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Nov 2012, Vol 148, No. 11 >

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Observation | Nov 2012 ONLINE FIRST

Ablative Fractional Resurfacing for Involuted Hemangioma Residuum

Lori A. Brightman, MD; Jeremy A. Brauer, MD; Vitaly Terushkin, MD; Christopher Hunzeker, MD; Kavitha K. Reddy, MD; Elliot T. Weiss, MD; Julie K. Karen, MD; Elizabeth K. Hale, MD; Robert Anolik, MD; Leonard Bernstein, MD; Roy G. Geronemus, MD
Arch Dermatol. 2012;148(11):1294-1298. doi:10.1001/archdermatol.2012.2346.
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Background  Given the natural tendency for 15% to 40% of infantile hemangiomas to spontaneously involute over time, much debate surrounds the issue of treatment. Until recently, effective therapies to improve the appearance of residual textural skin changes in these patients were lacking. We suggest the use of ablative fractional resurfacing for the treatment of textural skin changes resulting from involuted hemangiomas.

Observations  All patients treated with an ablative fractional carbon dioxide laser experienced considerable flattening of the fibrofatty residual tissue, with at least 50% to 75% improvement in color, texture, and overall appearance.

Conclusion  While additional future studies are needed, we believe that ablative fractional resurfacing should be considered for the treatment of textural skin changes associated with involuted infantile hemangiomas.
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Figure 1. Involuted infantile hemangioma before (A) and after (B) ablative fractional resurfacing treatments of patient 1. A, Fibrofatty involuted hemangioma residuum before the first treatment. B, Hemangioma after 6 of 13 ablative fractional resurfacing treatments, with substantial reduction in hemangioma residuum.

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Figure 2. Involuted infantile hemangioma before (A and B) and after (C) ablative fractional resurfacing treatments of patient 5. A, Hemangioma present at birth. B, Fibrofatty involuted hemangioma residuum before first treatment. C, Hemangioma after series of 3 ablative fractional resurfacing treatments, with substantial reduction in hemangioma residuum.

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Country-Specific Mortality and Growth Failure in Infancy and Yound Children and Association With Material Stature

Use interactive graphics and maps to view and sort country-specific infant and early dhildhood mortality and growth failure data and their association with maternal

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