Best Laser Treatment for Venous Malformation Inside/deeper Upper Lip?

Doctor Answers 6

Venous malformation or hemangiomas of the lips can be treated with lasers - Buffalo Niagara, NY

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There are many things that look like 'venous malformations' , like hemangiomas and venous lakes or small varicose complexes and therefore a picture would have been helpful. What is more helpful is a physical examination where a determination is made whether additional diagnostic studies need to be done before initiating treatment. 

The long pulsed 1064 nm Nd YAG laser or the types used for tattoo excision, such as the long pulse 755 nm Alexandrite laser are great choices. 

Vein Treatment

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The PDL, 1064 Yag, and VBeam have all shown success with this. The VBeam still seems like the standard by which others are judged.

Vivek Bansal, MD
Danville Plastic Surgeon
4.9 out of 5 stars 26 reviews

Nd:Yag 1064nm safest

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A relatively high fluency can be tolerated by inside/deeper lip areas, since this tissue has high vasculature and heals very quickly. My first choice would be a couple of sessions of 1064nm Nd:Yag for their deep penetration power, and ability to coagulate hemoglobins. I'd use a little bigger spot sizes than spider veins, such as 5mm, with fluency of about 200-250 J/cm2, and pulse width of 40ms. Sclerotherapy will be ineffective due to fast washout, and surgical option is not ideal due to cosmetic issues.  

James Lee, MD
Chandler General Surgeon

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1064 Nd:YAG laser for venous malformation

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If the malformation is not too large, then a long pulsed 1064 nm Nd:YAG would be a great choice. For mor superficial lesions, a long pulsed 755nm alexandrite laser can be used as well.

Venous malformation

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You need to have an accurate diagnosis. Venous lake, arterio-venous malformation and different hemangiomas.

Once the diagnosis is made then an appropriate plan of treatment is made .

There are centers in the US who specialize i these malformations.

One is Mass General Hospital

Samir Shureih, MD
Baltimore Plastic Surgeon

Laser vein treatment

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Venous malformations can be treated very well with a 1064 Nd:YAG laser. The settings are dependent on the size and color of the lesion, so some laser experience with venous disorders would be helpful. More than one treatment may also be needed to completely remove the lesion safely.

These answers are for educational purposes and should not be relied upon as a substitute for medical advice you may receive from your physician. If you have a medical emergency, please call 911. These answers do not constitute or initiate a patient/doctor relationship.