Fractional photothermolysis for involuted infantile hemangioma.

An otherwise healthy 14-year-old white girl presented to our dermatologic laser clinic with a protruding tumor above the right nasolabial fold. The patient’s parents reported that the patient had a fast-growing red tumor during the first months after birth in the same area. The lesion at that time was diagnosed as infantile hemangioma by the pediatrician, and no further intervention was carried out. The skin lesion spontaneously resolved over the following years leaving the residual skin changes. The skin lesion had remained unchanged for the last 4 years without further improvement in appearance. Physical examination revealed a protruding subcutaneous tumor, abnormally lax overlying skin with several linear indentations, and a soft atrophic scarlike surface texture (Figure 1A and Figure 2A). Several telangiectasias were discernable within the skin lesion and in its immediate surrounding skin. The oral mucosa of the patient appeared to be free of any alterations. Findings of the general skin examination were unremarkable: no other similarly protruding skin lesions were found.

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