Are you experiencing discomfort from yellow lesions around your eyes? Let's learn about xanthelasma treatment.

Many people are concerned about yellow deposits around their eyelids. These lesions can be expected to improve with treatment.

Xanthelasma refers to yellow, raised lesions that form on the eyelid skin due to the accumulation of lipid components such as cholesterol.

The skin surface is not flat but features plump, raised areas, making improvement difficult with simple ointments or topical care alone. Appropriate laser treatment may be necessary depending on the depth and extent of the lesion.

At Kkeuthan Clinic, you can expect improvement in yellow xanthelasma lesions through a dual laser approach that combines Er:YAG laser and CO2 laser.

Kkeuthan Clinic's Xanthelasma Dual Laser Treatment Process

At Kkeuthan Clinic, when treating xanthelasma, we consider the surrounding skin environment rather than aggressively removing only the yellow areas.

The eyelid skin is very thin and sensitive, so precise laser control is necessary, carefully considering the thickness of the lesion, the depth of lipid deposition, and the texture of the periorbital skin. Additionally, the possibility of scar formation must be kept in mind.

Therefore, Kkeuthan Clinic approaches this by delicately refining the surface down to a certain depth using an Er:YAG laser, and for deeper lesions, finishing with a CO2 laser.

1. Confirming the Extent and Depth of the Lesion

Although xanthelasma may appear as small yellow lesions on the surface, it often spreads extensively beneath the skin or has indistinct borders.

At Kkeuthan Clinic, prior to treatment, we don't just look at the yellow exposed areas, but comprehensively consider the thickness of the lesion, its direction of spread, and even the eyelid wrinkle lines to plan the removal area.

The goal is to adjust the height of the visibly protruding lesion and delicately refine the border areas to blend smoothly with the surrounding skin.

2. Precise Layer-by-Layer Removal Using Er:YAG Laser

The Er:YAG laser is suitable for micro-exfoliation of the skin surface and can be used to delicately control and remove lesions in thin and sensitive areas like the periorbital region.

The Er:YAG laser is used for precise removal of xanthelasma lesions, and there are reports that it may also have advantages in terms of recovery.

At Kkeuthan Clinic, rather than aggressively removing the yellow deposit lesions deeply in one go, we proceed carefully, checking layer by thin layer from the skin surface.

This method can help reduce damage to normal skin while naturally adjusting the height of the lesion to match the skin texture around the eyes.

3. Complementing the Base and Border Areas with CO2 Laser

Even if the yellow surface lesion of xanthelasma is removed, there is a possibility that it may reappear if deposited tissue remains in the deeper base.

The CO2 laser works by vaporizing or cauterizing lesional tissue and is known as one of the methods that can be utilized in the treatment of xanthelasma.

However, compared to the Er:YAG laser, redness or scars may persist longer, making it difficult to be the sole primary approach in some cases.

At Kkeuthan Clinic, after precisely refining the lesion with an Er:YAG laser, we can carefully treat the base and border areas of the lesion, which are prone to recurrence, with a CO2 laser only when necessary.

Rather than indiscriminately burning with strong energy, it is important to meticulously adjust the laser output and treatment area, considering the depth of the lesion and the condition of the eyelid skin.

4. Natural Results Tailored to the Eye Area's Skin Texture

Xanthelasma treatment is not merely about removing yellow lesions.

The eyelid skin is thin, so even small scars or subtle color differences can be easily noticeable. Therefore, a finish that blends naturally with the surrounding skin is important to ensure the skin surface does not become uneven after removal.

At Kkeuthan Clinic, in addition to the central part of the lesion, we gently refine the border areas to help the eye contour recover as naturally as possible after the procedure.

5. Treatment Approach Considering Recurrence Potential

Xanthelasma is a lesion with a possibility of recurrence even after removal. Especially if it's related to lipid metabolism or cholesterol levels, it may reappear after the procedure, so it's advisable to consult with a specialist for blood tests or lifestyle management as needed.

At Kkeuthan Clinic, considering the size and depth of the lesion, we recommend a gradual treatment approach as needed, rather than aggressively removing it deeply in one go, thereby reducing the risk of scars or hyperpigmentation.

Aesthetic recovery of the periorbital skin is considered just as important as lesion removal.

Expected Effects of Xanthelasma Dual Laser Treatment

Helps in removing yellow deposits around the eyes by reducing the possibility of scar formation.

Enables thin and delicate layer-by-layer ablation using Er:YAG laser.

Allows for complementing the base and border areas with CO2 laser.

Delicate power adjustment suitable for thin and sensitive areas like the eyelids.

Consideration of customized treatment according to lesion size and depth.

Refinement of border areas to blend naturally with surrounding skin.

Can help improve periorbital protrusion, yellow discoloration, and overall facial impression.

If you are concerned about the following:

If yellow deposits are observed on your eyelids or around your eyes.

If you have lesions that look like melasma but are yellowish and raised.

If you have bothersome yellow lesions around your eyes that are not easily covered by cosmetics.

If you notice the size of the lesions gradually spreading or enlarging over time.

If you have significant concerns about scarring or hyperpigmentation after treatment around the sensitive eye area.

If the lesions have recurred in the same location despite previous removal.

If you prefer precise removal using a laser rather than surgical incision.

If you are concerned that the yellow lesions around your eyes make you look tired or older than you are.

Treatment Procedure Guide

STEP 01. Personalized Consultation

A specialist will directly diagnose whether the yellow lesions around your eyes are xanthelasma and meticulously check the precise extent and depth of the lesions.

STEP 02. Preparation of Treatment Area

Before the procedure, the skin around the eyes is thoroughly cleansed, and the areas requiring removal are carefully marked.

STEP 03. Local Anesthesia Application

Anesthetic cream is applied to minimize any discomfort around the eyelids that may occur during the procedure.

STEP 04. Precise Removal using Er:YAG Laser

The yellow deposited lesions are delicately removed layer by layer from the skin surface to minimize damage to surrounding tissues.

STEP 05. CO2 Laser Application and Finishing

If necessary, a CO2 laser may be used to finely refine and finish the base and edges of the lesions.

STEP 06. Application of Regenerative Cream

Post-Procedure Precautions

ㆍImmediately after the procedure, redness, swelling, stinging, oozing, and small scabs may appear in the treated area.

ㆍDo not forcibly remove any scabs that form; allow them to fall off naturally for proper skin regeneration.

ㆍIt is recommended to consistently manage the treated area with regenerative cream or moist dressing products like Duoderm or Duogel to prevent dryness.

ㆍDuring the recovery period, refrain from rubbing or scrubbing the area around your eyes vigorously.

ㆍIt is advisable to refrain from using cosmetic makeup (such as eyeshadow, eyeliner, etc.) until the treated area has fully recovered.

ㆍVisiting jjimjilbangs (Korean saunas), saunas, swimming pools, as well as drinking alcohol and smoking, are recommended to be avoided for at least one week.

ㆍStrong UV exposure can cause hyperpigmentation, so please take extra care to protect yourself from the sun when going outdoors.

ㆍIf the lesions are considerably deep or wide, complete removal may be difficult with a single treatment, and multiple sessions may be required.

ㆍXanthelasma may recur even after treatment, depending on the patient's constitutional factors or lipid metabolic status.