Infantile Hemangiomas and Therapies Offered at PBD

Dr. David Roy • March 7, 2017
Infantile Hemangiomas | Pine Belt Dermatology
There are two major types of vascular abnormalities that occur in newborns – vascular tumors and vascular malformations. What distinguishes these abnormalities is their ability to proliferate and grow. While vascular tumors do proliferate, either for a limited period of time or forever, vascular malformations do not typically grow. If they do grow it is a very slow process.

There are several different types of vascular tumors. These include but are not limited to infantile hemangiomas (these will be discussed herein), congenital hemangiomas (NICH, RICH, PICH), tufted hemangiomas, and pyogenic granulomas.

Infantile hemangiomas are benign vascular tumors that occur at a rate of around 4-7%. These lesions usually begin to develop around the first week of life and often there is an area of abnormal skin known as a promontory mark that is apparent before the lesion grows. This mark can look like a bruise, an area of redness and small blood vessels or simply an area of pale skin.

Risk factors for developing infantile hemangiomas include female gender, twins, fair skin and low birth weight. There are several presentations of hemangiomas that may raise concern. These include hemangiomas greater than 20 square centimeters in size, multiple lesions (greater than 5), hemangiomas that that involve regional or segmental areas of the body such as large areas of the face or back, hemangiomas associated with a sacral dimple, and lesions that press on important structures such as the eye or airway.

As a type of vascular tumor, infantile hemangiomas tend to grow. The majority of the growth occurs before 12 weeks of age with rapid growth occurring at 5-7 weeks. Growth usually slows at this point and often stops by 6 months. The larger and deeper the lesion is, the longer it may grow. Ulceration can occur in certain lesions. With time, infantile hemangiomas typically regress, some completely and some partially. The end result varies from obvious skin changes to nearly complete clearance. It has been noted that an almost perfect cosmetic result is achieved when lesions resolve by age 6. On average, infantile hemangiomas will decrease in size an estimated 10% each year over the first decade of life.

Depending on the presentation, a further workup may be needed to evaluate the hemangioma to determine if abnormalities of other organ systems are involved and to determine if systemic therapy is warranted. This workup may include MRI/MRA, echocardiogram, and evaluation by ophthalmology or gastroenterology.

Early management is key when dealing with infantile hemangiomas. The earlier therapy is initiated, the better the outcome. There are several management and treatment options for these lesions. Treatment options include topical treatment with beta-blockers, steroids or immunomodulators. The use of steroid injections can be effective in certain locations. Pulsed dye laser treatment can be very effective for ulcerated lesions or lesions that do not completely resolve. Oral beta-blocker therapy with oral propranolol has proven to be one of the most effective treatments for these lesions. Systemic steroids are still used and are effective as well. Due to numerous side effects, the use of medications such as interferon or chemotherapeutic agents has dropped significantly since the advent of propranolol therapy.

