I Have a Venous Lake That's Been Treated 3x W/the Vbeam W/no Success. Any Referrals for DC/MD/VA?

Thank you for your question. Your options would include trying a series of the Vbeam, or trying the Cutera YAG, which is a good choice. However, there is higher risk of scarring with the YAG as high energies are needed, but often 1 treatment will resolve the lesion for small venous lakes.  I hope this helps.

A picture would have been great for best guidance.You don't mention where this venous lake is located and around what type of structures if it is in the face ...Long pulse lasers like Nd YAG are very effective for treating such vein complexes. Seek a specialist who has experience taking care of these vein problems with lasers.