DOI QR코드

DOI QR Code

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

  • Park, Jeong Do (Department of Plastic and Reconstructive Surgery, Soonchunhyang University Gumi Hospital) ;
  • Kim, Se Young (Department of Plastic and Reconstructive Surgery, Soonchunhyang University Gumi Hospital) ;
  • Jeong, Hyun Gyo (Department of Plastic and Reconstructive Surgery, Soonchunhyang University Gumi Hospital) ;
  • Wee, Syeo Young (Department of Plastic and Reconstructive Surgery, Soonchunhyang University Gumi Hospital)
  • Received : 2021.10.01
  • Accepted : 2021.11.02
  • Published : 2021.12.31

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.

Keywords

References

  1. Alster T, Hirsch R. Single-pass CO2 laser skin resurfacing of light and dark skin: extended experience with 52 patients. J Cosmet Laser Ther 2003;5:39-42. https://doi.org/10.1080/14764170310000835
  2. Alster TS, Garg S. Treatment of facial rhytides with a high-energy pulsed carbon dioxide laser. Plast Reconstr Surg 1996;98:791-4. https://doi.org/10.1097/00006534-199610000-00005
  3. Rohrich RJ, Janis JE, Pownell PH. Xanthelasma palpebrarum: a review and current management principles. Plast Reconstr Surg 2002;110:1310-4. https://doi.org/10.1097/00006534-200210000-00016
  4. Haque MU, Ramesh V. Evaluation of three different strengths of trichloroacetic acid in xanthelasma palpebrarum. J Dermatolog Treat 2006;17:48-50. https://doi.org/10.1080/09546630500475708
  5. Alster TS, Lupton JR. Prevention and treatment of side effects and complications of cutaneous laser resurfacing. Plast Reconstr Surg 2002;109:308-16; discussion 317-8. https://doi.org/10.1097/00006534-200201000-00048
  6. Esmat SM, Elramly AZ, Abdel Halim DM, Gawdat HI, Taha HI. Fractional CO2 laser is an effective therapeutic modality for xanthelasma palpebrarum: a randomized clinical trial. Dermatol Surg 2014;40:1349-55. https://doi.org/10.1097/DSS.0000000000000172
  7. Lee HY, Jin US, Minn KW, Park YO. Outcomes of surgical management of xanthelasma palpebrarum. Arch Plast Surg 2013;40:380-6. https://doi.org/10.5999/aps.2013.40.4.380
  8. Alster TS, Lupton JR. An overview of cutaneous laser resurfacing. Clin Plast Surg 2001;28:37-52. https://doi.org/10.1016/s0094-1298(20)32338-5
  9. Alster TS. Carbon dioxide laser skin resurfacing. In: Alster TS, editor. Manual of cutaneous laser techniques. 2nd ed. Philadelphia: Lippincott Williams & Wilkins; 2000. p. 119-34.
  10. Laftah Z, Al-Niaimi F. Xanthelasma: an update on treatment modalities. J Cutan Aesthet Surg 2018;11:1-6. https://doi.org/10.4103/JCAS.JCAS_56_17
  11. Jonsson A, Sigfusson N. Letter: Significance of xanthelasma palpebrarum in the normal population. Lancet 1976;1:372. https://doi.org/10.1016/S0140-6736(02)95366-3
  12. Nair PA, Singhal R. Xanthelasma palpebrarum- a brief review. Clin Cosmet Investig Dermatol 2017;11:1-5. https://doi.org/10.2147/CCID.S130116
  13. Alster TS, Kauvar AN, Geronemus RG. Histology of high-energy pulsed CO2 laser resurfacing. Semin Cutan Med Surg 1996;15:189-93. https://doi.org/10.1016/S1085-5629(96)80010-1
  14. Pedace FJ, Winkelmann RK. Xanthelasma palpebrarum. JAMA 1965;193:893-4. https://doi.org/10.1001/jama.1965.03090110031008
  15. Lever WF, Schaumburg-Lever G. Histopathology of the skin. 6th ed. Philadelphia: J. B. Lippincott; 1983. p.387.
  16. Vermeer BJ, Mateysen AA, van Gent CM, van Sabben RM, Emeis JJ. The lipid composition and localization of free and esterified cholesterol in different types of xanthomas. J Invest Dermatol 1982;78:305-8. https://doi.org/10.1111/1523-1747.ep12507376
  17. Baes H, van Gent CM, Pries C. Lipid composition of various types of xanthoma. J Invest Dermatol 1968;51:286-93. https://doi.org/10.1038/jid.1968.130