Why does my skin change with varicose veins?

Why does my skin change with varicose veins?

Varicose veins and venous insufficiency can lead to a variety of skin changes, especially around the lower legs and ankles. These changes are often an indication that the condition is progressing and should not be ignored. One of the early signs is brownish discolouration near the ankles. This occurs when blood leaks from damaged veins and red blood cells break down, causing iron to deposit in the skin and resulting in a rusty or brown colour.

Patients may also experience dryness, flakiness, and itching in the affected areas. These symptoms may be signs of venous eczema, a chronic and uncomfortable condition if left untreated. In more advanced stages, the skin can become thickened, hardened, and tight—a condition called lipodermatosclerosis. Some people may also develop small white scars, known as atrophie blanche, which are often linked to long-term inflammation and poor circulation.

Another visual clue that the veins may be under stress is the appearance of small, red or blue veins forming a fan-like pattern around the ankle. This is called corona phlebectatica and is considered an early warning sign of chronic venous disease.

These skin changes result from prolonged pressure within the veins due to impaired blood return. The continuous strain on the vein walls causes inflammation and tissue damage, making the skin more vulnerable to infection, irritation, and breakdown.

If you notice any of these skin changes—especially in the presence of leg swelling, heaviness, or visible veins—it’s important to consult a vascular surgeon in Dubai. An early assessment using duplex ultrasound can help identify underlying venous insufficiency before complications occur. Addressing the root cause early leads to better outcomes and helps preserve both the function and appearance of your legs.

Although not all skin changes are reversible, early treatment can help manage symptoms and stop them from getting worse.

Treatment may include minimally invasive options such as varicose vein treatment in Dubai like EVLA (endovenous laser ablation), RFA (radiofrequency ablation), or VenaSeal glue treatment, or sclerotherapy, alongside supportive care like compression stockings and proper skincare. Early intervention can relieve discomfort, prevent venous ulcers, and improve the appearance and overall health of your legs.

You can also read more about skin symptoms in our WordPress blog on skin changes and varicose veins and varicose vein treatments in Dubai to understand the latest options available.