Venous Malformations

Venous malformation is one of the most common types of vascular abnormalities. Compared to normal veins that have well-developed muscles in the wall, venous malformations have very weak wall with less muscle. It consists of clusters of abnormal veins that are loaded with blood that do not function properly and are not utilized by the body. At Allure Aesthetic Surgery of Beverly Hills, our highly-experienced face plastic surgeon and board-certified head and neck surgeon, Dr. David Shamouelian, specializes in the treatment of head and neck venous malformations.

Cause of Venous Malformations

Exact causes of venous malformations remain largely unknown. There are DNA studies that prove mutations in the genes are responsible for the communication between cell lining and the muscle cells in the vein walls. Venous malformations are not curable. Treatments are available for long-term control of venous malformation growth and management of symptoms.


Types of Venous Malformations

Venous malformation with no serious symptoms or implications may not require medical treatment. Minor cases can be treated by compression garments, More serious cases of venous malformations require enclosure or removal of enlarged venous spaces. Below are some of the most common treatments for venous malformations:

  • Sclerotherapy – This procedure involves the injection of sclerosant into the affected veins, damaging the veins and causing gradual shrinkage. This is usually performed repeatedly to cause complete and permanent shrinkage.
  • Endovenous Laser Therapy – Often combined with sclerotherapy, this procedure involves placement of a diode laser fiber into the venous malformation. This results in a more rapid response and an easier recovery from the procedures.
  • Venous embolization – A procedure that injects embolization glue or coils to seal off the damaged veins. This is often combined with sclerotherapy or surgery.
  • Surgical Excision – This procedure involves removal of the affected veins and surrounding tissues. It is usually used after sclerotherapy.