RESUMO
Periorbital congenital melanocytic naevi can be very disfiguring and difficult to treat effectively. Although surgical excision and reconstruction is the most widely accepted treatment strategy, we describe a case in which cutaneous lasers treatment followed by the application of cosmetic skin camouflage make-up provided an alternative solution delivering a good cosmetic improvement.
Assuntos
Cosméticos/uso terapêutico , Neoplasias Faciais/terapia , Terapia com Luz de Baixa Intensidade , Nevo Pigmentado/terapia , Neoplasias Cutâneas/terapia , Adolescente , Técnicas Cosméticas , Neoplasias Faciais/congênito , Feminino , Humanos , Lasers de Estado Sólido , Nevo Pigmentado/congênito , Neoplasias Cutâneas/congênitoRESUMO
Congenital melanocytic nevi are rare lesions which depending on their size and location may cause major cosmetic and psychological problems. Large congenital melanocytic nevi may undergo malignant change and can also be associated with neurocutaneous melanosis. The different treatment approaches reach different levels of the skin. Complete excision is the treatment of choice, but is not always possible with giant nevi. Superficial treatment can reduce the pigmentation, but repigmentation is not uncommon. Incomplete removal of melanocytic nevi does not reduce the melanoma risk. Surgical intervention must be carefully planned; the advantages and disadvantages of the different modalities must be discussed with the parents. The risk of malignant transformation must be weighed up against the expected aesthetic and functional outcomes.