Laser Treatment

Laser treatment simply accelerates the involution phase when applied early in the growth phase. Pulsed dye laser treatments are easy to perform, safe, quick, and have minimal side effects. If a decision is made to proceed with this technique, this should commence at the earliest sign of the lesion and be repeated at 4- to 6-weeks intervals until the lesion has been completely eliminated.

This technique (Flashlamp pulsed dye laser) can be used in these situations:

  • Superficial facial hemangiomas
  • Refractory ulceration (hemangioma related), failing to show any signs of healing after at least 2 weeks of specialized dressings overseen by an experienced nurse (most ulcerations heal with good wound care). Laser treatment can be specifically used successfully for ulcerated lesions in the perineal region.
  • Significant residual telangiectasia of an extensive area of facial skin in a child soon to commence school. 
  • For cosmetic improvement if the residual lesion is flat and red when the involution phase is complete.
  • Before the surgical resection since it may be possible to save additional skin in this way

It should be noted that many sessions may be needed and the deep portion of the hemangioma can not be treated with this technique.  When the laser treatment is used in deep hemangiomas, it may cause focal ulcerations in areas of already effaced skin.

Potential Risks of Laser Therapy:

  • Acute or full-thickness skin loss
  • Permanent De-pigmentation
  • Chickenpox-like Scars

Laser treatments do not change the risk for developing hypopigmented skin upon completion of the regression phase. Epidermal atrophy, which is also a possible sequela of hemangioma, can be treated successfully with CO2 laser.




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