These are vascular birthmarks (Fig 10). It can appear as a large red soft growth on the eyelids. The growth will continue to enlarge and grow as the baby grows but the growth will slowly regress spontaneously when the child is three to four years old. If the vascular growths are small, they can be left alone to await spontaneous regression. If large and encroaching on the eyelid, vision may be affected. They should then receive treatment. Treatment options include oral medication, injections and laser ablation.