inal ▁em bol ization , ▁possibly ▁related ▁to ▁high ▁injection ▁press ures . ▁ ▁Top ical ▁tim ol ol ▁male ate , ▁a ▁non select ive ▁beta ▁block er ▁available ▁in ▁a ▁gel - form ing ▁solution ▁approved ▁for ▁the ▁treatment ▁of ▁gla u com a , ▁has ▁been ▁increasing ly ▁recognized ▁as ▁a ▁safe ▁and ▁effective ▁off - label ▁alternative ▁for ▁treatment ▁of ▁small ▁hem ang iom as . ▁ ▁It ▁is ▁generally ▁applied ▁two ▁to ▁three ▁times ▁daily . ▁ ▁S urg ery ▁S urg ical ▁exc ision ▁of ▁hem ang iom as ▁is ▁rarely ▁indicated , ▁and ▁limited ▁to ▁les ions ▁which ▁fail ▁medical ▁ther apy ▁( or ▁when ▁it ▁is ▁contra ind ic ated ), ▁which ▁are ▁an atom ically ▁distributed ▁in ▁a ▁location ▁which ▁is ▁am enable ▁to ▁res ection , ▁and ▁in ▁which ▁res ection ▁would ▁likely ▁be ▁necessary ▁and ▁the ▁scar ▁will ▁be ▁similar ▁regardless ▁of ▁timing ▁of ▁the ▁surg ery . ▁ ▁S urg ery ▁may ▁also ▁be ▁useful ▁for ▁removal ▁of ▁resid ual ▁fib ro f at ty ▁t issue ▁( follow ing ▁hem ang i oma ▁in volution ) ▁and ▁reconst ruction ▁of ▁dam aged ▁structures . ▁ ▁Las er ▁Las er ▁ther apy , ▁most ▁often ▁the ▁p uls ed ▁d ye ▁las er ▁( P DL ), ▁plays ▁a ▁limited ▁role ▁in ▁hem ang i oma ▁management . ▁P DL ▁is ▁most ▁often ▁used ▁for ▁treatment ▁of ▁ul cer ated ▁hem ang iom as , ▁often ▁in ▁conj unction ▁with ▁top