What is Xanthelasma?
Xanthelasma is a condition in which lesions and fat-rich deposits form on the skin. Moreover, these lesions get deposited in various parts of the body and are yellowish.
Xanthelasma causes yellowish deposits of fat and cholesterol to collect under the skin.
Xanthelasma, also known as xanthelasma palpebrarum, is an accumulation of excess lipids that are present around the eyes.
It presents as flat, yellow-colored lesions present mainly on the inner side of the upper and lower eyelids.
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Table of Contents
Causes of Xanthelasma
Symptoms of Xanthelasma
Do’s & Don’ts for Getting Xanthelasma
Xanthelasma Treatment
Causes of Xanthelasma
Xanthelasma features yellow patches on the interior corners of the eyelids. Some causes of xanthelasma include the following.
- Primary biliary cirrhosis (a liver disease) can increase cholesterol levels
- Low HDL or high LDL cholesterol
- Familial hypercholesterolemia, which is inherited high cholesterol
Symptoms of Xanthelasma
The development of flat yellow growths on the eyelids forms the most noteworthy of all signs and symptoms of xanthelasma. The most common locations include upper eyelids, especially near the nose, or one or both the lower eyelids. Xanthelasma is seen as a yellow-to-orange bump or patch. It is flat-surfaced and has well-defined borders.
Xanthelasma does not go away on its own. Instead, it may grow in number and spread to a significant surface area if not treated promptly.
Do’s & Don’ts for Getting Xanthelasma
DO: Follow a healthy lifestyle
DO: Eat a balanced diet.
DO: Exercise regularly.
DO: Maintain a healthy weight.
DON’T: Eat unhealthy junk food.
DON’T: Smoke
DON’T: Drink alcohol.
DON’T: Be inactive.
Xanthelasma Treatments
Xanthelasma is usually harmless. However, it may be a sign of an underlying issue. It may be an issue with lipid levels and cholesterol. Hence, it may also be an early warning of heart disease.
The accurate diagnosis of xanthelasma removal treatment requires a thorough evaluation by an approved healthcare expert, usually a dermatologist.
Therefore, xanthelasma treatment requires medical attention. Moreover, if left untreated, it will only spread further. Other than surgical methods, an individual’s lifestyle choices play a major role in people with increased levels of lipids. Only lifestyle changes have no effect on already developed lesions of xanthelasma. But it can help to prevent the spread or recurrence in a few individuals.
The following changes are necessary :
- A healthy balanced diet with vegetables, salads, fruits, cereals, and meat.
- Minimization of saturated fats (found in meat, butter, other dairy products, coconut oil, palm oil)
- Reduction of intake of simple and refined sugars (found in soft drinks and confectionaries)
- Losing weight
- Exercising regularly
- Avoid smoking & drinking
It can be treated with various treatment options.
Cryotherapy treatment freezes the lesions with liquid nitrogen or another appropriate chemical. After which the lesions fall off in a few days. But this treatment usually requires multiple sessions and is associated with post-inflammatory hyper/hypopigmentation so it is not done commonly.
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Laser surgery with the Fractional CO2
In this CO2 laser treatment is used for the Xanthelasma removal methods. This is done under topical anesthesia. removal with laser is a highly precise, minimally painful, and very safe way to treat xanthelasma.
In this method, the lesion is removed surgically under local anesthesia. This is usually done for larger extensive lesions and needs surgical skill and expertise.
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Radiofrequency Advanced Electrolysis (RAF):
RF Microsurgery is considered an easy, safe, quick, inexpensive, and effective treatment for xanthelasma removal. In this, the lesion is removed layer by layer under local/topical anesthesia.
This treatment involves the application of a medicated solution (trichloroacetic acid) on the lesions. This usually requires multiple sessions and is done for small superficial lesions.
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Medication
- Medical management has a role only in people with associated disorders.
- There is no role of medications in the removal of xanthelasma.
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