Xanthelasma

What is Xanthelasma?

Cosmetic procedure to strengthen the skin of the eyelids. Non-surgical blepharoplasty on plasma IQ apparatus. Cosmetology for facial rejuvenation. Closeup image. Concept correcting defects, deformities, and disfigurations of the eyelids; and for aesthetically modifying the eye region of the face

Xanthoma is a skin condition where certain fats build up and become visible under the surface of the skin.  Xanthelasmas are flat, soft, yellow bumps that typically develop on the upper and lower eyelids. They are usually well defined lesions with sharp edges and can vary in size from small bumps to very large plaques. These growths are non-cancerous (benign) and painless, but may be a sign of other underlying health concerns. The development of xanthelasma has some heredity components and may indicate elevated blood cholesterol levels in approximately 50% of cases. It is important to have cholesterol and triglycerides tested, as effective treatment of elevated levels may result in some improvement to the lesions.

However, 50% of patients with this condition have normal blood cholesterol levels and the lesions have developed spontaneously. Xanthelasma are not painful or dangerous, but can be cosmetically disfiguring to some patients.  If the cosmetic appearance is not bothersome, no treatment is required and the lesions may simply be left in place.


What is the treatment for Xanthelasma?

Removal of these lesions can be quite difficult as they are often deep and patients will likely continue to develop more over time. The goal of treatment is to obtain a 60 – 75% improvement to the appearance of skin plaques. The Co2 laser is the most effective method of removing these lesions. A needle is used to inject a small amount of local anesthetic to the area being treated. The laser is used to remove the cholesterol deposits precisely, a layer at a time. Several passes with the laser is necessary to reach the base of the deposit. With very large and deep plaques, it may be impossible to remove them completely without scarring. Our goal is to remove the bulk of the lesion, to soften, flatten and minimize the appearance. After removal of the excess cholesterol, the areas will be open and will need to heal.

Over time, additional lesions will likely develop. It may be necessary to repeat treatments every few years for maintenance.

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How long does a Xanthelasma treatment at Remington Laser take?

To remove xanthelasma lesions, we’ve found our CO2 laser to be quite effective. These treatments take just 10-30 minutes depending on the depth of the lesion.


How long will it be before I see results from Xanthelasma treatment?

Plexr device delivers surgical results, but with no scalpel, wounds or stitches, no bandages and minimal downtime. Apparatus on the doctor's hand. Cropped image with copy spaceThese are immediate procedures and results. The laser energy ablates the cholesterol layer by layer, and it is immediately gone or vastly diminished in appearance.


Are there any side effects with laser treatments for this condition?

Possible depigmentation of the skin where the xanthelasma was removed. Patients with darker skin tones have an increased risk.
Enduring redness or hyperpigmentation of the skin where the xanthelasma was removed


After having my Xanthelasma removed, can it come back?

Possible depigmentation of the skin where the xanthelasma was removed. Patients with darker skin tones have an increased risk.
Enduring redness or hyperpigmentation of the skin where the xanthelasma was removed


Can the development of Xanthoma be prevented?

Xanthelasma development is linked with high cholesterol, but this is only the case in around half of people who develop the condition. Still, to prevent its occurrence, it would be wise to lower the levels of your LDL (bad) cholesterol and to raise the levels of your HDL (good) cholesterol. Since obesity and high LDL levels go hand in hand, lowering your weight could be the best prevention method possible.

Other than that, there’s no way to prevent the development of these flat, soft, yellow bumps on the eyelids.


Who is most at risk for developing Xanthelasma?

portrait of a happy smiling senior woman with grey hair outdoorsThese factors increase your odds of developing xanthelasma:

  • High cholesterol levels
  • High blood pressure
  • Obesity
  • Cigarette smoking
  • Diabetes
  • Being of Asian or Mediterranean descent
  • Being a woman

Are there home remedies for Xanthelasma?

As with all home remedies, these vary in their effectiveness. But here are a few supposedly good options to try at home.

  • Garlic — Slice or mash a garlic clove to make a paste. Apply it to the affected area, careful to keep it out of your eyes. The enzymes present in garlic help flatten the small, bumpy cholesterol deposits.
  • Castor oil — Soak a cotton ball in pure castor oil and apply it to the affected area. Secure it with a cotton ball overnight, if possible. The ricinoleic acid in castor oil helps shrink the cholesterol deposits.
  • Apple cider vinegar — Soak a cotton ball in apple cider vinegar and apply it to the affected area. Attach it with a bandage and leave it for two hours. The vinegar liquefies the cholesterol and fat.
  • Fenugreek seeds — Soak 2 tablespoons of fenugreek seeds in a glass of water overnight. Drink this mixture first thing in the morning on an empty stomach. It helps reduce the level of bad cholesterol.
  • Banana peels — The enzymes in bananas help dissolve the bumpy deposits. Cut out a small piece of a ripe banana peel. Place it over the cholesterol deposit and tape it in place overnight. Repeat every night until the bump is no longer visible.

Take the Next Step: Schedule a Consultation

To learn more about our treatment for Xanthelasma, contact Remington Laser Dermatology Centre today. To contact Dr. Kent Remington, call 403-252-7784. To call Dr. Todd Remington, call 403-255-1633.

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Our Office

Remington Laser Dermatology Centre

150 - 7220 Fisher Street SE
Calgary, AB T2H 2H8

Dr. Kent Remington ( Mon – Wed )

Tel: 403.252.7784 | Fax: 403 259 5245

Dr. Todd Remington ( Mon – Fri )

Tel: 403.255.1633 | Fax: 403 259 5245

Dr. Sharon Hackett ( Wed – Fri )

Tel: 403.255.1633 | Fax: 403 259 5245

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