Xanthelasma palpebrarum: Treatment with the erbium:YAG laser

Abstract

The erbium:YAG laser represents an effective means for treating xanthelasmas with few side effects.

Erbium-YAG laser therapy – analysis of more than 1,200 treatments

“…Fibromas, xanthelasmas, papulosis nigra or syringomas can be found here causing negative effects on esthetic perception. Such lesions can be removed with excellent outcome by the erbium-YAG laser [17][18][19][20]. Only, in case of bleeding lesions, a second session will be necessary.…”

Treatment of Xanthelasma Palpebrarum by the Pinhole Method Using a 10,600-nm Carbon Dioxide Laser

“…1 To date, several studies have reported on the therapeutic efficacies of ablative and nonablative lasers for XP, including 10,600-nm carbon dioxide (CO2) lasers, erbium-doped yttrium aluminum garnet (YAG) lasers, 1,550-nm erbium-doped fractional lasers, pulsed dye lasers, Q-switched neodymium (Nd):YAG lasers, and 1,450-nm diode lasers. [2][3][4][5][6] The pinhole method using a CO2 laser refers to a procedure in which multiple small holes mimicking sweat pores are made on skin lesions, such as burn scars and syringomas. 7,8 Puncturing the targeted skin lesions with the pinhole method is easy to perform and results in less oozing and post-therapy erythema.…”

Erbium:Yttrium Aluminum Garnet Laser Treatment for Xanthelasma Palpebrarum

“…The most significant reason for the use of Er:YAG laser is that, unlike the CO2 laser, with which detecting residual lesion tissue can be difficult, because of thermal effects and formation of char, the Er:YAG laser causes only mild residual thermal injury and no char formation, enabling complete removal of xanthelasmas. [13][14][15] We believe that the Er:YAG laser provides the most effective treatment for xanthelasmas, because it completely removes eyelid xanthelasmas with a minimal recurrence rate and it is easy to administer. Common skin lesions on the eyelids of middle-aged women include syringomas and milia.…”

“…Recently, a 2,940-nm erbium (Er):YAG laser has come into use for treating xanthelasma palpebrarum. [13][14][15][16] The Er:YAG laser seems to eliminate xanthelasma palpebrarum more precisely than other techniques. Additionally, treatment with the laser enables wound healing with no residual scarring.…”