Hemangiomas & Venous Lakes

Hemangiomas are non-cancerous tumors made up of blood vessels, typically developing during infancy due to excessive growth of these vessels. They can appear as raised, red, or purplish lesions on the skin, varying in size, shape, and depth. While most hemangiomas are harmless and regress over time, some may require intervention if they interfere with normal functions or cause cosmetic concerns. At Aura Med Spa in Bellaire, TX, we offer personalized treatments to address these vascular growths effectively.

Who Gets Hemangiomas—and Why?

Hemangiomas are thought to arise from a mix of genetic influences and hormonal factors, which contribute to the rapid proliferation of endothelial cells. These growths usually undergo a proliferative phase during early infancy followed by a gradual involution phase, often disappearing by the time a child reaches school age.

Hemangioma Symptoms

Hemangiomas present with distinct symptoms that vary in appearance and progression:

Appearance: Hemangiomas typically appear as red or purple marks on the skin, which can be raised or slightly indented.
Growth Pattern: They often grow rapidly during the first few months of life before entering a slow involution phase.
Potential Complications: While most hemangiomas do not cause problems, larger or strategically located lesions may lead to complications such as ulceration, bleeding, or interference with vital functions (e.g., vision, breathing).

Treatment Options for Hemangiomas

Observation

Watchful Waiting: Many hemangiomas are monitored over time as they often diminish or disappear on their own without treatment.

Medical Therapy

Beta-Blockers: Oral or topical beta-blockers, such as propranolol, are commonly used to reduce the size and discoloration of problematic hemangiomas.
Corticosteroids: In some cases, corticosteroids may be used to slow the growth of the lesion when beta-blockers are not suitable.

Laser Therapy

Pulsed Dye Laser (PDL): This non-invasive treatment can help reduce the redness of superficial hemangiomas and improve overall skin appearance.

Surgical Intervention

Excision: Surgical removal may be considered for hemangiomas that cause functional impairment or do not respond to other treatments. This option is usually reserved for lesions that remain problematic after other therapies.

Types of Hemangiomas

Superficial Hemangioma (Strawberry Hemangioma): These are bright red, raised lesions that appear on the skin’s surface. They are the most common type and often resolve spontaneously.
Deep Hemangioma: These occur beneath the skin, giving the affected area a bluish or discolored appearance. Deep hemangiomas can be more challenging to assess and treat.
Mixed Hemangioma: These lesions have both superficial and deep components, displaying characteristics of both types in their appearance and behavior.

Causes of Hemangiomas & Venous Lakes

Hemangiomas and venous lakes are vascular conditions influenced by a range genetic, hormonal, and environmental factors.

Genetic Factors: Hemangiomas may be influenced by genetic predisposition, with family history increasing the likelihood of these vascular growths. Certain genetic syndromes can also heighten susceptibility.
Hormonal Changes: Hormonal fluctuations, particularly during pregnancy, puberty, or menopause, can trigger or worsen vascular conditions. Hormones like estrogen and progesterone may stimulate hemangioma formation, which often resolves after childbirth.
Age: Hemangiomas commonly develop in infants and young children, growing rapidly before regressing naturally. Venous lakes are more common in adults, especially those over 50, due to age-related vascular changes.
Trauma or Injury: Damage or harm to the skin, especially to blood vessels, can trigger hemangiomas. Venous lakes often form in areas subjected to repeated injury or pressure, causing blood to collect and form blue lesions.
Chronic Sun Exposure: UV damage weakens skin structure, contributing to the development of venous lakes, particularly on sun-exposed areas. While not directly linked to hemangiomas, prolonged sun exposure may increase the risk of vascular issues over time.
Circulatory Factors: Venous lakes are often caused by poor circulation and increased pressure on veins, especially in areas like the lips and nose. Weakened veins allow blood to pool, forming dark blue lesions.

How Do Treatments for Hemangiomas & Venous Lakes Work?

Each treatment targets a different layer of the hemangioma. Topical and oral medications address inflammation, reduce the growth of blood vessels, and control skin reactions. Laser therapy works by targeting visible blood vessels, helping to diminish redness and improve the appearance of the skin. Together, these treatments help restore clarity, calm, and comfort to the skin, especially for larger or more persistent hemangiomas.

Aftercare and Prevention for Hemangiomas & Venous Lakes

Each treatment plan is tailored to the individual’s needs, taking into account the hemangioma’s size, location, and potential impact on quality of life.

Follow-Up: Regular monitoring is crucial to evaluate the hemangioma’s development and decide whether additional treatment is necessary.
Sun Protection: Safeguarding the affected area from sun exposure is important to avoid additional skin discoloration or irritation.

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Hemangiomas & Venous Lakes