Angiome géant de la face

We here report the case of a 78 year old woman with no previous history, whose medical history only included facial angioma since birth. The patient had never consulted a doctor before. Twelve months before, hypertrophy of the left jugo-naso-labial soft tissues causing lip incontinence with feeding and pronunciation difficulty as well as asymmetry with lack of facial expression occurred. Clinical examination showed red-violet jugo-naso-labial swelling, not exceeding the frontal, nasal and upper labial median line, extending to the tragus, with nodosities at the level of the upper half of the left side wall of the nose and the upper part of the cheek deviating the nose to the right side. It also showed voluminous hypertrophy of the entire lower lip that descended downwards, masking the chin and the upper part of the neck and causing incomplete closure of the mouth (A). The patient underwent reduction surgery under general anesthesia for aesthetic and, above all, functional purposes. Then she underwent two surgical tweaks under local anesthesia (B). The patient was very satisfied with functional and aesthetic results. The patient had a 3-year follow-up with no recurrences.