We had seen a dermatologist at the IWK Children's Hospital in Halifax N.S. so we were pretty confident with her opinions. But the plastic surgeon had a different opinion than our dermatologist and was against any surgery for our daughter. She will be 19 next month. Although she had a great childhood -teen experience, as she got older she was too busy with sports and social activities to want to take time to try out any treatments for her birthmark…The dermatologist at the time recommended surgery while she was young, but the plastic surgeon thought the scars would be worse than her birthmark on her face….hard to say but I feel if I was going to try surgery I would have done it when she was young and not so into sports and other activities.