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Philadelphia and Mainline Center of Dermatology and Cosmetic Surgery

Written by Dr. Ringpfeil

Hemangiomas

Hemangiomas are benign tumors that result from an overgrowth of blood vessels. They are categorized by the level of skin in which they reside. The types are superficial, mixed, and deep. Only about 1% to 3% of individuals have hemangiomas at birth. Most develop rapidly, beginning at 1 to 2 months of age, and continue growing until 6 to 9 months. After the rapid growth phase, the hemangiomas will spontaneously regress. Approximately 50% of hemangiomas will resolve by the time the child is 5 years old and 90% will resolve by age 9.

Diagnosis

The diagnosis is made clinically by the characteristic appearance of these vascular lesions. For example, superficial hemangiomas, also called strawberry hemangiomas, are bright red, whereas deep hemangiomas have a bluish hue.

Management

The majority of hemangiomas do not require treatment. The lesions can be measured and photographed. Monitoring for erosion is recommended. Hemangiomas located in areas that interfere with vision, feeding, or breathing may require treatment.

Treatment

Most hemangiomas will not require treatment because they are benign and will resolve without treatment. However, when treatment is required due to the critical location of the lesion options include surgery which is not often favored due to the resulting cosmetic defect, injections of corticosteroid, oral steroids, laser treatment, oral propranolol, or interferon.

Coping

Hemangiomas are painless lesions so specific coping strategies are not necessary for the young patient affected. Parents, however, often need reassurance by being educated about the benign and self-resolving nature of the lesions.

Parents need to understand that there will be a period of rapid growth and that it can take years for the hemangioma to fully resolve. Parents also need to understand that unnecessary aggressive treatment can put their child at risk for side effects and result in permanent cosmetic defects.

How can we help you?

SKIN

# of surveys: 4030
Last updated: 6/27/2023 11:10 AM

PATIENT RATINGS

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definitely
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probably
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0.02%

Compare our service to other similar practices

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very good
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good
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Overall doctor performance

excellent
94.2%
very good
4.89%
good
0.80%
poor
0.03%
very poor
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The doctor listened to you attentively

excellent
93.9%
very good
4.97%
good
1.05%
poor
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very poor
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The doctor took time to answer your questions

excellent
94.0%
very good
4.66%
good
1.27%
poor
0.02%
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The doctor explained treatment options

excellent
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very good
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The doctor explained treatment options

excellent
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very good
5.69%
good
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poor
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Front desk performance

excellent
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very good
10.2%
good
3.66%
poor
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very poor
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Aesthetician performance

excellent
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very good
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good
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Office comfort

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Parking

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Friendliness of the staff during appointment

excellent
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What WE DID WELL

(Answers:674)

Friendly staff and doctore

#12023-08-14

Very nice office, physician, physician's assistant are extremely helpful and understanding.

#22023-09-26

Nice staff and doctor

#32023-04-08

Dr very friendly and made me comfortable.

#42023-02-20

The atmosphere was relaxed and pleasant. I especially liked having a nice big clock in the waiting room.

#52023-01-23

Very nice office, physician, physician's assistant are extremely helpful and understanding.

#62023-03-14

Professionalism

#72023-06-19

Professionalism

#82022-11-01

Nice & freindly staff, very pleasant.

#92011-01-17 15:00:26

This was an emergency appointment, and you all took wonderful care of me!!! Thanks so much!

#102023-08-08

What can we do better?

(answers:373)

More upbeat music! The warm temperature and the John Mayer-esque music made me feel as if it were bedtime =)

#12011-09-16 11:42:32

Everything was great!

#22011-02-17 17:11:54

totally satisfied with everything

#32022-12-06

very satisfied

#42010-10-13 11:22:48

Don't change a thing

#52010-12-14 13:17:28

There was some wait between my initial interview with the medical assistantand my meeting the physician. This wait could have been shorter.

#62022-12-01

I had requested an email for appointment purposes. Was never sent. Other than that - Excellent!

#72023-07-15

Always laugh at my jokes.

#82023-05-15

no recommendations necessary

#92023-07-12

more than adequate service!

#102023-07-22

Customer Rating : 4.6

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