Background: Most cutaneous hemangiomas involute spontaneously. However, the lesion existing on the face poses a cosmetic problem while waiting for involution.
Case reports: Three hemangioma cases were treated by repeated local injection of 5% ethanolamine oleate solution. The lesions flattened and markedly reduced in size as shown by clinical and imaging evaluation.
Conclusions: Use of 5% ethanolamine oleate as a sclerosing agent for repeated intralesional injection in the management of facial hemangiomas is a safe treatment with acceptable results. As presented here, this technique offers the patient considerable relief of symptoms with minimal complications. However, the possibility of second-stage surgery to correct residual deformity is still considered. Sclerotherapy with ethanolamine oleate provides a good preparation for further surgery.