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hello my name is Peggy Bush Iamp;#39;m an advanced practice nurse at Wateramp;#39;s Edge Dermatology in Stuart Florida I practice alongside my husband Dr Ron Bush our specialty is veins today Iamp;#39;m going to talk about staining after scleral therapy how do you avoid staining and tips if you have it in most patients staining does subside in three to six months however it can be permanent or persistent for years in Darker skin Types on histological examination staining is the result of the iron pigment in the region of the vessel that we treat so tips to avoid staining for providers always use the lowest concentration of liquid or foam empty the spider vein manually after you inject to prevent refilling there are flushing techniques to consider you can also use tumescent subdermanally the goal is to reduce the Lumen size During the post-treatment period we do share these techniques in our online courses and Iamp;#39;ll share that in the discussion so tips to help with staining st