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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: 3959
Last updated: 7/27/2022 4:52 PM

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
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What WE DID WELL

(Answers:674)

dr. ringpfiel's fabulous jewelry.

#12011-01-20 10:35:40

The information provided by the physician was very helpful and useful. I would gladly do what she recommended.

#22022-01-16

aNDREA AND DR RINGFEIL WERE ABS0LUTELY TERRIFIC AND VERY FRIENDLY

#32022-06-26

YOU HAVE DONE AN EXCELLENT JOB OF ENSURING PATIENT SATISFACTION AND CARE QUALITY

#42022-01-30

The friendliness of the doctor and staff

#52011-01-24 15:16:37

THE MUSIC! WOW. IT REALLY WAS AMAZING. PLEASE DO A BEST OF CD.

#62021-12-12

the doctor was very clear about treatment options, answered all questions thoroughly and was easy to relate to...no doctor/patient distancing.

#72022-01-17

everyone was superb

#82021-09-20

Office was comfortable, and staff was extremely friendly and informative.

#92011-01-25 12:57:52

The doctor is exceptionalyy easy to talk to. Excellent people skills!

#102022-05-03

What can we do better?

(answers:373)

This has been one the best office that i have been to in forever.

#12021-12-01

Excellent, no improvement needed.

#22022-06-23

I was a bit embarressed by not knowing more information regarding my parents history. I believe it would have been better handled if I were asked to please get more info and then let the dr's office know.

#32021-10-09

Talk a little slower

#42011-09-12 11:44:23

Just do the same good job

#52022-07-10

I really can't think of anything to add

#62010-11-24 09:41:39

No changes needed.

#72021-12-07

I thought that consideration could have been made re: pricing of skin tag removal since I only had one tag removed.

#82022-02-07

Complain to the insurance industry that they cove too little, complain to the product manufactures that they truely charge too much for the products. I feel that the industry in general is very slow to treat because of insurance allowances. Patients have busy work schedules and pay for monthly coverage that covers too little. In one hour or less could do what multiple appointments do to remove or treat small skin defects require many visits. Should provide payment better incentives.

#92010-11-10 12:28:11

Nothing that I could think of would be better.

#102022-05-08

Customer Rating : 4.6

Based on 351 ratings
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