How long does it take for a baby's strawberry hemangioma to resolve on its own?

Most infantile strawberry hemangiomas spontaneously regress within 5 to 10 years after birth. They typically first go through a growth phase, followed by a regression phase. The involution process is slow and varies significantly among individuals; some may leave minor skin changes. If the hemangioma grows rapidly, ulcerates, or affects bodily functions, prompt medical evaluation is recommended.

In terms of regression patterns, infantile strawberry hemangiomas usually enter a rapid growth phase during the first 1–3 months after birth, during which the lesion increases in size and becomes darker in color. Growth slows between 6–12 months, gradually transitioning into a stable phase. After 1 year of age, the regression begins slowly—the lesion fades in color and decreases in size. By around 5 years of age, most show significant regression, with the majority completing involution before age 10.

The regression process is influenced by multiple factors. Superficial hemangiomas that are small in size tend to regress faster and leave fewer residual skin issues. In contrast, deeper, larger lesions or those located in critical areas such as around the eyes or near the airway regress more slowly, may require longer timeframes for resolution, and sometimes need medical intervention to assist regression and reduce the risk of complications.

For daily care, avoid friction or pressure on the hemangioma site. Dress infants in soft, loose clothing, keep the affected skin clean and dry, and regularly monitor changes in the hemangioma’s size and color. Documenting the regression process can help determine whether medical intervention is necessary.