PBD offers the pulsed dye laser as a potential therapy for this condition. The pulsed dye laser is an effective tool for treating infantile hemangiomas. Studies have demonstrated that 80-90% of lesions treated with pulsed dye laser therapy regressed significantly following treatment. Treatment consists of the application of a topical anesthetic approximately 30-60 minutes prior to treatment. Eye protection is utilized and the laser is applied to the skin using a special hand piece. Once complete cool packs are applied to the skin to soothe the area. Redness swelling and bruising are expected side effects of the treatment. For more information or to schedule a consultation please contact one of our providers here at Pine Belt Dermatology & Skin cancer Center.
July 31, 2026
At Pine Belt Dermatology & Skin Cancer Center , we understand that selecting the right skincare products can be challenging. While many over-the-counter (OTC) options promise results, not all skin concerns can be addressed with these products. Knowing the difference between OTC and prescription treatments helps you make educated decisions and recognize when to seek professional care. If you are treating acne, eczema, rosacea, or signs of aging, upgrading your treatment plan at the right time can improve your skin health and confidence. Understanding Over-the-Counter Skin Treatments Over-the-counter skincare products are available without a prescription and are intended for mild to moderate skin concerns. When used consistently, many contain ingredients that help maintain healthy skin. Common OTC ingredients include: Salicylic acid for acne Benzoyl peroxide to reduce acne-causing bacteria Retinol for fine lines and uneven texture Hydrocortisone cream for minor itching and irritation Moisturizers with ceramides or hyaluronic acid to heal the skin barrier These products are a good starting point for mild conditions. However, because OTC treatments use lower-strength active ingredients, they may not be effective for chronic or serious skin issues. When Prescription Skin Treatments May Be Necessary Prescription treatments use stronger active ingredients and are customized to your specific skin condition. A dermatologist can diagnose the underlying cause and recommend medications that address the problem more effectively than OTC products. Prescription treatments may include: Oral medications for moderate to severe acne Prescription-strength retinoids Medications to manage eczema or psoriasis Treatments for rosacea and chronic redne Prescription creams for hyperpigmentation or melasma Antifungal or antibacterial medications for skin infections These therapies are chosen based on your medical history, skin type, and treatment goals to maximize results and minimize side effects. Time to Upgrade Your Treatment While many start with OTC products, some situations require a dermatology appointment. Consider seeing a dermatologist if: Your skin condition has not improved after several weeks of steady OTC treatment. Acne is causing painful cysts, nodules, or permanent scarring. Rashes, redness, or irritation continue to worsen. You experience frequent flare-ups of eczema, psoriasis, or rosacea. You notice new or changing skin growths or unusual spots. Your skin concern is affecting your confidence or quality of life. Early treatment has the potential to prevent conditions from getting worse and minimize the chances of long-term skin damage. Why Professional Assessment Matters Many skin conditions look similar, making self-diagnosis challenging. For example, stubborn acne may be rosacea, and chronic dry patches could indicate eczema, psoriasis, or another condition. A board-certified dermatologist can accurately diagnose your skin concern and develop a customized treatment plan. Professional guidance also helps you avoid spending time and money on ineffective products. Healthy Skin Starts with the Right Treatment Over-the-counter products are important for daily skincare, but they may not treat complex or persistent concerns. Transitioning to prescription treatment at the right time can greatly improve your skin’s appearance and long-term health. At Pine Belt Dermatology & Skin Cancer Center , our team offers complete evaluations and customized treatment plans for acne, eczema, rosacea, hyperpigmentation, skin cancer screenings, and other skin conditions. If your current skincare routine is not resulting in success, we are here to help you achieve healthier, more confident skin. 
June 29, 2026
At Pine Belt Dermatology & Skin Cancer Center, we believe education is key to protecting and maintaining healthy skin. July is significant for skin health, featuring both UV Safety Awareness Month and World Skin Health Day on July 8 . These occasions highlight the importance of sun protection and raise awareness of common concerns, such as hyperpigmentation and melasma . Understanding how ultraviolet (UV) exposure affects your skin helps prevent long-term damage and supports a healthier, more even complexion. Why UV Protection Matters The sun emits ultraviolet rays that can damage skin even on cloudy days. While many associate UV exposure with sunburn, its effects are broader. Repeated UV exposure accelerates skin aging, increases skin cancer risk, and contributes to pigmentation disorders. Common effects of excessive UV exposure include: • Sunburn and skin irritation • Premature aging, including fine lines and wrinkles • Dark spots and uneven skin tone • Increased risk of skin cancer • Worsening of hyperpigmentation and melasma Daily sun protection is one of the most effective ways to maintain healthy skin and reduce preventable damage. What Is Hyperpigmentation? Hyperpigmentation is a common condition where areas of skin become darker than the surrounding tissue due to excess melanin production. Multiple factors can contribute to hyperpigmentation, including: • Sun exposure • Acne scars and inflammation • Hormonal changes • Skin injuries or irritation • Certain medications While hyperpigmentation is mostly harmless, many seek treatment to improve skin tone as well as restore confidence. Understanding Melasma Melasma is a type of hyperpigmentation that shows up as brown or gray-brown patches, typically on the cheeks, forehead, nose, and upper lip. Melasma is frequently associated with: • Hormone changes during pregnancy • Birth control medications • Hormone replacement therapy • Genetic predisposition • Sun exposure Although melasma is not dangerous, it can be difficult to treat because UV exposure frequently triggers or worsens it. Even minimal sun exposure can increase pigment production and make discoloration more noticeable. Protecting Your Skin from UV Damage Whether you are concerned about skin cancer, hyperpigmentation, or melasma, daily sun protection is essential. Dermatologists suggest: • Using sun lotion with SPF 30 or higher every day • Reapplying sunscreen every two hours when outdoors • Wearing wide-brimmed hats and protective clothing • Seeking shade during peak sunlight hours • Wearing UV-protective sunglasses • Avoiding tanning beds Consistent sun protection helps prevent new pigmentation issues. World Skin Health Day: A Reminder to Prioritize Skin Care Observed annually on July 8, World Skin Health Day encourages preventive steps to maintain healthy skin. This is a reminder to perform regular self-exams, schedule dermatology visits, and address concerns early. If you notice persistent dark spots, changes in pigmentation, or new skin lesions, seek an expert assessment to determine the cause and identify treatment options. Supporting Healthy Skin Year-Round UV Safety Awareness Month and World Skin Health Day remind us that protecting your skin is an investment in long-term health. Practicing sun safety and understanding conditions like hyperpigmentation and melasma help preserve your skin’s health, appearance, and function. At Pine Belt Dermatology & Skin Cancer Center, our team provides personalized evaluations and treatments for pigmentation concerns, sun-damaged skin, and overall skin health. Plan a visit and learn how we can help you achieve healthier, more confident skin.
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When a ‘Rash’ Might Be Something More Serious At Pine Belt Dermatology & Skin Cancer Center, we recognize that rashes are common and frequently resolve quickly with minimal treatment. However, some rashes may signify underlying conditions that require prompt medical attention. Identifying when a rash is more than a minor irritation is key to protecting your health. Comprehending Common vs. Concerning Rashes Most everyday rashes result from irritants, allergies, heat, or minor infections and typically improve within a few days with over-the-counter treatments. However, if a rash lasts longer, worsens, or appears with other symptoms, it may signal a more serious issue. Identifying the difference between a routine rash and one that requires medical evaluation helps avoid complications and ensure appropriate care. Warning Signs to Watch For Certain features may indicate a rash requires clinical assessment, including: Rapidly spreading or worsening rash Severe pain, swelling, or blistering Signs of infection such as pus, warmth, or red streaks Fever or flu-like symptoms accompanying the rash A rash that does not improve after several days of treatment Dark, purple, or bruised-looking areas on the skin For example, a rash with fever may indicate a viral or bacterial infection, whereas painful blistering can suggest conditions such as shingles. In rare cases, rashes may signal autoimmune disorders or severe allergic reactions. Rashes That May Point to Underlying Conditions Some rashes may be linked to broader health concerns, including conditions that cause inflammation in the skin and other organs: Allergic reactions that may escalate into further severe responses Infections that spread beyond the skin if untreated Medication reactions that require immediate adjustment Persistent or unusual skin changes may be early signs of skin cancer or precancerous conditions, especially if they do not heal or continue to change over time. Why Early Evaluation Matters Delaying care for a worrisome rash may allow the underlying condition to progress. Early diagnosis improves treatment outcomes and helps prevent discomfort and complications. A dermatology specialist can assess the rash’s appearance, location, and progression, and may recommend diagnostic tests if needed. This approach assures treatment addresses the underlying cause, not just the visible symptoms. When to See a Dermatology Specialist If you are unsure about your rash, it is best to err on the side of caution. Consider seeking care if: The rash is persistent, painful, or unusual in appearance Over-the-counter treatments are not effective You experience additional symptoms such as fever or fatigue The rash interferes with your daily comfort or quality of life At Pine Belt Dermatology & Skin Cancer Center, our experienced providers supply comprehensive skin evaluations and customized treatment plans. We take time to understand your symptoms and deliver clear, effective solutions tailored to your needs. Protecting Your Skin and Your Health While many rashes are minor, some may be early warning signs of more serious health concerns. Monitoring skin changes and pursuing prompt medical advice can produce a notable effect. If you notice a rash that does not seem right, do not ignore it. Schedule a consultation with Pine Belt Dermatology & Skin Cancer Center for expert evaluation and peace of mind. Your skin is an important indicator of your overall health, and taking it seriously supports ongoing well-being.
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