Venous Lakes of the Lips Successfully Treated by a Single Session of Multiplex Dual-Wavelength Laser

Venous lakes of the lip is a common vascular lesion caused by a localized vascular dilatation that often occurs on sun-damaged skin. They are usually asymptomatic and uncomplicated, however treatment can be administered to improve cosmesis and occasionally to prevent bleeding. A 48-year-old female patient sought cosmetic removal of dark blue papules on the left lower lip and right upper lip which had been presented for several years. The patient was treated using the combination of pulsed-dye laser and long-pulsed Nd:YAG laser under topical anesthesia. Photographic documentation was performed before and after treatment. After a single treatment, the lesion disappeared completely. The patient tolerated the treatment well with minimal pain. Healing was completed within a week leaving an unnoticeable scarring without adverse effects including pigmentation, atrophy, wrinkling, and bleeding. The combination of pulsed-dye laser and long-pulsed Nd:YAG laser was highly effective and safe for the treatment of venous lakes. In an appropriate setting, excellent therapeutic and cosmetic results can be achieved in a single treatment session.