[Yellow raised lesions on eyelids] Xanthelasma Treatment

Learn about treatment methods for xanthelasma, the yellow lesions around the eyes.

Many people are concerned about the yellow lesions that appear around the eyes or on the eyelids.

Xanthelasma refers to a condition where cholesterol or lipid components accumulate in the skin around the eyelids, causing thick, yellow protrusions.

Because it arises from within the skin rather than on the surface, improvement may be difficult with topical treatments alone. It is crucial to accurately assess the depth and size of the lesion to receive appropriate laser treatment.

At Kkeut Clinic, you can expect improvement in xanthelasma through a dual laser technique that utilizes both Er:YAG laser and CO2 laser.

Kkeut Clinic's Dual Laser Approach for Xanthelasma Treatment

At Kkeut Clinic, we do not simply insist on deeply removing only the yellow parts of xanthelasma lesions.

Eyelid skin is very thin and sensitive. Therefore, laser energy is carefully adjusted, taking into multi-faceted consideration the thickness and depth of the lesion, surrounding skin texture, and the risk of scarring.

Accordingly, at Kkeut Clinic, we treat by delicately refining the lesion surface and to a certain depth using an Er:YAG laser, and if the lesion is located deeper, complementing it with a CO2 laser.

1. Meticulously diagnose the extent and thickness of the lesion

Xanthelasma may appear as small yellow spots on the eyelid surface, but in reality, it often spreads widely deep within the skin or has indistinct lesion borders that extend further.

At Kkeut Clinic, we do not only base our assessment on the yellow areas visible to the naked eye before treatment. We carefully identify the thickness of the lesion, its direction of spread, and even the natural lines of the eyelid to meticulously determine the removal scope.

Protruding areas are smoothly improved to match the surrounding skin level, and the borders are delicately refined to connect naturally with adjacent skin.

2. Reduce scarring risk with precise layer-by-layer removal using Er:YAG laser

The Er:YAG laser is known to be suitable for thin and precise removal of the skin surface. It can be usefully employed for delicately treating lesions in thin and sensitive areas like around the eyes.

Er:YAG laser helps in the precise removal of xanthelasma lesions, and positive aspects have been reported regarding the recovery process as well.

At Kkeut Clinic, rather than deeply removing the yellow deposited areas all at once, we proceed with removal by carefully checking layer by thin layer from the skin surface.

This method can help reduce damage to normal skin and naturally improve the protrusion of the lesion in harmony with the skin texture around the eyes.

3. Supplement the base and borders with CO2 laser as needed

When only the visible yellow part of xanthelasma is removed, there is a possibility of re-protrusion due to residual deposited tissue at the base.

CO2 laser can be used to vaporize or cauterize lesions and is known as one method used in xanthelasma treatment.

However, compared to the Er:YAG laser, there is a tendency for redness or scars to persist longer, which may require a cautious approach when used.

At Kkeut Clinic, after delicately refining the lesion with an Er:YAG laser, we only use a CO2 laser to meticulously finish if it is determined that supplementation of any finely remaining base or border area is necessary.

This process is not merely a method of burning with strong energy. Laser output and treatment area are precisely adjusted considering the depth of the lesion and the condition of the eyelid skin.

4. Aim for natural results by considering the skin texture around the eyes

Xanthelasma treatment goes beyond merely removing yellow lesions.

The eyelids have very thin skin and can react sensitively to subtle scars or pigment changes. Therefore, harmonious finishing with the surrounding skin is an important consideration to prevent an uneven skin surface after lesion removal.

At Kkeut Clinic, we gently refine not only the central part of the lesion but also its borders, striving to maintain the natural eye line even after the procedure.

5. Establish a treatment plan that considers the possibility of recurrence

Xanthelasma is known as a condition with a possibility of recurrence even after treatment. Especially if there is an association with lipid metabolism or cholesterol levels, lesions may reappear after the procedure, so it may be helpful to consider blood tests or lifestyle management if necessary.

At Kkeut Clinic, we carefully evaluate the size and depth of the lesion, and rather than removing it excessively deeply at once, we suggest a phased treatment method as needed, minimizing the risk of scarring or hyperpigmentation.

We believe it is important not only to remove the lesions but also for the skin around the eyes to recover healthily and naturally after the procedure.

Features of Xanthelasma Dual Laser

Focuses on removing yellow deposited lesions around the eyes while reducing the risk of scarring

Utilizes Er:YAG laser to thin and precisely refine lesions layer by layer

Can help supplement the base and borders using a CO2 laser

Delicately adjusts laser output to be suitable for the thin and sensitive eyelid area

Develops an individualized treatment plan considering the size and depth of the lesion

Refines the borders to connect naturally with the surrounding skin without creating a sense of incongruity

Can help improve the overall impression of the eye area, which may look messy due to protruding or yellow-tinged lesions

In the following cases, you may consider consulting with a specialist.

Individuals who have yellowish, lumpy lesions on their eyelids or the skin around their eyes.

Individuals who have yellowish, raised lesions that look distinct from typical melasma.

Individuals who are concerned about yellowish lesions around their eyes that cannot be covered with makeup.

Individuals who experience the lesions gradually increasing in size over time.

Individuals who are concerned about potential scarring or hyperpigmentation after treatment, due to sensitive skin around the eyes.

Individuals who have previously had lesions removed but experienced recurrence in the same area.

Individuals who prefer precise lesion removal using laser treatment rather than surgical procedures.

Individuals who are concerned that the yellowish lesions around their eyes make them look tired or older than they are.

Treatment Steps

STEP 01. Personalized Consultation

We accurately diagnose whether the patient's periorbital lesions are xanthelasma palpebrarum and meticulously examine the size and depth of the lesions.

STEP 02. Preparation of the Treatment Area

The skin around the eyes to be treated is thoroughly cleansed, and the area requiring lesion removal is precisely mapped out.

STEP 03. Application of Topical Anesthetic Cream

Anesthetic cream is applied to minimize discomfort or pain around the eyelids that may occur during the procedure.

STEP 04. Precise Removal using Er:YAG Laser

The deposited yellowish lesions are removed by delicately ablating them layer by layer from the skin's surface.

STEP 05. Finishing Touches with CO2 Laser

In some cases, the base or edges of the lesion may be gently cauterized with a CO2 laser to clear any remaining lesions.

STEP 06. Application of Regenerative Cream

Post-Treatment Care and Precautions

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