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Nov 2012

Ablative Fractional Resurfacing for Involuted Hemangioma Residuum

Author Affiliations

Author Affiliations: Laser & Skin Surgery Center of New York (Drs Brightman, Brauer, Hunzeker, Reddy, Weiss, Karen, Hale, Anolik, Bernstein, and Geronemus), New York Eye and Ear Infirmary (Drs Brightman and Geronemus), and The Ronald O. Perelman Department of Dermatology, New York University School of Medicine (Drs Terushkin, Karen, Hale, and Geronemus), New York, New York.

Arch Dermatol. 2012;148(11):1294-1298. doi:10.1001/archdermatol.2012.2346

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.