Struggling with venous malformation? Dr. Panossian’s specialized treatments offer a new lease on life. Experience cutting-edge care that effectively reduces symptoms and enhances your well-being. Enjoy a transformed, more comfortable life with our tailored venous malformation solutions.
Venous Vascular Malformation Relief Awaits You
Discover the transformative power of venous malformation treatment with Dr. Panossian. This advanced care not only addresses your physical symptoms but also boosts your overall quality of life. Our approach ensures a comprehensive solution, tailored to your needs, enhancing both health and confidence. Embrace a future where venous vascular malformation no longer defines your daily experiences.
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What is a Rare Venous Malformation?
When veins develop abnormally, they can form what is known as venous malformation. Vascular malformations present in a variety of ways. They can be small and discrete or large and diffuse. They may be superficial or deep. In the most severe form, venous malformations can be very deforming.
They are typically present at birth and can grow proportionately with the individual. Varicose veins sometimes may be confused for venous malformations, however, treatment is not necessarily very different.
Why Venous Malformations Occur?
Biological Factors Behind Venous Malformation
The exact cause of venous anomaly remains largely unknown, but it’s believed to involve genetic mutations. These mutations affect the way normal veins form during embryonic development, leading to the formation of abnormal blood vessels. These vessels often have slow blood flow and can be prone to forming blood clots.
Genetic and Environmental Influences
While some cases of venous malformation are sporadic, others are inherited, indicating a genetic component. Environmental factors during pregnancy might also contribute to their development, although this area requires further research for conclusive evidence.
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Venous Vascular Malformations Symptoms
Symptoms can include swelling, pain, and poor cosmetic appearance. When venous malformations infiltrate muscles and bones, they can cause weakness, stiffness, osteoporosis and brittle bones. Sometimes, firm nodules or calcifications (aka, phleboliths) may be felt inside these lesions. These are usually harmless. Despite these symptoms, which may come and go, patients generally are very functional and can have productive lives.
Overview
Types of Venous Malformations
Venous malformations are abnormal clusters of veins that vary in type, primarily based on their location and the characteristics of the affected veins. Here’s a brief overview of the main types:
- Superficial Venous Malformations: These are visible under the skin, often appearing as bluish marks or lesions. They’re usually cosmetic concerns but can sometimes cause pain or discomfort.
- Deep Venous Malformations: Located deeper in the body, these affect muscles, joints, or internal organs. They’re less visible and often require imaging for diagnosis. These can lead to more serious complications compared to superficial ones.
- Localized Venous Malformations: These are confined to a specific area and do not typically spread to surrounding tissues. They vary in size and can occur anywhere in the body.
- Diffuse Venous Malformations: Unlike localized ones, diffuse malformations spread across a larger area and can involve multiple tissues or organs. They are more complex to treat due to their extensive nature.
During a physical examination, Dr. Panossian and his team can identify the type of malformation based on its appearance, location, and associated symptoms. Imaging tests like magnetic resonance imaging (MRI) help in making a correct diagnosis.
Complications of Venous Malformations
Potential Health Risks and Issues
Venous malformations can lead to a broad range of complications, from aesthetic concerns to serious health risks like hemorrhagic stroke or pulmonary embolism. The risk is particularly high in cases where malformations are located near vital organs or in the brain tissues.
When to Seek Medical Attention
It’s crucial for individuals with suspected Venous Vascular Malformation to seek medical attention for an accurate diagnosis and to understand the potential risks. Early detection and management can prevent complications and improve the quality of life.
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If you are considering this procedure, booking a consultation with an experienced board-certified plastic surgeon like Dr. Panossian is a great way to learn about the procedure and determine if it’s right for you.
Diagnosis of Venous Malformation
As with other vascular malformations, there is much confusion in proper diagnosis. They may be referred to as “cavernous hemangiomas.” This is a misnomer since true hemangiomas are considered benign tumors and behave much differently than venous malformations. In turn, improper diagnosis can lead to ineffective and unnecessary treatments that can potentially lead to disability or disfigurement.
Surgical intervention and injections to reduce the size of venous malformations (aka, sclerotherapy) may be used separately or in conjunction to minimize symptoms. Often, patients are subjected inappropriately to multiple sessions of laser therapy, resulting in inadequate relief of symptoms and lack of cosmetic improvement.
Dr. Panossian is skilled in the proper diagnosis and interventions necessary for children and adults seeking relief of their symptoms due to venous malformations. Make an appointment today for a consultation
Steps in Diagnosing Venous Malformations
Diagnosing venous malformations typically involves a combination of a detailed medical history, including family history, and physical examination. Dr. Panossian and the care team may also request imaging studies, such as MRI or ultrasound, to assess the extent of the malformation.
Role of Imaging and Clinical Evaluation
Imaging tests play a crucial role in diagnosis, helping differentiate venous malformations from other types of vascular anomalies. MRI, in particular, provides detailed information about the extent and nature of the malformation, guiding treatment decisions.
