XANTHELASMA Removal FAQ
Frequently asked questions about Xanthelasma removal and Xanthelasma treatment.
Xanthelasma is a particular type of Xanthoma. Xanthelasma is a yellowish formation of cholesterol around the eyes. Since these are cholesterol formations, they have no nervous terminations, therefore, they are not painful to touch. However, during removal with lasers or similar equipment, the patient may feel pain due to the transferred heat to the surrounding healthy skin around the eyes. Some devices are capable fo treating Xanthelasmas without the need of anesthetic (i.e. the Clarker by Areton)
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 has become infected or the dermis has been damaged during the excision. The manual excision is the procedure that is the most likely to cause scarring to the patient. In the majority of cases treated with surgical Lasers, Clarker, 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 makeup 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 anesthetic becomes strictly necessary.
It has been reported that the Clarker made by Areton as well as other states of the art lasers are now used to perform Xanthelasma removal without the need for anesthetic. This is because these high technological types of equipment are capable of delivering very targeted ablative heat only to the cholesterol deposits of the Xanthelasmas.
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 necessary NHS budget cuts. Xanthelasma is a benign lesion therefore can be left untreated without causing any harm to the patient.
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 highest-priced health systems in the world, therefore Xanthelasma treatment by excision can cost considerably less in other countries.
Specialized chemical peels like the XanthRemover costs between 200 to 300 USD and it does remove the xanthelasmas without leaving any scarring.
Will my Xanthelasma come back after treatment?
Sometimes Xanthelasmas do return after treatment, unfortunately. This can happen even if your cholesterol levels are normal. The only option is going through another Xanthelasma removal treatment. According to new clinical studies, the area treated with the Clarker for Xanthelasma removal does not present Xanthelasma recurrence.
How many treatment I need to remove the Xanthelasma ?
Any Size and thickness of Xanthelasma, one treatment will be enough to get rid of these unwanted lesions. If the Xanthelasmas return at a later stage further treatment will be required for removal.
If I decide to use a peel to have my Xanthelasmas removed how many treatments do I need?
This is very much dependent on the type of peel you used, Moreover, size and especially the thickness of the Xanthelasmas. For very thick Xanthelasmas you may require up to five treatments using potent peels. If you are using the XanthRemover one kit will be enough to treat 10 people. In very mild cases of Xanthelasma, only one treatment can solve the problem.
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.
Will get skin de-pigmentation after Xanthelasma removal?
De-pigmentation is always a constant of Xanthelasma treatment and removal. De-pigmentation occurs every the skin has healed after surgical Xanthelasma excision. The peeling process is the least invasive treatment available and the degree of de-pigmentation is very low compared with the degree of depigmentation after surgical excision.
The de-pigmentation will not last very long. Like after any other type of wound, it takes in the region of two months for the new skin to blend in with the rest. Normal sun exposure will accelerate the process.