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Infantile hemangiomas, often referred to as “strawberry marks,” are the most common vascular tumors of infancy. While most hemangiomas are harmless and may resolve on their own, some can lead to complications that require prompt medical attention.

At the Vascular Birthmark Center, with locations in New York and Los Angeles, our team of experts is dedicated to providing advanced care for children with hemangiomas, helping families from around the world navigate these challenges.

What Are Infantile Hemangiomas?

Infantile hemangiomas are benign (non-cancerous) growths of blood vessels that typically appear within the first few weeks of life. These marks often start as flat, red spots and can rapidly grow into raised, bright red lesions. While most are small and fade over time, some hemangiomas can cause serious medical or cosmetic problems, especially if they develop in sensitive areas.

Common Complications of Infantile Hemangiomas

1. Ulceration & Pain

The most common complication of infantile hemangiomas is ulceration, in which the skin over the hemangioma breaks down, creating a sore. Ulcerated hemangiomas are not only painful for infants but are also prone to infection, bleeding and delayed healing. This is particularly common in hemangiomas located in areas that experience friction, such as the diaper area, lips or neck. Ulceration often requires specialized wound care and medical management to reduce pain and prevent infection.

2. Obstruction

Hemangiomas located near the eyes, nose, mouth or throat can obstruct vital functions. For example:

  • Vision: Hemangiomas around the eyelid can block the visual axis, leading to amblyopia (lazy eye) or permanent vision loss if not treated promptly.
  • Breathing or Feeding: Large hemangiomas on the neck or inside the mouth can make it difficult for infants to breathe or feed, sometimes necessitating urgent intervention.

3. Structural Disruption and Permanent Scarring

Large or deeply situated hemangiomas, especially on the face, can stretch and distort the overlying skin. Even after the hemangioma shrinks, the skin may not return to its original appearance, resulting in permanent distortion, scarring or changes in skin texture and color. These changes can be emotionally challenging for families and may require surgical or laser intervention for correction.

4. Systemic Effects

While rare, very large hemangiomas can place a significant burden on the heart. These hemangiomas may act as a vascular shunt, causing high-output heart failure in infants. This life-threatening complication requires immediate and coordinated care from pediatric specialists, including cardiologists and vascular anomaly experts.

Why Parents Trust The Vascular Birthmark Center

The Vascular Birthmark Center has established itself as a global leader in the diagnosis and treatment of infantile hemangiomas and other vascular anomalies. Here’s why families from New York, Los Angeles, and around the world choose our center:

  • Expertise: Our multidisciplinary team includes world-renowned specialists in pediatric dermatology, plastic surgery, otolaryngology, cardiology and radiology, all collaborating to design the best treatment plans for each child.
  • Comprehensive Care: From advanced laser therapy and medical management to complex surgical procedures, we offer a full spectrum of care tailored to your child’s needs.
  • Compassion: We understand the anxiety that comes with a hemangioma diagnosis. Our team provides compassionate support, thorough education and ongoing communication to empower parents throughout the journey.
  • Innovation: The Vascular Birthmark Center is at the forefront of research and clinical innovation, offering the latest, evidence-based treatments for hemangiomas and related conditions.
  • Global Reach: Families travel from across the United States and internationally to seek care from our experienced specialists, confident in our track record of successful outcomes.

Infantile Hemangioma FAQs

1. Will my baby’s hemangioma go away on its own?

Many infantile hemangiomas naturally shrink and fade by age 5-10. However, those that are large, rapidly growing or located near critical structures often require medical evaluation and possible treatment.

2. What treatments are available for complicated hemangiomas?

Treatment options include topical or oral medications (such as propranolol), laser therapy, wound care for ulcerated lesions and, in rare cases, surgery. The choice depends on the hemangioma’s size, location, and complications.

3. When should I seek medical attention for my child’s hemangioma?

You should seek evaluation if the hemangioma is growing rapidly, ulcerating, causing pain, interfering with vital functions (vision, breathing, feeding) or is located in a cosmetically sensitive area.

4. Are hemangiomas dangerous?

Most are not dangerous and resolve naturally. However, complications like ulceration, obstruction or cardiovascular strain can pose significant health risks and require specialized care.

5. Can hemangiomas cause long-term problems for my child?

In some cases, yes. Scarring, skin distortion or functional issues (such as vision loss) can persist if complications aren’t addressed early. That’s why expert evaluation and timely treatment are important.

Take the Next Step: Trust Your Child’s Care to the Experts

If your child has a hemangioma or you’re concerned about potential complications, the Vascular Birthmark Center is here to help. Our team of world-class specialists in New York and Los Angeles is ready to provide the guidance, support and advanced treatment your family deserves.

Contact the Vascular Birthmark Center today to schedule a consultation or learn more about our comprehensive approach to infantile hemangiomas. Give your child the best chance for a healthy, confident future.

