When mothers who come to the clinic hear that the reddish bumps on the baby’s body surface are hemangiomas, they often feel panicked and don’t know what to do. In fact, “hemangioma” is just a mass of malformed and abnormally growing blood vessel tissues, surrounded by a small amount of cellular tissue proliferation, and clinically there is a certain difference between true tumors, but a very few larger, faster-growing hemangiomas are often accompanied by vesiculobullous ulcers and massive bleeding after injury. Hemangioma can occur in any part of the body, localized bright red or cherry red papules or small nodules, hemispherical, high out of the skin surface, soft, sometimes irregular, the number is not certain, the pressure of the discoloration. Most of them only affect the appearance. Hemangioma is a kind of benign tumor, which is basically harmless to human body except that it grows on the face and is unsightly in appearance. If the hemangioma grows too fast, is too big, has necrosis or is bleeding or infected, specialist treatment is needed as soon as possible. When the baby is just born, the patient and careful mother will occasionally find that the baby has a pinpoint-sized red spot on the body, and some family members often mistakenly think that it is a mosquito bite and miss the treatment, and only go to the outpatient clinic after the hemangioma enters into the rapid growth period. Some parents, due to the lack of medical knowledge, make their own decisions and mistakenly believe in the secret doctors and partial remedies, which makes the child’s facial hemangioma turn into a serious scar, which is regrettable. The treatment of hemangioma should be decided according to the tumor type, location and patient’s age, etc. Currently, the treatment methods include laser treatment, external drug treatment, oral drug treatment, surgical excision, radiotherapy, cryotherapy and sclerosing agent injection. Laser treatment Laser treatment is one of the main means of hemangioma treatment at home and abroad. Among many laser treatment equipments, pulsed dye laser is widely used in hemangioma treatment due to its specific effect on hemoglobin and minimal damage to other surrounding normal tissues. The above picture is the before and after treatment comparison picture made by the super loving father of the baby with hemangioma, which was sent back during the WeChat follow up visit and watermarked by the department. Before laser treatment, we need to apply lidocaine ointment on the surface of the hemangioma to do non-invasive surface anesthesia, and after 20-30 minutes when the child’s local skin has no obvious pain, we will perform the laser treatment. After a few seconds to a few minutes of laser treatment, we will give the child a local cold compress for 20 minutes. Usually it takes 3-4 weeks for the laser treatment to be carried out once. After 3-5 treatments, most of the hemangiomas can completely subside, and the local area will return to normal skin without scarring. Mothers in outpatient clinics often confuse laser with X-ray, and the most common question they ask is “Is there any radiation in laser? The depth of action of the laser for hemangioma treatment is only the skin and subcutaneous tissues, and there is no damage to the musculoskeletal system and nerves. Facial hemangioma laser treatment after a second, topical drug treatment Topical timolol treatment is by far the lowest risk, side effects of the least hemangioma treatment means, there is no “one”. Timolol treatment often has miraculous therapeutic effect for small superficial hemangioma treatment. 5-6 times of external application of timolol drops per day should be covered with local plastic wrap for 5 minutes after each external application to prevent the liquid from evaporating too fast and affecting the absorption of hemangioma. For special parts of superficial hemangioma such as perineum, oral mucosa and other parts of the cotton ball can be used to control the absorption of medicine by moistening the drug wet compress. After a few weeks, the color of hemangioma will be lightened, and some superficial hemangiomas can be completely subsided after several months of patient treatment. Topical timolol treatment process is a little cumbersome and time-consuming, but due to its non-invasive and painless nature and rare side effects, it is worthwhile for the mother’s hard work for the sake of her baby’s health. External drug treatment has certain limitations in clinical application, because the external drug can only infiltrate to the superficial subcutaneous layer, for the thickness of more than 3mm hemangioma treatment effect is not good, large area of hemangioma with large thickness, after the external application of the drug, the red color on the surface of the body will subside, but there are often blue blood vessels in the deep part of the body, and the depth of action restricts the clinical application of the drug. Eyelid hemangioma double pulse dye laser treatment for 3 times, combined with external application of timolol treatment, hemangioma completely subside C. Oral drug treatment For large hemangioma and special parts of hemangioma, oral propranolol treatment can be used to achieve complete regression of hemangioma. Propranolol is commonly known as “cardioplegia”, and doctors have discovered its miraculous therapeutic effect on hemangiomas during the treatment process of controlling heart rate with it. The topical therapeutic drug timolol and the oral therapeutic drug propranolol belong to the same class of drugs. The topical drug is less absorbed, with little side effects and almost no risk of liver or kidney damage, but it cannot act on the deeper hemangioma tissues, so when the hemangioma of a child is large in size, it is often necessary to take the drug orally in order to achieve the deeper therapeutic purpose. Small doses of oral propranolol usually need to be hospitalized for one day to rule out the effect on cardiac function when the first dose is taken, and at the same time, liver and kidney functions need to be checked every month to adjust the dose of the drug in order to ensure that the normal growth and development of the baby is not affected. Babies treated with oral medication have special requirements for age in months and weight. Wrist hemangioma oral propranolol combined with double pulsed dye laser after one treatment. At present, there are still a very small number of people who still use radioactive treatment methods such as nuclide paste treatment, etc. Nuclide paste is suitable for adult non-head and face keloid treatment, infants and young children due to the treatment of a certain amount of radiation, which will lead to the local atrophy of muscle and adipose tissue, and there is a possibility of local arthritis of children with radiation treatment in adulthood, and there is a possibility of local arthritis of children with radiation treatment. Nuclide paste contains radioactive isotopes, storage and application have higher radioactive protection requirements, more applications in the last century, now the head, face and joint parts of the hemangioma is strictly prohibited the use of radiation therapy, there is a risk of disfigurement and arthritis in the long term. Other treatment modalities, such as surgical excision and cryotherapy, are mostly the last resort for hemangiomas that cannot be removed by non-invasive therapies on the body surface of 2-3 year old babies due to the possibility of localized scarring.