Treatment Options for Venous Malformation
Treatment options for Venous Vascular malformation range from conservative management to aggressive treatment strategies, depending on the severity and location of the malformation. The goal of treatment is to manage symptoms, prevent complications, and improve cosmetic appearance.
Venous malformations can cause a range of symptoms and complications, from cosmetic concerns to significant health issues. Surgical interventions are often considered when malformations are large, symptomatic, or pose a risk of complications. The type and extent of surgery depend on the size, location, and severity of the malformation.
Surgical Approaches to Venous Malformation
Sclerotherapy
Involves injecting a sclerosing agent into the malformation to cause it to collapse and scar. This can be used for both superficial and deeper malformations.
Laser Surgery
Primarily used for superficial venous malformations, this method employs laser energy to target and destroy the abnormal veins.
Excisional Surgery
The surgical removal of the malformation. This is more invasive and is typically reserved for larger or more complex malformations.
Phlebectomy
Removal of parts of the vein through small skin punctures; used for accessible malformations.
Embolization
A procedure where material is injected into the blood vessels to block the blood flow, often used as a preparatory step before surgical removal.
Preparing for Surgery
Patients undergoing surgery for venous malformations should expect a comprehensive evaluation by their treatment team, including Dr. Panossian. Pre-operative planning involves discussing the risks, benefits, and expected outcomes of the surgery. Post-operative care is crucial for a successful recovery.
Non-Surgical Approaches to Venous Malformation
Compression Therapy
Use of compression garments to help manage symptoms like swelling and discomfort.
Pain Management Medications
Includes over-the-counter or prescription drugs for pain relief and to
Laser Therapy
Less invasive than laser surgery, this method uses laser light to reduce the appearance of superficial malformations.
Cryotherapy
The application of extreme cold to destroy abnormal tissue, suitable for smaller malformations.
Wait-and-See Approach
In some cases, especially with asymptomatic malformations, monitoring without active intervention is chosen.
Radiation Therapy
Rarely used, but can be considered for malformations that are not amenable to other treatments.
Beta-Blockers
Medications that can help manage some symptoms associated with the malformation, though this use is still under investigation.
Risks Associated with Treating Venous Malformations
How Venous Vascular Malformation Treatment Impacted Lives
Patients often report significant improvements in symptoms and cosmetic appearance after receiving treatment. These positive changes can have a profound effect on self-esteem and overall well-being, underscoring the importance of seeking effective treatment.
Venous malformations present a complex medical challenge, but with the right combination of diagnosis, treatment options, and support, patients can effectively manage their condition. Ongoing advancements in medical treatment and a growing understanding of the condition offer hope and improved outcomes for those affected.
Why choose Dr Panossian
- He received his medical education at Tufts University School of Medicine.
- Graduated at the top of his class at UCLA, receiving Phi Beta Kappa and Summa Cum Laude honors.
- Was accepted into an elite combined general surgery and plastic surgery residency at the Keck School of Medicine of USC.
- Completed subspecialty training in craniofacial surgery at the Hospital for Sick Children in Toronto and Harvard Medical School.
- Was mentored by Dr. Ron Zuker in the practice of facial paralysis reconstruction. This prestigious fellowship position was available to only one surgeon in the United States.
- Is affiliated with various charitable and educational organizations, including Operation Smile and Mending Kids.
- Is a member of the American Society of Plastic Surgeons and the highly selective American Association of Plastic Surgeons, reserved for only a select group of individuals nationally who have demonstrated excellence in academic plastic surgery.
- Holds memberships in several other professional societies including the American College of Surgeons and the American Society of Reconstructive Microsurgery.
- He serves on the Board of Directors for Mending Kids and the Gondobay Manga Foundation, a non-profit organization dedicated to the improvement of lives in Sierra Leone.
- Has been nominated by his peers annually since 2012 as a “Super Doctor.”
- Served as an expert medical consultant and appeared on The Doctors, Grey’s Anatomy, and Nip/Tuck.
- Has been featured as “Top Doctor” in US News and World Report, Pasadena Magazine, and Los Angeles Magazine.
Frequently Asked Questions
If you’re in the vicinity of Pasadena, CA, Dr. Panossian’s practice provides specialized treatment for vascular malformations. Dr. Panossian is conveniently situated at 39 Congress St., Suite 402, Pasadena, CA 91105.
Venous malformations are caused by abnormalities in the development of blood vessels. Genetic factors and possibly environmental influences during pregnancy play a role in their formation.
Diagnosis involves a combination of physical examination, review of medical history, and imaging tests like magnetic resonance imaging. Accurate diagnosis is critical for effective treatment planning.
Treatment options vary based on the severity and location of the malformation and include laser treatment, sclerotherapy, and surgical procedures. The choice of treatment depends on individual patient needs.
Risks depend on the type of treatment and include infection, bleeding, scarring, and potential nerve damage for surgical treatments. Non-surgical treatments may have fewer risks but also require careful consideration.
Last modified by Dr. Andre Panossian
