Full-thickness elliptical excision of lobular capillary hemangioma over upper eyelid with good aesthetic outcome: A report of two cases

Lobular capillary hemangioma (LCH) or pyogenic granuloma is a benign vascular tumor seen in children and adults, with a propensity to bleed profusely. Diagnosis can be made on the basis of sudden onset, rapid growth, history of trauma, and recurrent bleeding, though histopathological evidence is confirmatory. As these tumors do not usually regress spontaneously and have a high rate of recurrence, full-thickness surgical excision is a good option, especially in areas of low tension, such as the eyelids, as it offers satisfactory results with good aesthetic outcome and low chances of recurrence. Here, we report two cases of LCH over the upper eyelids, which were treated by full-thickness elliptical excision.