Treatment of advanced vascular lesions in the central region of the face by transdermal radiofrequency thermal ablation

Telangiectasias are commonly found on the face because of its rich innervation, intensive vascular peristalsis as well as a relatively large number of blood vessels and their more superficial location in the facial area. This article presents the case of a patient with advanced vascular lesions on the face, also in the form of small varices below the nose which have been increasing in severity for many years. Such lesions are infrequent in this location, but difficult to treat. Haemangioma involving craniofacial structures was excluded prior to treatment. Transdermal monopolar radiofrequency thermal ablation was used, which proved to be an effective method of removing advanced facial vascular lesions. An indisputable advantage of the method is the fact that it does not require skin needeling. Radiofrequency thermocoagulation involves solely touching the skin with the tip of a needle. The method requires a number of procedures but there is no need for analgesia, and the treatment is comfortable and safe for the patient. A total of 25 procedures were performed, each with the power of 13–15 W, with an average of 800 pulses per procedure. No recurrence was observed after a year of follow-up.