"Wait and See"

“Wait and See” Method:  Most physicians favor this approach because it does not carry the potential risks of steroids (this is the drug most commonly used for hemangiomas). It is reported that there is a 10 fold-increase in complications (56%) in lesions actively treated compared to those managed conservatively, of which only 5% showed scarring or redundant skin.

Approximately 50% of hemangiomas involute by age 5 years, 70% involute by age 7 years; and 90% involute by age 9 years. It should be noted that if the hemangioma involutes late, residual skin abnormality is more likely (fibrofatty tissue etc.).

When the “wait and see” path is selected, other treatment options (e.g. surgery, laser) are used if there are residual skin abnormalities or complications develop. Meanwhile, education of the parents and help from support groups are essential to reduce the family’s anxiety. 




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