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  #1  
Old 08-03-2011, 03:08 PM
gloria gloria is offline
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Join Date: Feb 2011
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Default new here - Dr. prefers wait-and-see - unsure

HI! Thank you for this incredibly helpful forum.

Our 10 month old has a hemangioma on her right nipple. It started growing at a few weeks and seemed to have stopped by the time she was 7 or 8 months old. It is mostly flat and red, greying in the middle. There is also some excess tissue underneath it, so that the right nipple is noticeably puffier than the left one.

We have seen our pediatrician as well as a dermatologist. They both recommended the wait-and-see approach since it appears to have started to involute already, and is in an inconspicuous location. The dermo said she could do laser, but that would only eliminate the redness, and do nothing to help with longer term scarring, or with the extra tissue under the skin. She said that in 2 to 10 years, when it is completely finished involuting, we can look into surgically correcting the scars and removing excess tissue.

I'm having doubts that this is the best treatment option. We want to minimize any scarring or surgery (of course). Maybe we should reconsider the laser treatment? Is there anything that can help get rid of the extra tissue?

Any advice would be appreciated. Thank you so much!
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Old 08-03-2011, 05:46 PM
HLA76 HLA76 is offline
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Unless it is going to cause some other problem, most doctors do the wait and see approach. My son has as trawberry birthmark on his belly and we were told by both his pediatrician and our pediatric derm to just leave that one alone and they would only treat it if something happened to (ie: ulceration or if his pants irritated it). I know it's hard, but just keep a close eye on it and if you see any changes go back to the doctor. If you are really unsure, get another opinion.

Good luck!!!!
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Old 08-04-2011, 12:32 AM
missy missy is offline
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Hi and welcome!

One good way to get a second opinion is to ask an expert
http://birthmark.org/experts.php I would suggest Dr. Levitin, but Dr. Geronemous or Dr. Zide too. You can send them that photo through the form.

Missy
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Old 08-08-2011, 09:18 PM
nickbar nickbar is offline
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My son had a large segmental hemangioma on his face. THough most of it was flat, there were areas that were thicker and his specialist believed he would need a face lift/remove excess skin. I really pushed for laser and my son did end up having multiple treatments... I really do believe the laser helped keep his skin firm. He will not need any surgerical correction. It is something I would recommend getting opinions about. Dr. Stuart Nelson would be a great resource for you to email and ask questions to regarding the benefit of doing laser in your daughter's case. If you can send him photos that would be helpful.
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