Successful Cosmetic Ablation of Xanthelasma Palpebrarum With Low-Voltage Radiofrequency

Long‐wave plasma radiofrequency ablation for treatment of xanthelasma palpebrarum

“…Many treatments are available for management of XP, the most commonly used include surgical excision, ablative CO 2 or erbium lasers, nonablative Q-switched Nd:YAG laser, trichloroacetic acid peeling, and radiofrequency (RF) ablation. [2][3][4][5][6][7] Surgical excision, the treatment of choice over the past decade, is the more troublesome option because of a more difficult postoperative care, and in cases with multiple lesions, for the high risk of ectropion, especially treating the lower eyelid. 2 Trichloroacetic acid (TCA), used for chemical peeling at various percentage, requires multiple sessions with the disadvantage of frequent recurrences; moreover, the depth of penetration of chemicals cannot be adequately controlled with risk for conjunctival and scleral injury and retracting or hypertrophic scars of eyelids.…”

“…In ordinary RF ablation technique, the electromagnetic wave is transmitted by electrode on the contacted tissues which are selectively coagulated. 7 Apart from TCA peelings, all the above-mentioned treatment options require local anesthesia before starting the procedure, with related risks and a more invasive practice for the patients.…”

“…Many treatments are available for management of XP, the most commonly used include surgical excision, ablative CO 2 or erbium lasers, nonablative Q‐switched Nd:YAG laser, trichloroacetic acid peeling, and radiofrequency (RF) ablation …”

“…To RF ablation for XP removal, only few reports are published in scientific literature. In ordinary RF ablation technique, the electromagnetic wave is transmitted by electrode on the contacted tissues which are selectively coagulated …”

Fractional CO2 laser versus trichloroacetic acid 50% for xanthelasma palpebrarum therapy

“…However, side effects are reported with these techniques. [4][5][6][7][8][9] The carbon dioxide (CO 2 ) laser has been applied in many modes like a continuous, superpulsed, and ultrapulsed mode for the ablation of XP, with reported variable incidence of recurrence and adverse events. 2,5 Fractional CO 2 laser, working with theory of selective photothermolysis and creating microthermal treatment zones (MTZs), surrounded by areas of viable epidermis and dermis.…”