Long‐wave plasma radiofrequency ablation for treatment of xanthelasma palpebrarum

Abstract

Xanthelasma palpebrarum is the most common type of xanthoma affecting the eyelids. It is characterized by asymptomatic soft yellowish macules, papules, or plaques over the upper and lower eyelids. Many treatments are available for management of xanthelasma palpebrarum, the most commonly used include surgical excision, ablative CO or erbium lasers, nonablative Q-switched Nd:YAG laser, trichloroacetic acid peeling, and radiofrequency ablation. This study aims to evaluate the effectiveness of RF ablation in the treatment of xanthelasma palpebrarum, with D.A.S. Medical portable device (Technolux, Italia), a radiofrequency tool working with long-wave plasma energy and without anesthesia. Twenty patients, 15 female and 5 male, affected by xanthelasma palpebrarum, were enrolled for long-wave plasma radiofrequency ablation treatment. The treatment consisted of 3/4 sessions that were carried out at intervals of 30 days. Treatments were well tolerated by all patients with no adverse effects and optimal aesthetic results. The procedure is very fast and can be performed without anesthesia because of the low and tolerable pain stimulation. Long-wave plasma radiofrequency ablation is an effective option for treatment of xanthelasma palpebrarum and adds an additional tool to the increasing list of medical devices for aesthetic treatments.

Plasma radiofrequency ablation for treatment of benign skin lesions: Clinical and reflectance confocal microscopy outcomes

“…3 The device works by touch, and it consists of a hand piece with a sterile tip and a wrist-generator that differently than other plasma radiofrequency devices, allows the adjustment of power and frequency. 2 In fact, the device has four regulations of power and frequency parameters making possible several combinations, with settings depending on the clinical indication and type of treatment. The mode of action does not contemplate contact between the toe and the skin, since the contact with the skin interrupts the emission of the electromagnetic wave and therefore its functioning.…”

“…The mode of action does not contemplate contact between the toe and the skin, since the contact with the skin interrupts the emission of the electromagnetic wave and therefore its functioning. 2 The extreme precision of the device allows concentrating the selected energy in very small tissue areas (1 mm in diameter) without the involvement of the surrounding skin, acting on the tissues precisely and with extreme care, leading to optimal aesthetic results and minimal risk of collateral effects. 2 Instruments and acquisition methods were described previously.…”

“…Plasma skin regeneration is a relatively recent technique consisting of generation of ionized energy that thermally heats the skin in a uniform and controlled manner, through a plasma radiofrequency (PRF) device, inducing a sublimation of the tissue. [1][2][3] In the latest few years, PRF ablation has turned out a good option for treatment of several benign skin lesions. [1][2][3] The technique can be easily performed to treat skin lesions with limited tissue invasion and no residual scars or hypo/hyperpigmentation areas.…”

“…[1][2][3] In the latest few years, PRF ablation has turned out a good option for treatment of several benign skin lesions. [1][2][3] The technique can be easily performed to treat skin lesions with limited tissue invasion and no residual scars or hypo/hyperpigmentation areas. [1][2][3] In order to provide insights into skin variations and the effects of plasma energy on the tissue, reflectance confocal microscopy (RCM) was performed in all enrolled patients.…”

“…[1][2][3] The technique can be easily performed to treat skin lesions with limited tissue invasion and no residual scars or hypo/hyperpigmentation areas. [1][2][3] In order to provide insights into skin variations and the effects of plasma energy on the tissue, reflectance confocal microscopy (RCM) was performed in all enrolled patients. RCM represents the closest in vivo analysis to the conventional histopathology while providing cytological details.…”