Vascular malformations are common skin presentations at birth or in the first few months of life. They can be secondary to abnormalities of the capillary, venous, arterial, or lymphatic systems. Most are benign and self-limited, but a few may herald serious systemic consequences.4 The salmon patch is a common capillary malformation usually located on the forehead and upper eyelids and is present at birth. These usually resolve within 1 to 2 years, but if present on the back of the neck, may persist for life. Nevus flammus, or Port wine stains, are generally benign capillary malformations, but may persist for life. When present in the area innervated by the ophthalmic branch of the facial nerve (includes the upper eyelid and forehead), it is associated with Sturge–Webber syndrome, a neurocutaneous disorder with vascular malformations of the brain and intractable seizures.