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laura 04-09-2008 09:27 AM

laser treatment
I have a baby of 10 months old with a large superficial segmental hemangioma, she is receiving laser candela since 3 months old although not much results, could anyone tell me at how many laser sessions results are noticeable. Which fluence is using your laselr physician? Mine is using 8.5 J/cm2 (is it too low? should he use more? is acceptablel overlapping spots at this fluence?) thank you.

nickbar 04-10-2008 01:08 AM

Hello. All hemangiomas are different and will respond differently to laser. My son had a total of 8 laser tx. on his large segmental hemangioma (on his face, scalp, eye, ear).... you can see pictures of his progress on the VB Support group on MSN. Page 22 of albums Nicholas Segmental Hemangioma. You'll have to join the group to view photos...but just mention birthmarks or something similar on your application and I'll accept you. Anyway... his first 5 tx. were with a pulse dye v-beam laser (by Candela) and the physician was pretty conservative. We saw improvement after the third tx., but when this physician would no longer tx. my son we found a new doctor and his tx. was much more agressive and we saw drastic improvements in one tx. He then had a 7th tx. with this same doctor (and the same laser as all before). We took a year off from tx. Most of what was left were deep vessels. We went to Dr. Nelson for his 8th tx. and he used a c-beam laser and diode laser to trace these vessels. We are pleased with the results!

I could share our laser settings with you (and yes there were higher)...but it is important for you to seek the opinion of a specialist on what Jules settings or type of laser would be best for you child.

I would encourage you to email Dr. Nelson from ask the expert page. He is great at responding and will give you an opinion on what he feels is best for your child. If you can include a photo it would be helpful for him.


mmarrari 04-10-2008 01:36 PM

My daughter had 4 laser treatments so far. The first 3 were more conservative and we saw little improvement. The last one was much more agressive and although it worked much better to lighten the hemangioma, it did create an ulcer, so going too high is not always worth it... Its now been over 2 weeks and it still hasn't healed. I just thought I would comment on our experience.... GOod luck to you!

lisaann 04-11-2008 08:01 PM

We have had two laser treatments so far and have not seen much improvement -- but we do believe it has halted the growth. It may be a lot larger had we not done the laser and steroid injections. My son's H is under his eye (lower lid) and our doctor is thinking we may have to have to have it excised if there isn't much improvement soon. Although I haven't seen much improvement with my son --- I have heard so many success stories with laser. I wish you the best.

Rachel06 04-12-2008 12:44 AM

My daughter had several laser treatments - but her segmental hemangioma was quite large and very aggressive. We ended up with a total of 10 - but I must say it was about the 5th treatment where we saw very impressive results. I am available to talk if you like and I am happy to share photos with you - I have them marked so you can tell when the lasers have taken place. Anyway, feel free to contact me if you like
I wish you the best in your treatment of your child and I hope you find the answers you need.
I look forward to sharing with you.

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