Cherry Hemangiomas

Cherry hemangiomas often seem to appear out of nowhere. One small red dot shows up on the skin, then another, and before long you’re wondering when that happened.


They’re extremely common, especially with age, and they’re almost always harmless. While cherry hemangiomas don’t require treatment, many people choose to have them evaluated or removed because of how they look or where they’re located.

At a Glance

Condition Type

Benign vascular growths (small blood vessel clusters)

Common Areas

Face, neck, trunk, arms, shoulders, chest

Goal

Clear removal with no scarring

Learn More

Cherry hemangiomas are benign growths made up of small blood vessels. They appear as small red dots on the skin.

Size and appearance:

  • Can range from as small as 1mm to as large as 1cm
  • Color varies from bright red to purple or even blue
  • Can be flat or slightly raised
  • Often described as “cherry-colored” spots

Common locations:

  • Face
  • Neck
  • Trunk
  • Arms
  • Shoulders
  • Chest

Cherry hemangiomas can appear on any area of the body but are more common in the areas listed above. They may increase in number over time.

The exact cause of cherry hemangiomas isn’t fully understood, but they are strongly associated with aging.

What we know:

  • They tend to be more common in men than women
  • They often start appearing in our thirties
  • They increase in number as we age
  • Genetics may play a role
  • Changes in blood vessels over time contribute to their formation

 

What does NOT cause them:

  • Not caused by sun exposure
  • Not caused by lifestyle habits
  • Not caused by skin injury
  • Not contagious

 

Because they involve blood vessels, cherry hemangiomas are sometimes discussed alongside other vascular concerns such as facial veins or spider veins, though they behave differently.

Cherry hemangiomas are rarely symptomatic. They don’t cause pain or discomfort under normal circumstances.

When they may become noticeable:

  • Bright red spots that draw the eye
  • Lesions that rub against clothing
  • Concern when new ones appear over time
  • Occasionally they may bleed if scratched or irritated by friction from clothes

 

Why people seek treatment: Most people who come in for cherry hemangioma treatment do so for cosmetic reasons — they simply don’t like how the spots look. Wanting reassurance or cosmetic improvement is completely reasonable.

A consultation at Lazaderm is focused on clarity and reassurance.

During your visit, your provider will:

  • Examine the lesion closely
  • Confirm that it is a cherry hemangioma (and not another type of lesion)
  • Review your medical history
  • Discuss removal options based on size, location, and number of lesions
  • Explain the procedure and aftercare

 

If removal is recommended, the process and healing expectations will be explained clearly before treatment.

Cherry hemangioma removal is typically very successful.

What to understand:

  • We can generally get 100% clearance with no scarring using laser treatment
  • Once removed, cherry hemangiomas typically do not return in the same spot
  • However, new ones can develop over time elsewhere on the body (this is the nature of the condition)
  • Treatment is quick and well-tolerated

The goal is clearer-looking skin and peace of mind.

Treatment Options

Treatment is not medically necessary, but evaluation is important to confirm the diagnosis. When removal is desired, cherry hemangiomas respond very well to treatment — particularly laser therapy. A consultation allows your provider to ensure the lesion is benign and recommend the best removal method.

Laser Treatment (Cutera 1064nm) — Preferred Method

At Lazaderm, we use the Cutera 1064nm laser as our preferred treatment for cherry hemangiomas.

How it works: The laser energy is absorbed by the blood in the vessels, which destroys the lesion. The body then naturally clears the treated tissue.

Results:

  • Cherry hemangiomas respond very nicely to laser treatment
  • We can generally get 100% clearance with no scarring
  • Quick procedure with minimal discomfort
  • No downtime required

 

Why Cutera 1064nm: Some clinics use a KTP laser, but we find that the Cutera 1064nm laser works very well. An important advantage is that it can be used safely on patients with darker skin tones, making it appropriate for a wider range of patients.

Best for:

  • Cherry hemangiomas of any size
  • Multiple lesions
  • Patients who want scarless removal
  • All skin types, including darker skin

Radiofrequency (Ellman Surgitron) — Backup Option

The Ellman Surgitron radiofrequency system can be used to cauterize cherry hemangiomas when needed.

How it works: Radiofrequency energy is used to cauterize and destroy the lesion.

When it’s used: We only use radiofrequency if the lesion does not respond to laser treatment — which is very rare. The Cutera 1064nm laser is effective for the vast majority of cherry hemangiomas.

Considerations:

  • Requires local anesthesia
  • More likely to leave a small scar compared to laser
  • Reserved for lesions that don’t respond to laser (uncommon)

Best for:

  • Rare cases where laser treatment is not effective
  • Specific situations where radiofrequency is preferred

Why We Don't Use Cryosurgery

Some providers treat cherry hemangiomas with cryosurgery (freezing), but we do not offer this approach at Lazaderm.

Why we’ve chosen not to use it: Newer technologies like lasers and radiofrequency offer much better control and cause less damage to surrounding tissue. Cryosurgery can be effective but carries higher risks of:

  • Hypopigmentation (lightening of the skin)
  • Hyperpigmentation (darkening of the skin)
  • Less precise treatment
  • More damage to surrounding healthy tissue

 

We believe the Cutera 1064nm laser provides superior results with minimal risk, which is why it’s our treatment of choice.

Talk With a Provider Near You

If you have red spots on your skin that you’d like evaluated or removed, a consultation can provide reassurance and options. At Lazaderm, cherry hemangioma removal is quick, effective, and typically leaves no scarring.