At least once a week, I am asked, usually by children or by elderly folks, what happened to Lil’ CG’s face. They ask how she hurt her face or if she has a rash. And I just tell them that nothing’s wrong; it’s a birthmark. Or, if I’m talking to the very young, I’ll tell them it’s a birthmark, which is kinda like a giant freckle. Usually, if it’s an adult that asks the question, they’ll be very apologetic. Or, if they’re crazy, they’ll tell me there are great laser surgeries that will remove it so you can’t even tell it was once there.

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Lil’ CG has what is called a port-wine stain on her face. It is a vascular birthmark, a birthmark formed by a defect in blood vessels. As our International Adoption Pediatrician (IAP) explained, it’s the kind of birthmark Mikhail Gorbachev has on his head. Port-wine stains can be anywhere on the body, but are usually on the face.

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Port-wine stains are typically pink and flat and smooth in young children, but can, as children grow up, deepen in color and become thicker. They can also sometimes be linked to syndromes, such as Sturge-Weber syndrome or Klippel-Trenaunay syndrome, or, if the birthmark is located on or near the eyelid, it can lead to glaucoma. After consulting with our IAP upon Lil’ CG’s referral in January 2014 and visiting our family doctor and a pediatric ophthalmologist upon arriving home, we were reassured that Lil’ CG’s port-wine stain does not make her at risk for any of those issues.

However, it is highly probable that Lil’ CG will be affected emotionally by her birthmark, especially since it is fairly prominent and on her face. Though she doesn’t understand when others ask about it now, we know she will soon. We’ve talked with Lil’ CB about how to respond when people ask him about it (because they do), and once she has the words, we’ll teach Lil’ CG to respond the same way: “It’s a birthmark. I was born with it.”

And yes, there great laser therapies to treat port-wine stains, but we haven’t decided whether or not we’ll pursue them. Right now, we feel it’s a little too soon after Lil’ CG’s homecoming to seriously look into anything — surgery right now would likely be very traumatic. We’ve also talked about waiting until Lil’ CG specifically asks about having her port-wine stain removed, but even then, we’re not 100% as to how we would proceed.

For now and always, we will treasure our beautiful girl and her beautiful face, port-wine stain included. And if anyone tells me our little girl’s face is anything but beautiful, there’ll be something else coming to their face! Haha, just kidding…kinda?