The decision to treat a hemangioma depends on the size, location, and severity of the tumor. Certain deep hemangiomas may cause physical problems and require prompt medication intervention. Small, superficial hemangiomas generally recede slowly over time and may not require treatment. When hemangiomas present a cosmetic concern, lasers may be used either during the involution phase to help the hemangioma fade more quickly, or after the involution phase to help improve the appearance of the skin. Lasers may also be used to hasten healing when hemangiomas ulcerate. Dr. Levine has expertise in the overall treatment of hemangiomas and will often use medical treatment, as well as lasers, when indicated for optimal results. Unlike hemangiomas, port wine stains do not involute on their own. Without treatment, a port wine stain may become more prominent during puberty. The lesion may become larger, darker, and take on an irregular, bumpy texture. For this reason, port wine stains are most effectively treated with lasers before puberty. If not treated earlier, port wine stains may also be successfully treated during adulthood. Since Dr. Levine is board certified as a pediatrician, as well as a dermatologist, she is uniquely qualified to address the special skin care needs of children. Dr. Levine will meet with you to discuss the best options for your child’s specific needs.