
In most cases, birthmarks need looking after carefully.
The area treated with laser will seem bruised and may feel like mild sunburn. The skin is very fragile and needs gentle handling. Some lasers do not cause as much surface bruising, but the skin still needs care afterwards.
The haemangioma surface can be very delicate and dry, so avoid bubble bath, rinse any soap or shampoo off carefully and pat the area gently afterwards.
A thin layer of Vaseline® or other water resistant cream put gently over the haemangioma can stop it drying out. Also, use damp cotton wool as baby wipes can be irritating.
The sun can make haemangiomas temporarily swollen, so use a high factor sun cream, a hat to protect the face and/or an umbrella over the buggy or pushchair.
As blood vessels in a haemangioma are near the skin’s surface, they can bleed if they are knocked or scratched. Keep both your nails and your children’s nails short and buffed, to avoid scratching the surface.
If the birthmark starts to bleed, apply pressure on it with a clean handkerchief or cloth for at least five minutes. If blood soaks through, add another cloth on top and keep up the pressure. Don’t take it off to have a look, as this could start the bleeding again.
If the bleeding continues even after pressing down for another five minutes, go to your nearest NHS Walk-In Centre or Accident and Emergency department.
If the child’s haemangioma develops an ulcer, it will need special attention until it heals. Keep the area clean by washing it twice a day, preferably in a bath or by pouring water over the area, and leave it to dry naturally. Once the area is dry, cover the whole haemangioma with a non-sticky dressing. These are available on prescription from your GP.
Venous malformations can be painful if knocked or if a clot has formed. Regular pain relief such as ibuprofen and paracetamol usually deal with the discomfort, but stronger medicines can be prescribed if needed.