Med Lasers.  2021 Dec;10(4):246-249. 10.25289/ML.2021.10.4.246.

Endpoint Depth When Removing Xanthelasma Using CO₂ Laser Ablation: A Case Report

• Park JD
• Kim SY
• Jeong HG
• Wee SY

• KMID: 2533538
• DOI: http://doi.org/10.25289/ML.2021.10.4.246

Abstract

The carbon dioxide (CO₂) laser is one of the treatment options used for xanthelasma palpebrarum. However, even if the full dermal layer is removed, the lesion can recur due to the residual lipid deposits. A 44-year-old male patient with xanthelasma on both upper eyelids was treated with a pulsed dye CO₂ laser. On the right upper eyelid, we carried out a CO₂ laser treatment until the yellowish plaque was almost invisible and the full thickness of the dermal layer was removed. On the left upper eyelid, the dermal layer was partially removed and an additional squeezing out of yellowish particles was done. The lesion treated by the squeezing out of lipid droplets showed better long-term results than the lesion treated up to the deeper dermal layer.

Keyword

Xanthelasma; CO₂ laser