Xanthelasma is a benign condition that is defined by cholesterol plaques which commonly present around the eyes. Plaques appear cream or yellow in colour and can be soft to touch. Initially plaques will appear as smaller bumps, however, if left untreated will gradually continue to grow over proceeding weeks to months.
Xanthelasmas do not reside by themselves, therefore if they become cosmetically concerning, they are removed by either diathermy or laser ablation. Although the Xanthelasmas are effectively treated, removal will not prevent reoccurrence.
The Xanthelasmas are cauterised by fine needle diathermy either insulated or uninsulated or alternatively ablated by laser treatment. The area is inflamed and becomes mildly crusty for a few days post treatment. A moisturising ointment is recommended to be continued for 5 to 7 days to optimize healing.
A touch up treatment may be required with very large Xanthelasmas. Textural improvement may be required for those with many Xanthelasmas therefore Fractional RF may be recommended.