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-   Help and Resources for Hemangiomas (http://birthmark.org/board/forumdisplay.php?f=9)
-   -   Laser or Surgery? (http://birthmark.org/board/showthread.php?t=2835)

dilarossi 03-31-2008 06:39 PM

Laser or Surgery?
 
Good day!
My 21mo daughter has a round, 1/4" in diameter strawberry hemangioma on her cheek; it is raised about 1/16" off the surface of her face.
My question: if we go for 2-3 laser sessions, will the mark be gone completely or my daughter will need a surgery to get rid of the flesh that is now hemangioma? Is it wiser to do the incision, remove the hemangioma and be done with it at once?
Thank you kindly for answering.

Mommy of 2 in KY 03-31-2008 11:24 PM

what to do
 
Been there done that...now have the surgery scar to prove it. My daughter is 4 months old and just had surgery 5 days ago. BY FAR the best thing I ever did. Her H was ulcerated and was bleeding quite a bit. It was on her face near her temple. It caused her a lot of pain, and broke my heart. I don't know where you are located.....but can give you some info if you are interested. We went to Cincinnati Childrens Hospital...I LOVE THESE PEOPLE! They told me of 3 other specialist in the US.

We debated on what to do as well. To try lasers, steroids, or just go ahead with the surgery. I thought long and hard and decided just to get rid of it. She had been through enough and what if the steroids or lasers weren't good enough and the end result would be surgery anyway?? I didn't want to put her through anymore than she had already been through.

She was waking up probably 5 times a night, now since the surgery has slept the whole night through. It was very bad right before surgery. It would pour blood if she cried, or if I changed her shirt. It was very hard to watch. The ulceration went all the way deep down into her face. The best way I can describe it is it looked like rotting flesh. It was black and oozed blood. I can post before and after pics if you would like....just let me know.

lpm 04-01-2008 01:37 AM

Has the hemangioma shown any signs of involution? If so, I personally would wait a bit longer.

But personal preferences aside, if I was choosing between laser and surgery for a hemangioma of that size (and one that is relatively flat), I would try laser. Plastic surgery will leave a scar, even if it is small.

My youngest had/has a hemangioma on the cheek, and she went through oral steroids, a steroid injection, and two plastic surgeries. She could use some laser now, but in her case, laser alone would not have done much.

I have a niece that had a hemangioma about the same size as your child's (though more raised), and she had laser around age 3 1/2. It looks pretty good now - you can only see it if you are looking for it.

The other thing to understand - some folks seem to have better response to laser than others - and make sure you go to a doctor who is experienced (and knows which laser to use).

dilarossi 04-01-2008 02:18 AM

Thank you for reading and responding!
We are in NYC. We had an appointment with one of the best doctors in the field, Dr. Waner. First he wanted to do 2 laser sessions, but when asked about surgery, agreed that it would be the best option (one procedure and it's over).
I was hoping to see if someone's child had only laser and it "worked", in other words no other subsequent treatment was needed.

dilarossi 04-01-2008 02:25 AM

Quote:

Originally Posted by lpm (Post 14696)
Has the hemangioma shown any signs of involution? If so, I personally would wait a bit longer.

No signs of involution. We chose not wait any longer because her H is very visible (under the eye) and kids at the playground always want to know "what's thaaaat?"

I just don't want her to feel "different" and be ashamed of it. Kids could be very cruel (unknowingly, of course).

Rachel06 04-02-2008 01:28 AM

Hey - do I have some info for you - my daughter had laser 10 times (not all require that much) and the results are amazing!!! I am going to try and attache photos - but anyone who whats to see can e-mail me privately sherrirfoster@sbcglobal.net. I am always happy to share my photos and our story. Yes, lasering can do amazing things and other than the areas that ulcerated - which are small - you truly cannot tell she had hemangiomas.

Hope to hear from any of you - I am going to try and attach photos - nope did not work. E-mail and I will share photos.

Best of luck to you
Sherri

dilarossi 04-02-2008 07:44 PM

Sherri,
That email address is not working. :(

nickbar 04-03-2008 08:37 PM

Can you post a picture of the h.

Corinne

Rachel06 04-04-2008 10:28 PM

Try my cell 917-703-1903. We can go from there.
sherri


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