Hemangiomas often appear in the first week or two of life, starting as small red dots the size of grains of rice and progressing rapidly by 6 months. There are seven treatment options, and early treatment is less costly and can be done without scarring. Infantile hemangiomas are the most common and frequent benign tumors in infancy and childhood, with a prevalence rate of up to 10%, and one out of four low birth weight babies will grow them. Hemangiomas often start out as small “mosquito bite” dots, and within six months may develop into flat, wide, “strawberry-like” red spots, and some may even develop rapidly, affecting breathing, hearing, vision, or diet. Hemangioma has a special course: it develops rapidly before the age of 6 months, stabilizes between the age of 7 months and 2 years, and gradually recedes after the age of 3 years. Surgical removal will leave scars, and blind observation may lead to overgrowth, so it is important to avoid both delayed treatment and over-treatment. Most hemangiomas do not require surgery, and laser treatment before half a year of age is not effective. Early, correct and comprehensive treatment can achieve perfect results at minimal cost. For example, when the hemangioma first appeared, insisting on applying a kind of eye drops sold for 5 dollars per bottle every day can make the hemangioma partially subside, and some children may even need no other treatment. Incidence It is understood that infantile hemangioma is the most common benign tumor in infancy and childhood, the incidence rate is about 4%~10%, the incidence rate of girls is about 3~5 times that of boys, while adults rarely grow hemangioma. The incidence is as high as 25 percent in premature, low-birth-weight infants, along with a higher incidence in twins. “Although 10 percent of infants who develop hemangiomas have a family history, it is not a genetic disease. No exact food or drug has been proven to cause hemangiomas, so they cannot be prevented. Current research suggests that it may be related to a genetic mutation that occurs during the transition of progenitor cells to endothelial cells in the fetus.” 1/3 of hemangiomas can be found at birth, but usually the average time for hemangioma to appear is about two weeks old, the first may only be manifested as a “rice grain” size of red dots, parents think it is “mosquito bites”, and then the red dots gradually increase in size, and the affected children will have the most rapid growth at the end of the month. Then the red spots gradually increase in size and grow most rapidly when the child reaches one month of age, and the scope of the red spots expands to form a tumor or erythema. Deeper hemangiomas may not be detected until the child is 3 to 4 months old. About 60% of hemangiomas occur on the head and neck, about 25% on the trunk, and about 15% on the extremities. The vast majority (about 80%) of hemangiomas occur in a single site, and a few can occur in multiple sites. Although most hemangiomas occur on the surface of the body, a small percentage can occur in the liver, gastrointestinal tract, and even inside the brain. Treatment Rapid growth before the age of half, early treatment is needed Infantile hemangioma has a natural course, from birth to 6 months old is a period of rapid growth, 7 months old enters the stable period, and 3~9 years old is the period of recession. This particular disease process leads to two extremes in the treatment of hemangiomas: “Some doctors know that there will be a period of regression and ask parents to wait and see, but the problem is that we can’t predict in advance how big the hemangioma will grow. If the hemangioma is allowed to break down, bleed, become inflamed, or even overgrow, it will make later treatment difficult and even require major surgery. And there is another part of doctors, knowing that hemangiomas have the potential to grow very large, or driven by economic interests, blindly suggest parents to do surgery for everything, but if the surgery is done during the period of rapid growth, there is a possibility of recurrence, and the surgery will require anesthesia and scarring, especially for hemangiomas in the facial area, which is not a perfect solution.” Some hospitals treat hemangiomas mostly with lasers, and the preferred option varies from department to department, which can lead to mistreatment. In fact, the treatment of hemangioma includes seven means of pressure treatment, local injection treatment, hormone treatment, oral propranolol medication, interventional therapy, laser treatment, sclerotherapy, and so on, and the most perfect results can be achieved with the least costly early comprehensive treatment when the hemangioma is just found. Reminder: Laser treatment for hemangioma is best after 7 or 8 months. To achieve the “perfect effect” of hemangioma treatment, i.e. no recurrence and no scar, it is necessary to carry out comprehensive treatment as soon as it is found, because if the hemangioma has already broken down before the treatment, it is easy to leave scars. In fact, most patients with hemangioma do not need to have surgery, and some early treatments are very cheap. For example, early hemangioma growing on the hands and feet can be treated with compression therapy, which means that the blood vessels in the hemangioma can be pressurized with a bandage, so that it can’t grow up. Also, timolol maleate eye drops have been surprisingly effective in treating hemangiomas. This eye drop is very cheap, usually sold for more than$5 at pharmacies, “As long as the hemangioma grows in the epidermis, the superficial layer of the skin, i.e., the flat, wide, and large kind, apply this drop as soon as you find it, and stick to it until the child is 6 months old, which is very beneficial for the later treatment, and some of them can even be treated without any other treatment.” As for the growth of deeper hemangioma, the external medicine can not be effective, it is necessary to local injection, oral drug treatment, to be the surface of the hemangioma becomes flat, and then the external use of the above medicine, to be lighter in color and then use the laser, you can achieve the “perfect effect”. Parents are reminded that some parents reflect that “laser treatment of hemangioma is easy to recur”, in fact, this is the problem of the timing of treatment. “Some children in one or two months old when the laser to remove hemangioma, but the laser only hit the surface of the skin, ‘hit’ off, the following hemangioma will continue to grow up. Therefore, it is recommended to control the growth of hemangiomas by using methods in the early stage, such as applying medication to make the color of the hemangiomas lighten, and then use the laser to ‘gently’ remove them when the child is seven or eight months old and the condition has entered a stable stage. If it is not treated well in the early stages, the doctor may have to use a more powerful laser to remove it, which makes it easier to scar.” If the lesion is so large that it is difficult to remove completely, even with surgical removal, interventional therapy may be used. Since hemangiomas enter a stable phase after 7 months of age and can still subside on their own, can these children be left untreated? Hemangiomas tend to subside until the age of 5, and children enter kindergarten at the age of 2. If the hemangioma grows on the face, it may affect the child’s social interaction and leave psychological trauma. Therefore, if the hemangioma grows on the obvious part of the face and is not expected to subside completely by the age of 2 or 3, it is recommended to apply medication and then use laser to remove the color to ensure the child’s psychological health.