Pyogenic granulomas are benign, red, raised skin growths that can bleed easily and appear suddenly on the body or face. Led by Dr. Waner and Dr. O, the Vascular Birthmark Institute specializes in diagnosing and removing these lesions with precision to restore comfort, function, and cosmetic appearance.
What is a Pyogenic Granuloma?
A pyogenic granuloma, aka lobular capillary hemangioma, is a non-cancerous vascular growth that commonly appears as a small, red bump on the skin or mucous membranes. It often develops rapidly following minor trauma, bug bites, injury, hormonal changes (such as during pregnancy), or certain medications (such as birth control, indinavir, isotretinoin, and acitretin). Though benign, these lesions are prone to bleeding and can be a cosmetic issue, especially when located on the face or hands. Our doctors offer expert evaluation and treatment to manage these growths effectively and prevent recurrence.
Signs & Symptoms of Pyogenic Granuloma:
- Sudden appearance of a small, red or reddish-purple bump
- Rapid growth over 1-2 weeks
- Lesion is typically less than 2 centimeters in size, but can be larger
- Smooth or rough texture, often moist or shiny
- Tendency to bleed easily, especially with minor trauma
- Commonly occurs on the face, hands, arms, or inside the mouth
- May develop during pregnancy or after injury
- Can be tender or painless, depending on location and size
Treatments for Pyogenic Granuloma
If you notice a rapidly growing red bump that bleeds easily, it’s important to have it evaluated by experts. At the Vascular Birthmark Institute, our doctors begin with a thorough examination to confirm whether the lesion is a pyogenic granuloma. Once diagnosed, we tailor a treatment plan based on the size, location, symptoms, and your personal preferences.
Medical Treatments
If your pyogenic granuloma is small or in a sensitive area, we may first recommend non-invasive options like topical beta-blockers, corticosteroids, or imiquimod creams. These medications work by reducing blood vessel formation or inflammation in the lesion. While these treatments are painless and convenient, they may require several weeks to show results and may not always be effective, particularly for larger or bleeding lesions.
Surgical Excision
Surgical removal is the most effective treatment for pyogenic granulomas. During the procedure, your doctor will numb the area with local anesthesia and remove the growth in its entirety, often along with a small margin of surrounding tissue. This ensures an immediate resolution and the ability to send the tissue for pathological confirmation. While this may leave a small scar, our doctors ensure optimal cosmetic outcomes, especially for facial lesions.
Laser Therapy (Limited Role)
Laser treatment is not typically effective for pyogenic granulomas. These lesions do not respond well to traditional vascular lasers, which are often successful with other birthmarks or vascular malformations. However, lasers may occasionally be used as a supportive method to control bleeding or treat residual pigmentation after surgical removal.
Monitoring and Follow-Up
In certain cases, especially if the pyogenic granuloma developed during pregnancy, it may shrink or resolve on its own over time. Our team will monitor your lesion closely through follow-up appointments. If it continues to grow, bleed excessively, or does not improve, we will reassess and recommend further treatment to ensure optimal care.
Schedule Your Consultation
Vascular Birthmark Institute is a premier center for diagnosing and treating vascular skin lesions. Led by Dr. Waner and Dr. O, our team offers expert care focusing on comfort and precision. Whether your lesion is causing discomfort, bleeding, or aesthetic concerns, we will create a personalized treatment plan that best suits your needs. Schedule your consultation today to explore effective options for diagnosing and removing your pyogenic granuloma.
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