The xanthelasma appear as yellow spots or plaques and are usually found in eyelid skinThey are made up of cholesterol and in approximately 50% of patients it is an indication that the cholesterol in the blood is high. For this reason, patients with xanthelasma should have their blood lipids checked. Xanthelasma does not disappear on its own, but on the contrary, it can grow over time or even multiply.

They are most commonly found in average age and more often in women, as well as in people of Mediterranean and Asian descentThese cholesterol deposits under the skin are removed for cosmetic reasons.

Xanthelasma can be treated in various ways. With all the treatments There is a possibility that they will reappear if the person is prone to it, usually within a few years.

Their most effective treatment is achieved with CO2 laser, which destroys the xanthelasma causing sublimation of the epidermis resulting in the elimination of the lesion. After the treatment there is a crust in the area of the xanthelasma which subsides after a week leaving new skin in its place. The advantage of CO2 Laser treatment is the preservation of the entire surface of the skin, since the skin is regenerated from its basal layer and is not removed. Thus, if the xanthelasma recurs it can be repeated.
Trichloroacetic acid (TCA) peeling, a chemical substance that causes peeling of skin layers and at the same time destruction of the xanthelasma.
Diathermocoagulation in which the xanthelasma is cauterized using an electric current that is transferred to the skin by an electrode. This is a technique that has been largely replaced by the CO2 Laser.
Finally, the surgical removal is a traditional method of treating xanthelasma. The lesion is removed and the skin is sutured. With all treatments, xanthelasma can recur, and this method has limitations in how many times it can be repeated, since with each procedure, skin is also removed.
The treatment of xanthelasma is done with local anesthesia which is applied either in the form of a cream or in an injectable form. It is very well tolerated and leaves an excellent aesthetic result when performed by a specialist dermatologist. The recovery time is approximately 7-10 days, during which time local care of the area with antibiotic cream is required. Sun protection is necessary until the skin fully returns to its normal state.

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