• Supplements: High-quality Diosmin and Hesperidin bioflavonoids, such as those found in Vein Formula and Lymphatic Formula, can decrease the inflammation within the blood and lymphatic vessel walls that damages those vessels.
• Chemical Ablation (Sclerotherapy/Varithena): A procedure where we inject a solution into the affected veins, causing them to collapse and fade.
• Thermal Ablation: Minimally invasive procedures using heat in the form of laser or radiofrequency energy to close off damaged veins.
• VenaSeal Closure: A minimally invasive procedure that uses a medical adhesive to permanently seal varicose veins, effectively treating chronic venous insufficiency. This quick, outpatient treatment offers relief with minimal discomfort and no need for compression stockings post-procedure.

Can Hyperpigmentation Be Reversed?

No, hyperpigmentation is not typically completely reversable, although some patients may notice some degree of improvement. The goal of treatment at this advanced stage of CVI is to improve the health of the tissue. Early intervention and consistent use of prescribed treatments can yield the best results.

Will Hyperpigmentation Go Away Without Treatment of Venous Insufficiency?

Hyperpigmentation related to venous insufficiency often presents as darkened skin around the ankles and lower legs. It typically requires treating the underlying venous issue to alleviate symptoms and prevent further discoloration. If the underlying issues are not addressed, the hyperpigmentation will likely get worse.

Chronic Venous Insufficiency Experts

At Southlake Vein Care, we offer comprehensive treatments for venous insufficiency and other vein conditions. Schedule a consultation today to determine if your symptoms are due to vein problems.

Call our office at 972-378-5347 or request a consultation online to learn more.

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