Infantile Hemangiomas

Pediatric patients benefit from laser treatments

Pediatric patients in particular can benefit from laser treatments for port wine stains. “You can change a child’s life,” Dr. Geronemus says. “The word needs to get out to get these children treated right away.”

Dr. Roy Geronemus and team in India with the Vascular Birthmark Foundation

Dr. Roy Geronemus traveled to Delhi, India to speak and voluntarily treat children with port wine stains and hemangiomas. He is accompanied by his assistants Dr. Yoon-Soo Cindy Bae, Wendy Olin, RN, and Katie Feehan, RN. The LSSCNY team will be collaborating with a group of physicians from the Vascular Birthmark Foundation.

There are over 170 children and adults scheduled for treatment by the VBF iTEAM (International missions team)


"Treatment of Superficial Infantile Hemangiomas of the Eyelid"

Port Wine Stain Treatment NYC Christopher M. Hunzeker, M.D. and Roy G. Geronemus, M.D. Dermatologic SurgeryClick here to read the article!

Dr. Roy Geronemus and the physicians at the Laser & Skin Surgery Center of New York will be hosting the annual vascular birthmark conference

The Vascular Birthmarks Foundation along with  Dr. Roy Geronemus and The Laser & Skin Surgery Center of New York Present The 2010 Vascular Birthmarks Conference on October 9, 2010 at the NYU Medical Center and the Laser & Skin Surgery Center of New York.

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.

"Outcomes of Childhood Hemangiomas Treated with the Pulsed-Dye Laser with Dynamic Cooling: A Retrospective Chart Analysis"

Rizzo C, Brightman L, Chapas A, Hale E, Cantatore-Francis J, Bernstein L, Geronemus R.

Dermatol Surg 2009;35:1–8
Click here to read the article


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.