Xanthelasma are yellow deposits of plaque, slightly raised above the skin surface or flat, located on the inner corners of the eye lids. They represent a benign, localized deposit of lipids and giant foamy cells. They are more common among women. They are a considerable esthetic problem and cannot be covered by makeup.
What are the causes of xanthelasma?
It was thought that xanthelasma appear only in persons with high lipids and high blood cholesterol levels. Half of xanthelasma cases have normal range blood lipids. In these persons, the genetic factor is the strongest causation factor. Xanthelasma can coincide with diabetic hyperlipidemia, biliary cirrhosis or atherosclerosis. Patients with xanthelasma are advised to perform biochemical testing for blood lipid levels to check if lipid correction is necessary.
How are xanthelasma removed?
The most efficient way of removing xanthelasma is the use of radio waves. The use of radio waves is completely safe in the area surrounding the eyes, as compared to laser removal treatments. One treatment is usually sufficient for complete removal. For xanthelasma which are larger and more deeply embedded, the treatment needs to be repeated.
What does xahthelasma removal treatment look like?
The patient is injected with a small amount of local anesthetic prior to the intervention. The lipid deposits are slowly dissolved using a radio wave wire loop. It takes seven to ten days for the scabs to fall off after the intervention. There is no scarring after removal.