Cutaneous angioma: the treatments

Treatment differs depending on the type of angioma.

The cutaneous hemangiomas disappear spontaneously, so it is not wise to try to remove them. Nevertheless, we must monitor their evolution. If they develop too quickly, it is possible to prescribe a cortisone treatment to slow their evolution. If they reach a large size, it is possible to remove them by surgical treatment.

Planar angiomas have no natural tendency to disappear spontaneously. The pulsed dye laser is a good indication. Efficiency is a function of the depth of the malformed capillary vessels. When angiomas sit on covered areas and are therefore less afficative, treatment can be performed from the age of 7-8 years.
This treatment is done during a dermatology consultation, and most often under local anesthesia.
Warning ! Do not put yourself in the sun after laser sessions, the risk of irregular pigmentation exist.

For extended angiomas, it is possible to use the pulsed dye laser to reduce their visual appearance. It is rare that they disappear completely and it takes several sessions to have a significant result.

For children, it is better to do a general anesthesia, if the angioma is large area, it is more comfortable for everyone else, otherwise anesthetic creams are also used.

The use of very opaque sunscreens is necessary after laser sessions, as soon as the patient is outside, even if he is not exposed and even if the weather is overcast.

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