Hemangioma Excision and Reconstruction in Beverly Hills

Hemangioma Excision and Reconstruction

Infantile hemangioma, also called “strawberry hemangioma”, is one of the most common non-cancerous tumors affecting infants. There is nothing that happened during your pregnancy that may have caused hemangioma, nor is there anything you could have done to prevent it. Better understanding of hemangioma and innovative surgical techniques has led to significant advances in their treatment. Should your child need surgical treatment, Dr. David Shamouelian of Allure Aesthetic Surgery of Beverly Hills is a highly-experienced board-certified head and neck surgeon who specializes in excision of hemangioma of the skin and subcutaneous tissue and reconstructive procedures.

What is Hemangioma?

The term hemangioma means blood vessel tumor and is caused by the swelling or growth of endothelial cells, the cells that line blood vessels. It is a bright red birthmark that usually appears around the face, neck or other places on the body within the first weeks of life. Within 4-6 months, the hemangioma may grow rapidly and could reach a peak around 8 months to one year. Involution of hemangioma usually begins within 12-18 months of age. While the hemangioma may slowly disappear, it is sometimes replaced with a fibro-fatty scar which may require scar revision. Hemangiomas may grow in areas such as the liver or around the throat, which are life-threatening, or in other areas that may interfere or obstruct with normal body functions and cause vision or hearing loss. Hemangiomas deep within the body might not be recognizable until the baby is about two or three months old.

Benefits of Hemangioma Procedure

Here are some of the benefits of undergoing hemangioma excision treatment:

Minimizes the extent of the hemangioma’s growth
It prevents both short term and long term problems
Improves appearance
Minimal scarring after the excision and reconstruction

Risks and Complications

The risks and complications associated with hemangioma excision and reconstruction is similar to most risks associated with any type of surgical procedures. It is important to strictly follow the surgeon’s post-operative care instructions to reduce risk of complications. Some of the risks involved include:

Excessive bleeding
Abnormal scarring
Negative reactions to anesthesia and medications
Inadequate healing

Hemangioma Excision

Surgical excision is one of the most common solutions for hemangioma removal, especially for patients with hemangioma that has already caused serious tissue damage. Surgical excision of hemangioma is recommended if there is a significant functional deficit or aesthetic deformity from a growing hemangioma that is not responsive to medications. The surgery is performed under general anesthesia. Subcutaneous lesion is then trimmed, residual vessels may be cauterized, and the skin sutured closed, leaving dermal scarring that is usually longer than the diameter of the hemangioma. Large hemangiomas may require a series of excisions, with a few months gap in between to allow surrounding skin to heal and soften. There are other non-surgical treatment options, such as laser therapies and steroids, available and will be considered depending on the severity of the hemangioma. During hemangioma excision, Dr. Shamouelian always puts an emphasis on minimizing pain, complications and scarring.

What to Expect After the Procedure

Pediatric patients are expected to stay in the hospital for about two to three days following their hemangioma excision surgery. It is normal to experience bruising and minor crusting that could last anywhere between seven to ten days. Dr. David Shamouelian prescribes patients necessary medications in order to ensure comfortable and painless recovery. Complete recovery may take about six weeks.

Reconstructive Procedure

After surgical excision, reconstruction, also called Oculuplasty, is performed with options of direct primary closure of skin wound and use of skin or flap grafting to reduce the prominence of dermal scarring. The choice of donor site is critical to the success of reconstructive grafting procedure. Grafts from lower extremities may result in skin color mismatch. The skin in the postauricular region, area behind external part of the ear, is the best source of skin graft. The site is hidden and offers the best color match. When a larger needs to be covered, tissue expansion may be done to provide adequate skin. Dr. Shamouelian’s extensive experience in reconstructive surgery provides natural-looking results.


The cost of hemangioma excision depends on each patient’s unique condition and the complexity of the reconstructive procedures. The location of hemangioma, the technique used, the length of hospital stay, and the required medication also affect the overall cost of the treatment. The total amount will be estimated and discussed during your consultation. For more information on hemangioma excision and reconstruction, contact Allure Aesthetic Surgery of Beverly Hills at (310) 461-3835 or fill out our online contact form to schedule your consultation. You can rest assured that your child will receive care from one of the leading hemangioma specialists in Beverly Hills.

Contact Us Today

Contact the Allure Aesthetic Surgery of Beverly Hills by filling out and submitting the form. Alternatively you can call (310) 461-3835 or visit our office located at 201 South Lasky Drive, Beverly Hills, CA 90212.

Office Hours

  • Monday 9am – 5pm
  • Tuesday 9am – 5pm
  • Wednesday 9am – 5pm
  • Thursday 9am – 5pm
  • Friday 9am – 5pm

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