Tuesday, May 7, 2013

Port Wine Stain

Port Wine Stain.
Who knew that term would define my child?
I say this because when people see Owen, 90% immediately ask what happened to his face. I don't mind the questions because nobody will ever know if I don't tell them, but I still can't help but notice that it is immediately what people wonder about him.
So what is a port wine stain anyway? A port wine stain, according to Wikipedia, "is a vascular anomaly consisting of superficial and deep dilated capillaries in the skin which produce a reddish to purplish discoloration of the skin. They are so called for their color, resembling that of port wine. It is part of the family of disorders known as vascular malformations, specifically an arteriovenous malformation". I don't care if you don't like Wikipedia, that's what a port wine stain is. Anyway, this is Owen's port wine stain the day he was born. (November 3, 2012)

 And the day he came home (2 days old)... This is easier to see because his hat is off.
I can't answer every question people have about port wine stains and I actually can't answer every question I myself have about port wine stains. I am still learning too!

When I was in high school, I read a book titled "North of Beautiful" by Justina Chen Headley. I remembered reading it because it was about a girl with a port wine stain. When Owen was a few months old, I borrowed this book from my FAVORITE Spanish teacher ever, Mrs. Tarbutton, so that I could read it again now that it actually would make sense to me.

While reading this book, I found a few things that stuck out to me. One particular part was when a scientist asked the speaker how she felt after her laser surgery. This is what it says. "Well, yeah, I feel different," she said in a high, halting voice, "but everybody made such a big deal about my face afterward, it was, like, God, was I really that ugly before?" (32)
This really made me think because Owen had his own laser surgery and everybody does make a big deal of it. But I'd hate to think that later in life, he might feel like she did (since he will have the surgeries for the rest of his life probably).

Another thing that most people don't know about port wine stains is that Owen is supposed to stay away from the sun. He is supposed to have on sunscreen and a hat anytime his sweet face is near the sun. The reason for this is because the sun darkens port wine stains and because of the sensitive skin the port wine stain is on, the sun can actually cause Owen to overheat faster than you or I would.

The reason that he will have laser surgeries probably most of his life is because even if we do this series and clear it up for now, there's a small chance that the sun will NEVER hit his face. Even though we will have multiple surgeries to clear it this time, it's most likely gonna come back and we will have to repeat this a number of times.

The doctors tell you when they go in for the laser surgery, there is no pain and it feels like a rubberband popping their face- just annoying (This is what Owen's doctor told us anyway). So we believe them, right? (For those that don't know, the laser surgery is a pulsed dye laser that lightens the port wine stain without doing an invasive procedure) So here comes the next part of the book that stood out to me, as she was preparing for her laser surgery.
"And then the laser- powerful enough to facet a diamond- began, zapping me over and over within the boundary line of my birthmark from temple to cheek, the inside edge of my nose to my jaw. And then the circuit began again. Experts describe the procedure as feeling like a rubber band snapping against skin, which makes it sound deceptively pain- free. But it's more like getting splattered with a drop of hot oil, sudden and sizzling. Try a hundred - or two hundred and fifty- laser blasts in a single session, and one word comes to mind: deep- fried." (50)
This really made me wonder what it feels like to babies who have this done. Is it really pain free or does it hurt like she says? I don't know, and I probably never will. Owen will usually have anesthesia with his. The last time, he fell asleep without it and was happy as can be when we finally got to see him.

This was immediately before his first laser surgery- he was not a happy camper because he wasn't allowed to eat and if you know Owen, he doesn't play about his food! But he was still happy anyway:)


 This is Owen immediately after his first laser surgery, swollen and sore, but still cracking a smile. (and after drinking an entire bottle in about five seconds- they starved the poor baby!)


 And last but not least, here is our latest family photo where you can see the progress that was made from the laser surgery. His surgery was March 5 and this picture was taken May 4.


So to end this blog post, I will say that I think his port wine stain is adorable and if it weren't for the medical issues it is causing and the hurt feelings that it will eventually cause, I wouldn't worry about getting it taken off. I think I'll miss it when it's gone! It's a neat little mood reader too because when he's mad, it turns dark purpley red.
 

