Intralesional radiofrequency treatment for venous lake
Kavita Poonia MD  Anand Kumar MD  Gurvinder P. Thami MD
First published: 16 April 2019 https://doi.org/10.1111/ijd.14308
Conflict of interest: Nil.
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Abstract
Background
Venous lakes are asymptomatic, cosmetically unacceptable vascular malformations commonly present over the lips. Most of the lesions do not warrant any therapeutic intervention.

Objective
We herein report a 20‐year‐old male patient with venous lake who was treated using intralesional radiofrequency (RF) by modified insulated intravenous cannula as an extended probe.

Methods
An RF ablation was performed under local infiltration anesthesia using intravenous infusion cannula as an extended insulated probe to deliver current.

Results
The venous lake was obliterated immediately post‐procedure with minimal inflammatory change. It showed good cosmetic results with minimal scarring and no recurrence at 18 months of follow‐up.

Conclusions
Intralesional RF using modified insulated probe is a useful alternative treatment and may be considered to treat small venous lakes.