Dr. Roy Geronemus
Dr. Roy Geronemus received the "Physician of the Year" award from the Hemangioma Vascular Birthmark Foundation this past November. The award was presented to Dr. Geronemus by the foundation at their annual meeting in New York City on November 14, 2008.
Hemangiomas
Frequently Asked Questions
What are hemangiomas?
Hemangiomas are a collection of large blood vessels that typically begin shortly after birth. These birthmarks grow rapidly during the first several weeks and months of life, then begin to disappear over several years. Hemangiomas are most commonly found in twins and premature babies.
Should hemangiomas be treated?
Hemangiomas can be treated to minimize the extent of their growth and to hasten the process of disappearance. Some hemangiomas can be problematic in the sense that they may be interfering with normal function or may have the potential to bleed. In many cases it is advised to have hemangiomas undergo treatment to prevent short term and long term complications.
What are the treatment options for hemangiomas?
Options for the treatment of hemangiomas include laser therapy, steroid therapy, surgical excision, and of course watchful waiting.
When is laser treatment performed?
Laser treatments are generally performed during early infancy to prevent further growth. They can also be performed in later years to facilitate the disappearance of any hemangioma that has not resolved spontaneously.
How often are laser treatments performed?
During early infancy when hemangiomas are still growing, we prefer to perform treatments at two to three week intervals to avoid re-growth between treatment sessions. During later years when the hemangioma has stopped growing, treatments can be performed at one month or later intervals.
Which lasers are used for this purpose?
We generally prefer to use the V-Beam Perfecta or the V-Star laser in the treatment of hemangiomas. Occasionally, we also use the Neodymium:YAG laser as well.
Is the procedure painful?
Generally the treatment sessions are very short and quick and the degree of discomfort is minimal.
What does the skin look like after each treatment?
Generally, there is bruising of the hemangioma that can last for seven to ten days. On occasion there can be some minor crusting which heals relatively quickly.
Is anesthesia required?
In most cases anesthesia is not required because of the small size of the hemangioma and the cooling devices utilized by the lasers to minimize discomfort. On some occasions we will use topical anesthesia.
Who should perform laser treatment of hemangiomas?
Laser treatment of hemangiomas requires an understanding of the natural history of hemangiomas as well as the appropriate and safe use of the technology that is involved. Our physicians are highly qualified and considered leaders in the field of laser treatment of hemangiomas. We have been involved with the development of most of the laser systems that are utilized today and we publish extensively on this subject. We also work very carefully and closely with the various different laser companies to help improve the treatments that we provide to our patients.