Posted on behalf of The Vascular Birthmark Center: Gregory M. Levitin, MD

200 W. 57th St., Suite 510
New York, NY 10019

Phone: (212) 316-0616

Our Patient Reviews
The Vascular Birthmark Center: Gregory M. Levitin, MD

4.8 / 5.0

Based on 27 reviews

Abril M.

Dr. Levitin is very knowledgeable, compassionate and professional. Five years ago, I needed to find information about a birth mark that my newborn daughter started to grow a couple days after birth. I was afraid, I did not feel like I got any clear information about it through my insurance; also, they did not offer any course of treatment for it. I started to look for information, the birthmark was growing each day, information was scarce and I just got more scared. Finally, I found a video in Youtube from a grandmother who was very grateful after finding treatment for her grand daughter through The Birthmark Foundation. It was a huge blessing to me and my family. I found Dr. Levitin, I contacted him thinking he probably would not even answer. I was wrong, he kindly answered promptly, got in touch with me and soon he had a plan : ) I went to see him at the Birthmark Center in Los Angeles. He explained everything in a way that it was so clear to understand, no question I made was insignificant and his answers were each very informative. I really never have had an experience with a doctor who explains and speaks in such a way. I left his office knowing that my daughter was in the best hands and the best care. I first thank God for the Birthmark Foundation, a great organization with the highest quality of doctors. Also, a very special thanks to Dr. Levitin for all his help and kindness, for listening to my concerns and answering each and every question. And last, but no least, to the Birthmark Foundation Center in Los Angeles : ) I hope many children can find help/care in this place as I found it for my daughter. Thank you forever.

Ryan E.

I will be telling tales of the good doctors compassion till time comes to an end. Because of Dr Levitin, I have more confidence in my every day life. He was fast, knowledgeable, precise and all with a disarming sense of humor. Two thumbs up!

Carla M.

I wanted to show you how much better Hailey's tongue looks and let you know her speech has already improved so much!!! Her speech teacher is thrilled!!!! Thank you so much for everything you did for her. You are an excellent surgeon with a great bedside manner- we are forever grateful to you!!! We are so appreciative!

Danielle L.

we are forever grateful for Dr. Levitin. My daughter Lena had surgery to remove her hemangioma that was located on her forehead at just 6 month old. she healed beautifully and we couldn't be happier with how minimal her scar is, even almost 4.5 years later. Dr. Levitin is caring, compassionate, and such a great doctor/surgeon overall. He had our daughter's best interest and I knew she was in good hands. I highly recommend him any chance I get!

Chris

My name is Chris and I was recently treated for an AVM on my forehead by Dr. Gregory Levitin of New York (New York Eye and Ear Infirmary). Thankfully, I live within a few hours of NYC. In brief, I would like to say that Dr. Levitin is very capable doctor with a lot of experience with AVMs. He responds quickly to e-mail, texts, and phone calls. He accepts insurance. He takes a "team approach" and will be your "QB" and involve other specialists as necessary. In my particular case they were Dr. Raj Shrivastava (Mt Sinai) and Dr. Raphael A. Ortiz (Lenox Hill) in NY. I recommend contacting Dr Levitin for a consultation if you suspect you have an AVM. All 3 Drs are just good people. When I spoke to them, they treated me like like an equal. I felt like they were advising me as a close friend or family member. Like many that suffer with AVMs I was at first mis-diagnosed. What was thought to be a just a simple cyst turned out to be an AVM. Surgery to remove the cyst made the AVM about 5x bigger. My treatment entailed a few MRIs and CAT scans to determine what was going on and the treatment plan. This was followed by consultation with the 3 Drs mentioned above and finally a 2-day procedure. On day 1 Dr Ortiz embolized the AVM. On day 2 Dr Levitin and Dr Shrivastava removed the AVM from my skull and put some metal mesh there to fill the "hole". It has been 6-months since the surgery and so far I have not had any recurrence. In honor of Vascular Birthmark Awareness Day and to thank these Drs for all they have done for me, I just want to give everyone a solid reference. Finding the right doctor for this type of stuff makes all the difference.

Valle S.

I just discovered this page i have also a birthmark I always experiences bully because of this. I don't know what kind of birthmark is this if it is harmful ? I hope Dr. Levitin notice this message in this way I think he can help me :) :) #DrLevitin

Alicia M.

This year marks the 10th that I contacted VBF for help. Since then I have been under the care of Dr. G Levitin and Dr. R. Ortiz, they are my guardian healing angels! Thanks VBF for not only helping me but also for letting me be a volunteer in the foundation whenever I am needed. A Big Hug to all from MIAMI... Alicia

Alexander G.

Totally positive experience. Dr. Levitin is a great professional. He has diagnosed and treated my nose breathing problem, significantly improving my quality of life. Office staff is very professional. Appointments always kept on time. Strongly recommend.