Treatment of [Xanthelasma] occurring around the eyes

Yellow lesions around the eyes, Xanthelasma treatment

Have you been worried about yellow lumps appearing around your eyes or on your eyelids? We understand your concerns about xanthelasma.

Xanthelasma is a skin lesion that appears as yellow, plump, raised bumps on the skin around the eyelids due to the accumulation of cholesterol or lipid components.

This is not merely a flat issue; due to its convex, protruding nature, it is difficult to remove with topical ointments alone. Careful laser treatment tailored to the depth and spread of the lesion should be considered.

We carefully treat prominent yellow xanthelasma using a dual laser approach that combines Er:YAG laser and CO2 laser.

Xanthelasma Dual Laser Approach

Xanthelasma treatment is not simply about deeply scraping off the yellow areas.

As eyelid skin is very thin and sensitive, the laser must be precisely controlled after carefully evaluating the lesion's thickness, depth of deposition, surrounding skin texture, and the potential for scarring.

Therefore, we proceed by delicately refining the lesion's surface and to a certain depth with an Er:YAG laser, and then, if necessary, using a CO2 laser to complete the treatment of deeper areas.

1. First, we plan the extent and thickness of the lesion.

Even if xanthelasma appears as a small yellow spot on the eyelid, it often spreads wider or has unclear boundaries deeper within the skin.

Before treatment, the removal area is carefully determined, considering not only the visible yellow area but also the lesion's thickness, direction of spread, and the eyelid's natural crease lines.

Protruding areas are smoothed, and boundary areas are meticulously treated to blend naturally with the surrounding skin.

2. Precise Layer-by-Layer Removal Using Er:YAG Laser (Reducing Scarring Risk)

Er:YAG laser is suitable for superficial skin resurfacing, making it useful for carefully removing lesions in thin and sensitive areas like around the eyes.

Er:YAG laser is known to offer advantages in precise removal and reducing recovery burden during xanthelasma treatment.

Instead of deeply removing the yellow deposits all at once, we proceed by dividing them into thin layers from the surface, checking as we go.

This approach can help minimize damage to normal skin while naturally refining the lesion to match the skin texture around the eyes.

3. Refining the Base and Edges with CO2 Laser, if Necessary

Even if only the visible yellow part of xanthelasma is removed, there's a possibility it may reappear if deeper deposited tissue remains.

CO2 laser can be utilized for vaporizing or ablating lesions and can be an option for xanthelasma treatment.

However, it carries a higher risk of redness and scarring compared to Er:YAG laser, so it is primarily used as an auxiliary method.

After precisely treating the lesion with an Er:YAG laser, any easily remaining base or edge areas can be lightly finished with a CO2 laser.

Rather than simply burning strongly, the output and treatment area are precisely controlled, considering the depth of the lesion and the condition of the eyelid skin.

4. Natural Finish Considering the Skin Texture Around the Eyes

Xanthelasma treatment aims for more than just removing the yellow lesions.

Because even small scars or color changes are noticeable on the eyelids, a smooth finish that blends seamlessly with the surrounding skin is important to ensure the skin surface is not uneven after treatment.

We gently refine not only the center of the lesion but also its edges, helping the eye area to recover as naturally as possible after treatment.

5. Developing a Treatment Plan that Considers Recurrence Potential

Xanthelasma can reappear even after removal. Especially if it's related to lipid metabolism or cholesterol levels, there's a possibility of recurrence after treatment, so it's advisable to consider blood tests or lifestyle improvements in conjunction, if necessary.

Based on the size and depth of the lesion, we guide you towards a phased approach if necessary, reducing the risk of scarring or hyperpigmentation, rather than attempting overly deep removal.

We consider the proper healing of the skin around the eyes to be as important as the effective removal of the lesion.

Features of Xanthelasma Dual Laser

Treatment to remove yellow lesions around the eyes with reduced scarring risk

Thin and precise layer-by-layer ablation using Er:YAG laser

Possibility of finishing the base and edges with CO2 laser

Delicate laser output adjustment tailored for thin and sensitive areas like eyelids

Customized treatment possible according to the size and depth of the lesion

Edge treatment that blends naturally with surrounding skin

You can expect improvement in areas that are protruding, have a yellow tinge, or contribute to an untidy impression around the eyes.

You may consider treatment in these cases

If yellowish, lumpy lesions appear on your eyelids or around your eyes

Those who have mistaken them for melasma, but actually have yellowish, thick, and raised lesions

Those who feel discomfort due to yellowish lesions around the eyes that are not easily concealed with makeup

Those who feel that the size of the lesions gradually expands over time

Those who are concerned about the occurrence of scars or hyperpigmentation after a procedure around the eyes

Those who have experienced the recurrence of lesions in an area previously removed

Those who prefer a precise removal method using lasers over incisional surgery

Those who are concerned that yellowish lesions around the eyes make them look tired or older than their actual age

Procedure Steps

STEP 01. 1:1 Personal Consultation

We diagnose whether the yellowish lesions around your eyes are xanthelasma and meticulously check the size and depth of invasion of the lesions.

STEP 02. Preparation of the Treatment Area

After thoroughly cleaning the skin around the eyes, we accurately mark the areas that require removal.

STEP 03. Anesthetic Cream Application

Local anesthesia is administered to alleviate any discomfort that may occur during the procedure around the eyelids.

STEP 04. Precise Er:YAG Laser Removal

We precisely remove the yellowish deposits, layer by layer, from the skin surface.

STEP 05. Additional CO2 Laser Refinement

If necessary, the base and surrounding edges of the lesion can be gently cauterized to carefully refine any remaining lesions.

STEP 06. Regenerative Care

Post-Procedure Precautions

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