One of the complications of chronic venous insufficiency is the development of trophic skin changes, namely hyperpigmentation of the skin and lipodermatosclerosis, where the skin becomes hard, indurated, and leathery in consistency. Earlier on, we get stage IV disease, which is hyperpigmentation of the skin. Once truncal venous insufficiency is treated with endovenous ablation, such as endovenous laser, venous ClosureFast, Varithena, or VenoSeal, there is likelihood for the skin pigmentation to