How to remove infantile hemangioma

Infantile hemangiomas can be managed through close observation for spontaneous regression, topical medication, laser therapy, local injection treatment, or surgical excision. Most cases improve as the child grows, and treatment plans should be individualized based on the characteristics of the lesion. Prompt medical evaluation is recommended if the hemangioma grows rapidly, ulcerates, or affects bodily functions.

1. Close observation for spontaneous regression: For small, superficial hemangiomas without symptoms, regular monitoring of size and color changes is sufficient. Most regress spontaneously within 5–10 years without intervention, avoiding unnecessary treatments that may stress the newborn.

2. Topical medication: For superficial hemangiomas with slow growth, beta-blocker creams may be applied under medical supervision to inhibit blood vessel proliferation and promote lesion shrinkage. This approach is simple, safe, and suitable for very young infants.

3. Laser therapy: For bright red, rapidly growing superficial hemangiomas, specific wavelength lasers are used to destroy abnormal blood vessels, reduce blood supply to the lesion, and accelerate regression. Proper post-treatment skin care is essential to prevent infection.

4. Local injection therapy: For deeper or larger hemangiomas, sclerosing agents or anti-angiogenic drugs are injected directly into the lesion to disrupt vascular structures and reduce its size. Multiple injections may be required for optimal results while minimizing impact on surrounding tissues.

5. Surgical excision: Reserved for hemangiomas that grow rapidly and impair breathing or feeding, or for those leaving significant deformities after regression. Complete surgical removal is performed, followed by careful wound care to promote healing and minimize scarring.

Daily care includes dressing the infant in soft, loose clothing to avoid friction on the hemangioma site, keeping the area clean and dry, regularly documenting changes in the lesion, and using gentle movements during bathing to minimize external irritation.