Treatment Options for Birthmarks
Treatment options for birthmarks depends on their type, location, size, and impact on health or appearance. Many birthmarks fade over time or remain stable, requiring no intervention beyond regular observation. However, others may benefit from medical or surgical treatment.
1. Observation
- Most harmless birthmarks, like Mongolian spots and small moles, require no treatment.
- Doctors may recommend yearly skin checks, especially for pigmented moles.
2. Laser therapy
- Effective for port wine stains and some haemangiomas.
- Multiple sessions may be needed to reduce redness or improve skin texture.
- Laser treatments are generally safe and cause minimal discomfort.
3. Beta-blocker medication
- For rapidly growing infantile haemangiomas, oral propranolol may be prescribed.
- Helps shrink the lesion by constricting blood vessels.
- Close monitoring is needed for side effects like low blood pressure or glucose levels.
4. Corticosteroid injections or oral steroids
- Sometimes used for vascular birthmarks that are not suitable for beta-blockers.
- Can help reduce inflammation and growth.
5. Surgical removal
- Indicated for:
- Moles or naevi with suspicious features
- Large or deforming congenital moles
- Birthmarks causing functional impairment (e.g. blocking vision)
- Performed under local or general anaesthetic, depending on the patient’s age and mark size.
6. Cosmetic camouflage
- Specialised makeup can be used to conceal visible birthmarks, particularly on the face or hands.
- Useful for teens and adults seeking short-term aesthetic solutions.
Availability in South Africa:
- Laser therapy and dermatological surgery are mainly available in private healthcare or tertiary hospitals.
- Rural areas may have limited access, leading to delays in treatment.
- NGOs and medical outreach programs sometimes offer free or subsidised laser sessions for children with visible facial birthmarks.
Treatment Options for Birthmarks
Ultimately, the decision to treat is personal, guided by medical advice and patient or parental preference. Emotional impact, especially in children, is just as important as physical health.
👉 [Next: Emotional and Social Impact of Birthmarks]

