How should I treat hemangioma on the eyelid?

Patient: I had it when I was born, but now I’ve grown up and it grows significantly when I cry, so I go to the hospital and they say it’s on my eyelids, so I’m afraid to move. Specialist: Hello! Based on the information you provided, it is more likely to be a venous malformation of the left upper eyelid (traditionally known as a hemangioma). To further clarify the extent of the lesion, an MRI is needed to understand the depth and surrounding vascular reflux. You can bring the film to the clinic after it is done locally, or you can come to Shanghai to make an appointment for an MRI. Patient: What kind of MRI test are you talking about? We can’t sit here, we have to go to the provincial capital for it. Do we have our own requirements for this test? I also heard that it is difficult to register for a doctor’s appointment in Shanghai. Experts: MRI refers to “magnetic resonance imaging”, which is an imaging test that does not involve X-rays and is not painful for children. The purpose of MRI is to observe the depth of the venous malformation and the relationship between the lesion and the surrounding tissues (orbit, eyeball). The obvious bulge during crying suggests that the actual lesion is deeper and more extensive than what can be observed with the naked eye. Patient: We thank you very much for replying to our questions in your busy schedule. Our family feels that the child is too young, can we wait until the child is older, for example, four years old, and is there any other treatment method besides surgery for this vascular malformation? Will there be scars after the surgery? I am afraid that it will affect the appearance. Specialist: If the lesion is not deep, not fast developing and no dysfunction, it is possible to follow up and observe. However, there are strict indications and contraindications for each treatment method, so the internet consultation can only provide rough advice.