How do Lip Hemangiomas appear?
The majority of lip hemangiomas are infantile and appear shortly after birth. They are characterized by three phases:
• Proliferative Phase:
The first 6–9 years, during which the hemangioma grows rapidly.
• Plateau Phase:
Growth slows down.
• Involution Phase (Regression):
The hemangioma gradually shrinks and regresses on its own, a process that may take up to 7–10 years.
However, when located on the lip, complete regression is not always guaranteed, or it may leave residual atrophy, fibrosis, or skin laxity, requiring plastic surgical intervention.
What are the main symptoms and when is immediate treatment necessary?
The main symptom is the appearance of a red to dark cherry-colored swelling (resembling a strawberry) or a deeper bluish-purple mass, located on the upper or lower lip. While most lip hemangiomas follow a benign course, immediate medical intervention is required when:
• They cause functional impairment (e.g., difficulty feeding or speaking).
• They show ulceration (open wound) or frequent, uncontrolled bleeding.
• The growth rate is very rapid, threatening facial aesthetics and psychosocial development (especially in older children or adults).
• There is significant psychosocial distress due to the deformity.
What are the modern treatment options for Lip Hemangiomas?
Treatment is individualized based on the growth phase, size, and location of the lesion. Dr. Floros applies a range of techniques:
• Medical Therapy (Propranolol):
Used mainly during the proliferative phase to slow down rapid tumor growth.
• Laser Therapy:
Ideal for superficial hemangiomas or for treating residual red discoloration after regression. It is painless and leaves no scars.
• Surgical Removal (Excision):
The treatment of choice for large hemangiomas, lesions with residual deformities (excess skin or fatty tissue), and cases where other treatments have failed.
What are the advantages of surgical removal by a Plastic Surgeon?
When necessary, surgical treatment offers:
• Definitive elimination: Complete removal of the tumor, minimizing the risk of recurrence.
• Improved aesthetic result
• Restoration of functionality: Ensures proper function of the lip sphincter and natural movement without impairment.
• Immediate psychological improvement: Correction of the deformity leads to a significant boost in self-confidence.
