Hi all
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I don't know if anyone else is trying this, I've not sen it written about but lately I have been doing V.P. needling under LA and then remove the v.p. body with what I call a scraping curettage i.e. with the blade approaching 90dgs to the skin, scrape up the edge of the v.p. capsule and then continue like that all the way across gathering all the v.p. body as you go. This is done after needling about 300 times for a v.p. that is 8mm in diameter i.e lots of punctures. I have found that the needling seems to allow the v.p. to come away from the healthy tissue and a clean almost non haem lesion is left with no sign of v.p. tissue.
I hav not had a return yet to see how sucessful in terms of the clear up rate it is but it looks very pleasing when done.
Regards Dave
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