Shave Excision and Dermabrasion of Midline Angiofibroma in Tuberous Sclerosis

We encountered a rare case of massive angiofibroma involving the midface. Treatment consisted of shave excision of long slightly vascular "shag-rug" papules, followed by repeated deep dermabrasion. The methods of treatment will vary, depending on size and vascularity of the lesions. Indications for treatment include facial hygiene, cosmetic reasons, and the cessation of chronic bleeding. Prognosis is that the angiofibroma may be expected to slowly recur and thus require further treatment.