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Non-involuting congenital hemangioma (NICH) is a clinical term that describes a specific type of hemangioma. It is important to understand the difference between a NICH and infantile immature hemangiomas, as the two are often described as though they are interchangeable. NICH do not typically cover the same expanse of RICH, and there are other distinguishing features distinguished through pathology and immunophenotyping.

Additionally, NICH are typically single malformations that are flat with rounded rather than sharp edges. Colors vary from pink to deep purple, and there are usually tightly grouped thread veins present. The most common locations for NICH to develop are the head or neck, followed by the limbs. Unlike some other types of hemangioma, a NICH will never regress and growth stays proportionate with that of the child, including when weight is gained in most cases.

Diagnosis Methods

Venous blood flow is a key component in the accurate diagnosis of a NICH. One of the main diagnostic tools used is a color Doppler ultrasound, which is able to reveal certain abnormalities. However, many of the indicators of NICH are common among hemangiomas, which is why it is important you take your child to a specialist in vascular malformations. Another challenge in diagnosis is being able to determine whether intermediate sized lesions are NICH or RICH.

Even the medical professionals get it wrong sometimes, so it is important to seek diagnosis from a specialist team. At the Vascular Birthmark Center, we are staffed by a team of medical professionals lead by Dr. Greg Levitin, who is an expert in the field of vascular malformation diagnosis and treatment.

Non-Involuting Congenital Hemangioma (NICH) Treatment

Surgery is the best treatment option for management or removal of NICH. There are risks involved with surgery, especially when lesions are located around the face and neck. Dr. Greg Levitin specializes in both the diagnosis and removal of non-involuting congenital hemangioma, as well as follow-up cosmetic surgery to reduce the appearance of obvious scar tissue.

The prognosis for full recovery from NICH removal is good, and the risk of damage to facial nerves is further reduced at the Vascular Birthmark Center due to Dr. Levitin’s use of an advanced intraoperative nerve monitoring system. As a matter of perspective, most centers report a risk of up to 50% that nerve damage may occur, whereas Dr. Greg Levitin’s procedure results in a less than 1% chance of damage.

For a more accurate assessment of your child’s needs, arrange an evaluation at the Vascular Birthmark Center today. We have offices in both New York and Los Angeles, where our young patients receive the best vascular malformation diagnosis and care in the country. Contact us today to make an appointment.

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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!


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.