My Child's Hemangioma Hasn't Faded. What Are Our Treatment Options?

Hemangiomas are noncancerous growths made up of blood vessels that commonly appear on infants shortly after birth. These bright red or bluish spots often grow rapidly during the first year of life, then gradually shrink and fade over time. Many disappear completely without treatment. 

However, if your child's hemangioma hasn't faded as expected, it’s natural to wonder about available treatments. Board-certified plastic surgeon Dr. Christopher Brooks and his team at Brooks Plastic Surgery in Hollywood, Florida, can address your concerns.  Let’s explore the options and when they might be needed.

Why some hemangiomas don’t fade on their own

Although most hemangiomas shrink naturally as your child grows, some may persist or grow larger before fading. 

The reason for this delay can depend on factors such as the hemangioma's size, location, and type. Sometimes, a hemangioma may not fade on its own, requiring medical intervention. It’s important to monitor the hemangioma closely, as some types may become problematic over time. 

When to talk to a doctor about treatment

If the hemangioma is large, near the eyes, mouth, or airway, or causing complications such as pain or bleeding, consult Dr. Brooks. Early treatment can prevent further issues and improve the cosmetic outcome. It's also important to seek medical advice if the hemangioma grows rapidly or seems to cause discomfort for your child. 

In rare cases, hemangiomas can lead to scarring or ulceration, which may require intervention. Treatment aims to address both the physical appearance and any underlying health risks. If your child is nearing the age of 1 and the hemangioma hasn't changed, discussing options with Dr. Brooks provides clarity. 

For most children, observation is enough. Hemangiomas often shrink independently over time, typically by age 3 to 5. Dr. Brooks will monitor the hemangioma to track its size and any changes. If the hemangioma hasn't improved or is causing problems, medical treatments can help.

Treatment options may include:

• Topical steroids – often used for small, superficial hemangiomas
• Oral propranolol – effective for larger or persistent hemangiomas
• Laser therapy – targets blood vessels in superficial hemangiomas
• Surgical removal – used in the event of severe or unresponsive cases
  
  

Dr. Brooks will explain each option and recommend the best approach based on your child’s age, the hemangioma’s characteristics, and whether it’s causing any complications.

Choosing the best approach for your child

Several factors, including the hemangioma's size, location, and your child's age, will determine the treatment. Dr. Brooks will evaluate these factors to recommend the best treatment. Understanding the full scope of your options will empower you to make an informed decision. 

Call the office or schedule a consultation online if you have any questions. Taking a proactive approach can help ensure the best outcome for your child’s health and appearance.