The term hemangioma has traditionally been used to describe a variety of developmental vascular anomalies. In recent years, great progress has been made in the classification and understanding of these vascular lesions. Currently, hemangiomas are considered to be benign tumors of infancy that are characterized by a rapid growth phase with endothelial cell proliferation, followed by gradual involution. Most hemangiomas cannot be recognized at birth, but arise subsequently during the first 8 weeks of life. On the other hand, vascular malformations are structural anomalies of blood vessels without endothelial proliferation. A case of extraoral hemangioma affecting the left cheek of a 10 year old female is presented here with management and literature review.