Treatment Options For A Port-Wine Stain

A port-wine stain is a birthmark that develops due to swollen blood vessels. The prevalence of port-wine stains is approximately one in every three hundred births. While they can occur anywhere on the body, the stains typically form on the neck, scalp, face, arms, and legs, and they grow in proportion to the child's growth. Port-wine stains start as light pink, and they tend to darken as the child gets older. Initially smooth in texture, they may become thicker once the child is an adult. Port-wine stains are not preventable, and they are not caused by anything that occurred while the baby was in the womb. Like other birthmarks, port-wine stains can usually be diagnosed with a visual inspection. A child who has a port-wine stain on the forehead or near the eye will need to be closely monitored. In rare cases, a port-wine stain could be associated with Sturge-Weber syndrome, a condition that may cause seizures and developmental delays. Due to an increased risk of glaucoma (elevated eye pressure), doctors generally recommend treatment for port-wine stains located near the eyelids. Patients may also choose to have treatment for cosmetic reasons.

The treatment options for port-wine stains are outlined below.

Use A Quality Moisturizer

Port-wine stains tend to feel very dry, and it is often beneficial to use a quality moisturizer on the affected area. For maximum comfort, patients may want to apply a moisturizer at least once or twice a day. Lighter moisturizers can be useful in the summer, and heavier ones are ideal for winter. When selecting a moisturizer, patients may want to choose one designed for sensitive skin to avoid any irritation. Choosing products with natural ingredients free of parabens and sulfates is also recommended. Before using a new moisturizer, doctors recommend performing a patch test on a small area of skin. A small amount of the product should be applied to the inside of the wrist, and the patient should examine the area after twenty-four hours. If the area looks dry, red, or otherwise irritated, the product should not be applied to the port-wine stain. Patients having difficulty finding a moisturizer that works for their birthmark may want to ask a dermatologist for advice.

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Pulsed Dye Laser Treatment

First developed in the 1980s, pulsed dye laser treatment is typically the preferred method for the removal of a port-wine stain. Tiny laser beams are fired at the blood vessels in the affected area, and this causes the vessels to seal. Most patients need six sessions of pulse dye laser treatment over a year, and the treatment has a success rate of more than seventy-five percent. While successful treatment initially makes the port-wine stain significantly lighter, the skin in the affected area could occasionally return to a darker color after ten years. The highest success rates with pulsed dye laser are seen when it is used on pale pink port-wine stains, usually very early in a child's life. As the stains darken to purple with age, this form of laser treatment is less successful.

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