Thanks for reading! I hope you learned something:)

13 comments:

  1. What a beauty he is Kelsey.
    I have a Right Hand/Arm (about 80% coverage) and a large patch on my back (r/h side) with a smaller patch on my chest. (you might have seen it on the FB group) Surgery wasn't an option when I was young enough for it to make a difference (now closing in on 50 yrs young)
    There seems to be so much guilt taken on by the mothers of PWS children, I love your attitude towards it.
    I can't comment as a parent with a PWS child only as a PWS wearer so my views are from the other side of the fence. I "feel" that if my son had been born with a PWS I would have a limited amount of treatment up to the point where each operation is met with diminishing returns or the point where my son became aware that we thought there was something "wrong" with him (perhaps 18 months to 2 years old at a guess)after which the line was drawn.
    I'd suggest "eradication" is not the goal, reduction of possible side effects would be my target. It's a beautiful mark Owen has, what a fantastic family picture. You're both truly blessed.
    Best wishes to you all.
    XXX
    Pete

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    Replies
    1. p.s. Just read a bit more..... I have never heard of the sun causing problems, but again, speaking from what you could class as an "old hand" in the matter, growing up as a kid in the 70's you weren't considered "healthy" unless you got brown in the summer. Only times I had "sun tan lotion" as it was called in those days was on the family holiday for 2 weeks at the seaside every year. Sun block was unheard of and factor 6 was the highest level we ever saw which was applied for the first day or 2. Most important stuff in the camping kit was a huge bottle of "after sun" cooling moisturiser as everyone got burned every year but a deep dark tan was the best protection for the rest of the summer!
      How attitudes change!
      These days I naturally follow an ever-so slightly more responsible attitude when working out doors all day in the sun.... I'll go for a factor 10 or 15 no special treatment for my arm, just treat it as the rest of my body.

      In fact, although my PWS DOESN'T change colour noticeably it actually gets less noticeable as my normal "white" skin gets darker with exposure to the GLORIOUS healing rays of sunshine.

      Going out for a few hours or even a whole day I'll very often not bother about putting lotion on unless it's the hottest part of the summer or I feel I'm starting to burn!

      Regular skin goes pink and stings when sun burnt, PWS skin stays the same colour and gets a little more sore (sensitive) and appreciates the cooling effect of moisturiser in the same way the rest of my skin does.

      I would suggest that you don't worry about the sun any more for birthmark blessed skin than for the boring parts of the body.

      "Vitamin D deficiency, why it happens?
      The major source of vitamin D for children and adults is exposure to natural sunlight. Wearing a sunscreen with a sun protection factor of 30 reduces vitamin D synthesis in the skin by more than 95%."

      If what the doctors are saying is true and a "surgery faded" birthmark will come back with exposure to the sun then I'd say sod the surgery and that would be proof enough for me that the laser is simply just another cosmetic surgery for which the doctors take a handsome reward and will gladly continue doing so for as long as they get paid!

      The sun is NOT the evil it is made out to be, we absolutely NEED the sun on our skin and preventing it purely for cosmetic reasons of someone other than yourself is (in my mind) just wrong.

      Ask yourself this - who makes money from cosmetic operations? who needs to perform cosmetic operations to keep a job, if the operations were 100% for the elimination of possible side effects why aren't they done without hesitation on ALL Port Wine Stain birthmarks?

      Don't be deluded by the doctors just because they "claim" to know more about a birthmark than you.. Just saying.

      47 years of a large PWS without a drop of laser treatment and I'm still here loving life to the max. getting brown in the sun and getting my top off whenever possible.

      LOVE LIFE.

      P.
      :¬)

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  2. Kelsey, im 43 and lived with this my whole life. Your son will most likely hate it too. I struggle with insecurities to this day. After many laser treatments, no improvement. Im always looking on line for a breakthrough that will help. I can write so much mor eon this topic but will stop here for now.

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  3. Hey Kelsey, my name is Cameron and I'm from Auckland, New Zealand. I have a port wine stain birthmark on my right forehead and eyelid, almost identical / mirror image to Owen. I have had over 15 laser treatments, starting when I was 15 months old and the last set just before high school. Each time I had a general anesthetic because they put a metal plate under the eyelid to protect the eyeball from the laser.

    The laser surgery always had some good short-term results, however it is back to full colour today. I also have significant over-growth of the bone on the brow as a result of the extra blood circulation in the area. I am now 27 and believe that the laser has done more damage than good. The skin is very sensitive- often itchy and sore. I often use a steroid cream that works like magic.

    I haven't really 'suffered' bullying or teasing because of the birthmark. However, I believe that it has contributed negatively to my sociability and has made me subconsciously self-conscious (if that even makes sense). I hold back from meeting new people and am shy/cold with strangers. I'm fairly certain that it is a learnt behaviour - a way not to draw attention to myself or make others uncomfortable. I feel that it makes me unattractive.

    I’m definitely sick of the questions at the supermarket: “What’s that on your head/eye” / “What does the other guy look like?”, or the stares from children. It baffles me that they have the confidence to even ask.

