How do you decide if surgery is right?

Kelly - posted on 01/26/2010 ( 4 moms have responded )

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Wow I wish I had found this group or a similar one in 1998 when my daughter was born. Her hemangioma looked like a bruise at first then it got bigger and bigger until it was finally diagnosed as a "compound hemangioma". It is on her left upper chest and at its worst had her nipple displaced clear over under her armpit. It did ulcerate and talk about bleeding. Wow it would bleed so much and so fast! I used a nursing pad to cover it and had to change the dressing 2 time a day for about 3 months until it healed. We went through the dressing changes on 2 different occasions and both times it was horrible. The doctors said because of it is so close to the nipple, there was nothing we could do. At that time and in my area the only option was laser surgery. I was told that removing the hemangioma could result in removing part of the breast bud. The problem would then be that the breast would not develop at all. She is now 11 years old. The hemangioma is still there, but it has gotten smaller and her nipple is in the normal place. She really hates it because it shows in swimsuits and tank tops. A bra will not cover it up. She has asked several times why we can't just "cut it off". I have never heard of using blood pressure medicine to treat hemangiomas. Dose it work? It has been a very long time since I have done any research on it at all. 11 years ago, there was not a lot out there so I just gave up. Is a dermatologist the way to go or should I still consider plastic surgeons? I just tell her to be thankful that it can be covered by a tee shirt. The raised area is mostly gone and just the dark red area remains. It is getting grey in the middle and it has not ulcerated since she was about a year old. The doctors assured me it would be completly gone by the time she was 5 but I see how that is going. Any suggestions or ideas would help a lot.

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Melanie - posted on 05/30/2010

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If she does opt for reconstructive surgery I would advise her to wait untill she has finished developing so she doesn't have to go through so many operations.

Melanie - posted on 05/30/2010

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I would talk to a dermatolagist first, usually the propanalol doesn't work later in life but it is a very new treatment and they realy don't know alot about it. Even my daughters treatment doesn't go by any rules except the amount she can have based on her weight. I would see iff they are willing to try. Anything is worth a try I always say. With surgery and how you are discribing your daughters hemangioma I would asume they would have to remove part of her breast which might wind up being just as disfiguring as the birthmark is. She is still young and may decide she has made a wrong choice later if chooses surgery, also reconstructive surgery is amazing now and breast reconstrution has come a long way because of breast cancer. You might want to see if you can find a councelor who has dealt with people with breast cancer, I would think someone like that would be well equiped to talk to your daughter about how she feels about it and they might know about some reconstructive options available to your daughter. My son is 12 and he has a bowel disorder and even though we have a very open and understanding relationship he doesn't always want to talk to me about certain things. Especially things that make him feel uncomfortable, kids don't always want to talk to us about things they might consider sexual or private. Plus this is the age that they like to take control of these things for themselfs. Good luck and I wish your daughter the best :)

Kimberly - posted on 02/03/2010

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My daughter is 11 years old as well. Allyson's covered the whole left side of her face and ulcerated around her mouth. We opted for lip reconstruction and she has had three of them now. She has quite a bit of scarring still and gets quite a few stares and I can see that it still bothers her some. We just got the pics out again yesterday to upload them to the Parents support group on FB and we see how far she has come. I'm not sure that I would have opted for the surgery if it wouldn't have been on her face, but then again, I may have if it bother her a lot. How about just getting a consultation with both a dermatologist and a plastic surgeon? Laser surgery may be all that's needed for the color. Most of Allyson's redness is gone because of laser surgery done when she was a baby. I think the laser is what aggravated the hemangioma to ulcerate, but her dr. told me that it would have done that anyway. Who knows....I would think that after so many years that since the hemangioma is no longer in the growing stage that it wouldn't ulcerate anymore. Good Luck! :o)

Stefanie - posted on 01/30/2010

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My daughter is a lot younger (13 months now) but when she was 2 months old she developed a Hemangioma on the tip of her nose. Just like you said it started out looking like a bruise and then just got bigger. We acted fast due to the fact it was on her nose and could have caused breathing problems. We went to dermatologist and obviously our pediatrician and after really not getting any good answers on treatment options I research and found a specialist who is a surgeon in our area. I went just to hear what he had to say. I asked him about all of our options as well as things I had researched on my own. Steroids (a newer treatment) was not right for her but he recommended was laser surgery instead. I like many others was skeptical as well as scared. After having everyone from doctors to family and friends give me their two cents on what to do I went with my on instinct and scheduled the surgeries. Dr. Burns the doctor was very informative and insured me that this was the only choose for us and also that we needed to act quickly due to the location of her Hemangioma. He walked me through everything and answered every question including, “why do most people tell you to leave Hemangiomas alone and let them go away on there own” his answer and one I truly believe in now is because they don’t relies the MANY new treatment options available. After really having to let go and have confidence in this surgeon my baby girl under went 3 laser surgeries all in the first year of her life. She just recently had one and now we are waiting to see what the next step is. I will say the Hemangioma itself is completely gone there is no extra mass on the tip of her nose and the purple and red coloring is gone as well. The only time you can see anything is if you are right in her face and even then its skin color now not purple/red and that will go away as well. I just wanted you to know that there are treatment options even for an 11 year old and they are not that bad or painful and in the long run it will help her to be confident. I will also say people not just kids are MEAN we encountered many comments that if my daughter would have been older could have affected her. Now that we have done the surgery that is just one more reason I now I did the best thing for her. You should contact a specialist in your area if there is one if not a dermatologist. If not anything else they can just give you options. If you have any other questions or would like to see pictures of before and afters this was our doctors site http://www.kidsplastsurg.com/

and it gives you lots of treatment options as well as pictures. Hope this helps!