FAQ about Xanthelasma Removal

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Frequently asked questions about Xanthelasma removal and Xanthelasma treatment.

 

Will I be left with scars after being treated for Xanthelasma removal with surgical excision?

Scars formations are very much dependent on:

  • the level of precision of the equipment used
  • the ability of the operator

Generally scars are likely after excision, in case the area treated have become infected or the dermis has been damaged during the excision. The manual excision, using a conventianal scalpel is the procedure that is the most likely to scar the client. In the majority of cases treated with surgical Lasers,  Hyfrecator or electrocautery units (used in fulguration mode) no scars have been left after healing.

The few cases of scarring reported have been mainly due to:

  • lasers misuse (which caused considerable damage to the dermis)
  • subsequent infection of the part after excision. Therefore no make up must be used after any of these procedures to avoid unnecessary complications.

 

If I decide to have my Xanthelasmas surgically excised, will I need anaesthetic?

Some new surgical lasers operate at particular wavelengths which do not transfer enough heat to the surrounding healthy skin to cause severe pain during the treatment. However, with most conventional surgical lasers, the pain caused during Xanthelasmas excision could be so severe that local anaesthetic becomes strictly necessary.

The Hyfrecator made by Conmed as well as other state of the art lasers, can be used used to perform Xanthelasma removal without the need for anesthetic. This is because these high technological equipment are capable of delivering very targeted ablative heat only to the cholesterol deposits of the Xanthelasma.

 

Is Xanthelasma treatment covered by NHS in the UK?

To a certain extent it was before 2008, however is it not now. This is due to the NHS budget cuts. Xanthelasma is a benign lesion therefore can be left untreated without causing any harm to the individual.

 

Is Xanthelasma treatment covered by my insurance in the US?

Xanthelasmas removal is considered to be a cosmetic procedure. Therefore it will be covered by your insurance only if your insurance covers cosmetic treatments. Normally standard health insurances do not cover this type of treatment.

 

How much does Xanthelasma treatment cost?

The cost of surgical excision can start at 700 USD, however these low prices are very rare. The average price in the US is in the region of 2500 dollars for Xanthelasma removal on both eyes. The US has one of the the highest priced health systems in the world, therefore Xanthelasma treatment by excision can cost considerably less in other countries.

Specialized formulated chemical peels like the XanthRemover cost between 300 to 400 USD and it does remove the xanthelasmas without leaving any scarring.

 

Will my Xanthelasma come back after treatment?

Sometimes Xanthelasma do return after treatment unfortunately. This can happen even if your cholesterol levels are normal. The only option is going through another Xanthelasma removal.

 

If I decide to have my Xanthelasmas surgically excised, how many treatments should I undergo?

Notwithstanding the size and thickness of the Xanthelasmas, one treatment will be usually enough to get rid of these unwanted lesions. in certain cases of deep rooted Xanthelasma the treatment should be split into two sessions, During the first session the main bulk of the Xanthelasma is removed. Usually the deep rooted residues of the Xanthelasma should be left untreated during the first session to avoid potential damage to the dermis.

One month later, the deep rooted Xanthelasma residues left untreated will have shifted to the superficial layers of the epidermis. Therefore during the second session it will be easy to remove all the remaining Xanthelasma residues leaving the dermis unaffected and therefore minimizing the risks of scarring.

If the Xanthelasmas return at a later stage further treatment will be required. There no ,much that can be done to avoid xanthelasma recurrence, however you can read more on our Xanthelasma prevention section.

 

If I decide to use a peel to have my Xanthelasmas removed how many applications do I need?

This is very much dependent on the type of peel used, size and especially thickness of the Xanthelasma. For very thick Xanthelasma you may require up to 2 to 3 applications. However the higher the peel concentrations the fewer sessions will be required.  If you are using the XanthRemover one kit will be enough to treat 10 people. In very mild cases of Xanthelasma only one to two aplications can remove the Xanthelasma.

 

What is the difference between skin de-pigmentation and scarring?

De-pigmentation occurs every time a wound heals. This is due to the lack of melanin in the skin formed after a wound has healed. The texture of the new skin is very similar to the rest of the skin. The newer skin is pinker in color due to the lack of melanin. The de-pigmentation will fade away after normal sun exposure.

Therefore the main difference between a scar and a skin de-pigmentation is that a scar will be visible after years and its texture is different in nature to the normal skin. A skin de-pigmentation will fade away within 3 to 4 months.

 

Will I get skin de-pigmentation after Xanthelasma removal?

De-pigmentation is always a constant occurrence of Xanthelasma treatment and removal. De-pigmentation occurs every time the skin has healed after surgical Xanthelasma excision. The use of customized peels is the least invasive treatment available and the degree of de-pigmentation is very low compared with the degree of de-pigmentation after surgical excision.

The de-pigmentation will not last very long. Like after any other type of wound,  it takes in the region of 3 to 4 months for the new skin to blend in with the rest. Normal sun exposure will accelerate the process.

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