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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: 4187
Last updated: 1/02/2024 11:10 AM

PATIENT RATINGS

Would you recommend us?

definitely
93.1%
probably
6.16%
maybe
0.58%
not likely
0.08%
no
0.02%

Compare our service to other similar practices

excellent
87.9%
very good
10.1%
good
1.8%
poor
0.06%
very poor
0%

Overall doctor performance

excellent
94.2%
very good
4.89%
good
0.80%
poor
0.03%
very poor
0%

The doctor listened to you attentively

excellent
93.9%
very good
4.97%
good
1.05%
poor
0.05%
very poor
0%

The doctor took time to answer your questions

excellent
94.0%
very good
4.66%
good
1.27%
poor
0.02%
very poor
0%

The doctor explained treatment options

excellent
94.3%
very good
4.16%
good
1.25%
poor
0.14%
very poor
0.02%

The doctor explained treatment options

excellent
92.0%
very good
5.69%
good
2.18%
poor
0.11%
very poor
0.0%

Front desk performance

excellent
85.6%
very good
10.2%
good
3.66%
poor
0.31%
very poor
0.08%

Aesthetician performance

excellent
88.6%
very good
7.61%
good
3.39%
poor
0.24%
very poor
0.08%

Office comfort

excellent
90.9%
very good
6.93%
good
2.08%
poor
0.05%
very poor
0.05%

Parking

excellent
66.4%
very good
14.4%
good
15.7%
poor
2.49%
very poor
0.9%

Friendliness of the staff during appointment

excellent
90.9%
very good
7.23%
good
1.85%
poor
0.05%
very poor
0%

What WE DID WELL

(Answers:674)

Clean, bright, well appointed office

#12024-01-12

The staff was knowlegable in answering any additional questions I may have

#22023-11-15

the personalized acne regiment.

#32024-03-19

The full explanation of my possible condition and the best line of treatment.

#42010-12-16 12:26:48

Friendly attentive staff and very nice ambience (love the art work!)

#52023-07-27

The doctor and physicians assistant were both very professional and knowledgeable.

#62023-07-04

The entire staff was very attentive.

#72023-09-07

Everyone was very professional, helpful and friendly. I loved entering my medical info on line and receiving all future info via email. Great way to save the environment!

#82010-12-16 10:06:03

A very pleasant experience

#92023-11-12

THE STAFF AND THE PAINTINGS - lINDA WAS A GOOD LISTENER AND EXPLAINED EVERYTHINF IN DETAIL - SHE DID MOT RUSH ME - I LIKE THAT - ERIN WAS PLEASANT AND VERY PROFESSIONAL . I WAS A GOOD VISIT- THNKA YOU

#102011-04-01 14:05:41

What can we do better?

(answers:373)

no suggestions

#12023-12-31

don't see how you could improve anything

#22011-01-12 08:19:57

open an office in NJ

#32024-05-07

Offer a male of female medical assistant and ask if opposite sex assistant is okay

#42011-06-02 13:39:55

Can't imagine any better first impression.

#52011-02-24 14:49:37

just keep up the good work

#62011-04-19 10:17:20

any information on services provided for enhancing skin apperance

#72023-06-29

please make a reminder call. I checked my cell for one and you hadn't.

#82024-05-05

Shorter wait

#92023-10-15

I recommended this practice to a family member but they showed up 15 mins late to their first appt. due to traffic and were turned away (after traveling over an hour to get here). I would suggest on the first visit to allow more leeway for late appointments (try to fit them in) and then explain the late policy for all appointments moving forward.

#102011-09-21 14:47:49

Customer Rating : 4.6

Based on 537 ratings
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