Eyelid Xanthelasma laser removal

Laser Xanthelasma Removal is an invasive surgical procedure to remove cholesterol deposits on the eyelids with minimal damage to healthy tissue.

What is Eyelid Xanthelasma

Eyelid xanthelasma refers to flat or raised deposits of cholesterol on the eyelids. Read in detail: Xanthelasma - causes, diagnosis and treatment. All materials on the topic - in the Xanthelasma section.

Indications

• Xanthelasma

Contraindications

• Impaired wound healing
• Scarring tendency
• Severe somatic diseases in the stage of decompensation

Preparing for the procedure

Laser Removal

Before the procedure, the patient is placed with intraocular shields. They protect the eye from laser exposure during xanthelasma removal. After preliminary anesthesia with a laser beam, xanthelasma is evaporated. Depending on the area and size, both a surgical attachment and a high-precision scanner can be used for this purpose, which evenly and accurately removes accumulations of cholesterol in layers. The procedure lasts 30-45 minutes and upon completion the patient does not require hospitalization. Considering that rehabilitation will take 5-7 days, you should plan your time so that you do not have important meetings during the rehabilitation period.

Why a CO2 laser: comparison with other methods

Xanthelasma can be removed in several ways - surgical excision, chemical cautery with trichloroacetic acid (TCA), radiofrequency, and a CO2 laser. Surgical excision suits large, dense lesions but, close to the lid margin, raises the risk of a scar or a change in eyelid shape. Chemical cautery is cheaper yet harder to control by depth. A CO2 laser works without contact and takes off tissue layer by layer under the doctor's control, so it removes deposits on the thin eyelid skin precisely, with minimal effect on healthy areas. The best method in each case is chosen by the doctor at the consultation, depending on the size, location and number of lesions.

What the result depends on and whether it can recur

The number of sessions and the final result depend on the size of the xanthelasma, how much it protrudes above the skin, and individual healing. Small, flat lesions are often removed in a single session, while raised ones take 2-3 to avoid scarring. It is important to understand that xanthelasma is a sign of cholesterol deposition, and with a lipid metabolism disorder it can appear again even after complete removal. So, alongside cosmetic removal, it is worth checking your cholesterol level and, if needed, correcting it with a doctor - this lowers the chance of recurrence.

Recommendations after the procedure

How healing goes

Right after the procedure a thin crust forms where the xanthelasma was, and mild redness and eyelid swelling are possible for 1-2 days. The crust must not be picked off - it comes away on its own around day 5-7. During this time it is advised not to wet the area for the first day, apply cosmetics to it, or visit a sauna, pool or sunbathe. After the crust falls off the skin may stay pink for a while; to avoid pigmentation, protect the area from the sun with sunscreen. Full skin recovery takes a few weeks.

Who it is for and when to see a doctor

Removal is indicated when a xanthelasma causes cosmetic discomfort or gradually grows. Before the procedure the doctor confirms the diagnosis, because yellowish or white growths on the eyelids may turn out to be other skin lesions that need a different approach. Because xanthelasma is often a marker of elevated cholesterol, it is also worth consulting about your lipid profile. At the consultation the doctor will assess the lesions, choose the method and number of sessions, and answer your questions.

Before and after photos

Price

Frequently Asked Questions