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Best Laser Treatment for a Deeper Vascular/Venous Malformation Inside Upper Lip?

Long Pulse Nd:Yag 1064 nm works, but Destroyed Hair Follices and left some scarring on the outside of upper lip.

Doctor Answers 4

Best laser for vascular lip malformation

You have a few options for your vascular malformation, and it really depends on the size of this lesion. A laser such as a Vbeam is a great option, but surgical excision may also be a good option. Sclerotherapy in the right hands is also a reasonable option. Best to speak with your dermatologist and/or plastic surgeon to see the best option for you.


Toronto Dermatologic Surgeon
5.0 out of 5 stars 29 reviews

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Laser Surgery

The VBEAM by Candela is another consideration or you can sacrifice the hair and treat with a NdYag at a little lower setting. Thank you for your question and good luck.

Vivek Bansal, MD
Danville Plastic Surgeon
5.0 out of 5 stars 12 reviews

Best laser treatment depends on the type of malformation

I am sorry to hear about the hair follicle destruction.  This is unfortunately an adverse outcome of laser treatment for vascular malformation on hairy areas.

The anwer to your question depends on whether it is a true port-wine stain which is a capillary malformation or a a true venous malformation.  The former may do well with a long-pulsed alexandrite laser and applied from the inside of the lip and not from the outside.  Thus, you would be able to avoid the risk for hair loss. 

If it a venous malformation you may benefit form a long-pulsed diode laser (810nm). 

Hope this help.

Daniel I. Wasserman, MD
Naples Dermatologic Surgeon

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