Skin Discoloration or Texture Changes on Your Lower Legs? It Might Be a Warning Sign of Serious Vein Disease

Changes in the color or texture of the skin on your lower legs are not just signs of aging. They’re often early indicators of vein disease — a condition that progresses quietly but can have serious consequences if ignored.

At South Bay Vascular Center and Vein Institute, Dr. Polly Kokinos has earned her reputation as the Bay Area’s foremost vascular surgeon by identifying what others overlook. Her commitment to early detection and precision care has helped thousands of patients avoid ulcers, blood clots, and even limb loss. If you notice brown, red, or shiny patches on your lower legs, this post is your sign to take it seriously.

What Skin Discoloration Says About Your Vein Health

The skin is often your body’s first warning sign that something deeper is wrong. In patients with Chronic Venous Insufficiency (CVI), blood pools in the lower legs, leaking into surrounding tissue. Over time, this causes visible changes that include:

– Brown, purple, or red patches near the ankle or calf
– Thin, shiny, or tight skin
– Itchy, irritated areas that don’t go away
– Flaky or leathery texture
– Hardening of the skin (lipodermatosclerosis)

These signs aren’t just cosmetic. They’re signals that your veins are struggling to return blood to your heart.

Why This Happens – and Why It Gets Worse Without Help

When vein valves weaken, gravity pulls blood downward. This causes vein pressure to rise and forces red blood cells into surrounding tissues. The iron in those cells (hemosiderin) stains the skin, while inflammation from stagnant fluid damages the surrounding tissue.

Left untreated, this can lead to:
– Venous leg ulcers
– Painful skin infections (cellulitis)
– Severe leg swelling (edema)
– Long-term mobility issues

What Sets Dr. Polly Kokinos Apart in Diagnosing and Treating Vein-Related Skin Changes

While many doctors misdiagnose these symptoms as eczema or aging, Dr. Polly Kokinos uses advanced diagnostic imaging to uncover the vascular root causes. Her experience – and success – treating vein disease in its early stages is unmatched.

– Vascular ultrasound performed on-site during your first visit
– Personalized treatment plans (no cosmetic band-aids)
– Minimally invasive procedures with fast recovery
– Four South Bay locations for convenient care
– Trusted by referring physicians, wound care centers, and hospitals

What Our Patients Say

“I thought it was just age spots. Dr. Kokinos showed me it was a circulation issue and treated it before it became an ulcer.”
— Brenda L., Los Gatos

“I was using creams for months, but my skin kept getting worse. She knew exactly what was wrong. She’s the best.”
— Kevin J., Santa Clara

Don’t Let a Skin Change Become a Health Crisis

If you notice color changes or rough, tight skin on your lower legs, don’t wait. The earlier vein disease is diagnosed, the easier it is to treat – and the better your outcome.

Call South Bay Vascular at (408) 376-3626 today to schedule a consultation with Dr. Polly Kokinos, the most trusted name in vein care across Santa Clara County.

Confident Legs, Confident Life. Trust your legs to the surgeon other doctors trust most.