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

asked 1 year ago by highlanderca
Latest answer by Vivek Bansal, MD
Question viewed 200 times
Tags: best, options, upper lip, veins

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

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

+1

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
+1

Best treatment for deeper venous malformation is NOT laser.

You have already demonstrated that laser treatment directed at deeper structures unfortunately damages those structures closer to the surface as well; in this case, your hair follicles and skin (causing scar formation). I have treated true venous malformations for over 2 decades with sclerotherapy (utilizing sotradecol), and use lasers only for those vascular lesions close enough to the surface of the skin for effective laser energy absorption. I have taught laser surgery since 1988, and... more
Richard H. Tholen, MD, FACS

Minneapolis Plastic Surgeon
+1

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... more
Daniel I. Wasserman, MD

Naples Dermatologic Surgeon

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