Examining treatment strategies for xanthelasma palpebrarum: a comprehensive literature review of contemporary modalities

Yee, Danielle A.; Zhou, Albert E.; Khachemoune, Amor

doi:10.1007/s00403-024-02863-y

Arch Dermatol Res

2024

DOI: 10.1007/s00403-024-02863-y

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Examining treatment strategies for xanthelasma palpebrarum: a comprehensive literature review of contemporary modalities

Danielle A. Yee,

Albert E. Zhou,

Amor Khachemoune

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Aesthetic Surgical Treatment of Large Xanthelasma palpebrarum

Lin,

2024

Aesth Plast Surg

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Background Xanthelasma palpebrarum (XP) is a common eyelid condition. Various treatment modalities exist, each with its own merits and drawbacks. Managing larger lesions poses increased challenges. This study aims to explore the aesthetic surgical management of large xanthelasma palpebrarum. Methods Patients with xanthelasma palpebrarum presenting to our department underwent partial excision of the lesion and debridement of the medullary nucleus under local anesthesia for lesions with a diameter of 6 mm or more. Microsurgical scissors were utilized to remove residual subcutaneous lesions. Postoperatively, tie-over bolster dressings were applied. Patients with lipid and glucose abnormalities received corresponding therapy. Bolster dressings were removed on the third postoperative day, with suture removal seven days later. Results All flaps subjected to subcutaneous medullary debridement exhibited complete viability, with minimal localized eyelid depression early postoperatively and inconspicuous scarring three months post-surgery. No instances of lid ectropion were observed. The eyelid maintained a natural appearance, with a low recurrence rate of xanthelasma palpebrarum. Conclusion Surgical intervention involving partial excision of the lesion and medullary nucleus debridement offers a satisfactory approach for managing large xanthelasma palpebrarum. Level of Evidence IV This journal requires that authors assign a level of evidence to each article. For a full description of these Evidence-Based Medicine ratings, please refer to Table of Contents or the online Instructions to Authors www.springer.com/00266.

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Aesthetic Surgical Treatment of Large Xanthelasma palpebrarum

Lin,

2024

Aesth Plast Surg

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Examining treatment strategies for xanthelasma palpebrarum: a comprehensive literature review of contemporary modalities

Cited by 1 publication

References 50 publications

Aesthetic Surgical Treatment of Large Xanthelasma palpebrarum

Aesthetic Surgical Treatment of Large Xanthelasma palpebrarum

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