    My friends say they don't even notice it now, some love it and others even envy how it makes me unique. I agree that it is part of my identity - certainly physically and probably psychologically.

    A few weeks ago, I had an appointment with a plastic surgeon who said that he can remove the birthmark entirely in 2-3 months and warned of ongoing medical complications as I age. I have my second appointment on Monday next week. He is proposing 2 surgeries:

    1. Cut over the head behind the hairline from ear to ear and pull down skin flap. Shave down the bone to match the left brow and insert two skin/tissue expanders. These expanders are filled with saline solution and expanded daily over several weeks to grow new skin on the forehead. They will be the size of grapefruit by the time of the second surgery.
    2. Birthmark removal and grafts. Cut down the centre of the birthmark to the eyebrow, remove birthmark and join new skin together. Skin between eyelashes and eyebrow removed and replaced with grafts taken from behind the ears.

    The procedures sound absolutely awful. I know that these sorts of surgeries take place all the time for skin cancers and trauma injuries on the face. For me, though, it is elective, so why would I put myself through all this voluntarily?! Well, for the same reasons why I had laser treatments - to look 'normal'. To feel normal. Hasn't the damage already been done? Yes, but I think it will help me and reduce the risk of medical problems in the future.

    I had a CT scan to look at the bone growth – there was some concern that the bone could be growing in towards the brain as much as it has grown out. I will hear about that next week. I haven’t decided whether I will go ahead with the surgery. It’s a big decision that affects me inside and out.

    Anyway - I thought I would offer another perspective on port wine stain treatments! Surgery was something never mentioned to my parents when I was young and it seems like such a simple(?) solution as an adult.

    All the best,
    Cameron

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    Replies
    1. I have been having Cutera laser treatments. Very little discomfort and have had excellent results. Just a thought to pass on.

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  4. Hi everybody, I just want to share my story with everyone and hopefully help out other people with portwine stains who have struggled like I have. I was born with a huge portwine stain on my leg and tried various lasers like the pulsed dye laser and the medlite C6. I got fed up with everything and decided to do a search on the net for a natural home remedy and I found that castor oil will fade birthmarks so I decided to give it a shot. To my astonishment it rapidly started fading my portwine stain. (the castor plant was blessed by Jesus Christ and is otherwise know as the palma christi). I have been using it on childhood scars and they are almost gone so I am going to continue on with the rest of my portwine stain. Hope this helps all of you out there. If anyone has any questions feel free to email me.

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  5. We’ve the most qualified dermatologists for port wine stains treatment in Dubai & Abu Dhabi who have over 10 years experience in the field for 100% results.
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    ReplyDelete
  6. Good Day!
    My name is Monika I would like to share my story in hopes to help other ppl that are suffering from having a port wine stain. Having a port wine stain on my face really affected my self esteem.I tried everything from cosmetics to lasers and nothing had seemed to work for me until I heard about Basma Hameed's inspiring story that made me want to seek her help from her clinic. I had the Micropigmentation procedure done at the Basma Hameed Clinic.

    http://basmahameed.com

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  7. I came across your sons photo on google tonight, his port wine stain is very similar to my little boys, nearly 4 weeks old. I would like to keep in contact with you regarding your sons progress in the laser treatment? As I'm very nervous about my boy getting it done in the future. I Hope you can email me or add me on Facebook to keep in contact? I would love to see the results from the treatment he has had.. Thanks x

    Lettyloo@outlook.com

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  8. Hi,
    Firstly as a mum, grandparent, early childhood educator ans ex-nurse thank you much for sharing the journey of your gorgeous we man.
    I am Theo's (see above) Grandma, affectionately known as Nossie. I donhopevwe can all stay in touch, possibly by start a Facebook page, sharing accounts and strength for theses super little guys on our lives.
    Kindest Regards
    Alison

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  9. Hi,
    I just wanted to share my story. I know it may not be ideal right now, but in the future maybe you can look into it as an option because it's sure helped me.
    I have a port wine birthmark on the side of my face, I never received treatment when I was younger so it was quite dark and I was getting so tired of always having to apply concealer first then foundation, then more concealer and then setting powder before heading out, so that’s when I starting looking at other options. I stumbled upon the Basma Hameed Clinic and was shocked to see their work.
    I went in for my initial consultation and decided to move forward with the micropigmentation procedure to help me camouflage the birthmark since I’m clearly no makeup artist when it comes time to covering it. I’m now at my 5th session and I cannot believe the results, I’ve been able to save so much time in the mornings getting ready, it’s been a real time savor!

    ReplyDelete
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