Xanthelasma is slightly elevated yellowish growth. They are located in the area of the upper and lower eyelids, and most often in their inner corners. Xanthelasmas are localized accumulations of fat and giant foamy cells of a benign nature. They can be an aesthetic problem that cannot be covered with makeup. They occur in people of both sexes, more often in women.

Xanthelasmas – Causes

Elevated cholesterol and triglyceride levels were previously thought to be the only cause, but half of the individuals were found to have normal lipid status. Genetic factor is the main cause of xanthelasma in people with normal lipid status. Since they can still be associated with elevated lipid levels, it is advised that people with xanthelasma check their blood lipid levels in order to correct them timely. Lipid normalisation reduces the possibility of xanthelasma recurrence.

How is xanthelasma removed?

The most effective way to remove it is using radiofrequency. Unlike laser treatment, it is completely safe for the eye area. Usually, one treatment is enough, except when they are bigger and deeply positioned. Surgical removal is recommended for larger xanthelasmas.

What does xanthelasma treatment look like?

A local anaesthetic is injected before the radiofrequency removal. Then it is gradually melted using radiofrequency loop electrode. Scabs will be present for 7 to 10 days after the intervention. Scars do not appear, only a mild hypopigmentation may remain after the removal of large lesions. During surgical removal, the sutures are removed after 7 days, leaving an inconspicuous line.
Svetlana Đurišić specijalista dermatovenerologije

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