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A venous lake is a venous ectasia that appears mostly on the lower lip and other sun-exposed areas of an older person. Treatment of lip venous lake includes surgical excision, laser therapy, infrared coagulation, and cryotherapy. Although the use of sclerotherapy on varicose veins, leg telangiectasia, hemorrhoids, and hemangiomas is well established, the use of sclerotherapy for lip venous lake has not been reported. We present two cases of lip venous lake treated with intralesional injection of 1% polidocanol. Two cases are reported, and literature is reviewed. The lesions virtually disappeared, leaving an inconspicuous scar, with two sessions of sclerotherapy. Side effects were not observed. Sclerotherapy with polidocanol is effective in the treatment of lip venous lake and offers an alternative to conventional methods.


Hung-Wen Kuo, Chih-Hsun Yang. Venous lake of the lip treated with a sclerosing agent: report of two cases. Dermatologic surgery : official publication for American Society for Dermatologic Surgery [et al.]. 2003 Apr;29(4):425-8

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PMID: 12656828

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