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Since the effective depth of penetration of a pulsed dye laser is minimal, laser is only appropriate for the superficial hemangiomas or the superficial component of a compound lesion. I prefer early treatment since I believe that early elimination of the hemangioma will allow collagen to regenerate and the skin texture will be more normal.
At some centers, a Nd:YAG laser is used to treat the surface as well as the deep component. In the right hands, this can be effective. However, the injudicious use of interstitial treatment with a Nd:YAG laser can result in significant complications. The standard of care for hemangiomas still remains a pulsed dye laser. Several other lasers are used from time to time but unfortunately these appear to carry a higher risk of scarring. While in experienced hands this may not be so, we typically do not recommend these other lasers.
Patients in photos below were treated with Pulse Dye Laser.
| Eight days old, without anesthesia |
Three months post laser after one treatment |
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| Six weeks old |
6 months old |
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