What Causes Infantile Hemangioma?
Question: Dear Doctor
My Daughter who is 5.4 Year of age has hemengioma scar on her chin , please advise is that i can remove the scar through plastic Surgery or do i have to wait for some more time.
Consulted plastic surgeon here in XXXXXXX some say please wait and watch it will reduce by itself and some say we have to remove through surgery.
Please advise.
Thanks XXXXXXX M
0000
My Daughter who is 5.4 Year of age has hemengioma scar on her chin , please advise is that i can remove the scar through plastic Surgery or do i have to wait for some more time.
Consulted plastic surgeon here in XXXXXXX some say please wait and watch it will reduce by itself and some say we have to remove through surgery.
Please advise.
Thanks XXXXXXX M
0000
I have attached my Daughter photos for Doctor's reference.
Brief Answer:
I would suggest a wait and watch approach.
Detailed Answer:
Hello. Thank you for writing to us
I have taken note of your query and I have also reviewed the Image.
Normally, an infantile hemangioma does through a proliferative phase that can last till 12- 24 months of age wherein the size of hemangioma may increase, which is followed by a regressive phase wherein there is progressive involution of hemangioma.
Half of all infantile hemangiomas would have completed involution by age five, 70% by age seven, and most of the remainder by age twelve.
Therefore I would suggest a wait and watch approach for now as she is just 5 years old and you can expect hemangioma to involute further.
However, it may not resolve completely and there might remain a fibrofatty residue which has to be surgically handled.
Regards
I would suggest a wait and watch approach.
Detailed Answer:
Hello. Thank you for writing to us
I have taken note of your query and I have also reviewed the Image.
Normally, an infantile hemangioma does through a proliferative phase that can last till 12- 24 months of age wherein the size of hemangioma may increase, which is followed by a regressive phase wherein there is progressive involution of hemangioma.
Half of all infantile hemangiomas would have completed involution by age five, 70% by age seven, and most of the remainder by age twelve.
Therefore I would suggest a wait and watch approach for now as she is just 5 years old and you can expect hemangioma to involute further.
However, it may not resolve completely and there might remain a fibrofatty residue which has to be surgically handled.
Regards
Note: For further follow up on related General & Family Physician Click here.
Above answer was peer-reviewed by :
Dr. Vinay Bhardwaj