What happens after the Xanthelasma is gone?
As it is well established now, properly formulated peels to suit each specific skin type and xanthelasma do not cause any scarring. Of course this is because the ablation does not reach the deep parts of the dermis.
However, after the xanthelasma have been ablated, the new skin grows instead of the previous Xanthelasma. Initialy the new skin will have a different texture and will not be pigmented as the rest of the sorrounding skin. Sometimes this different skin texture and color is mistaken for a scar.
Why is that?
Now, do you remember when you had a superficial wound and it healed without major complications (ie infections)?
As it may have happened to you in the past, after a superficial wound healed and the scab fell off, the new skin looked very different from the rest. Additionally, you may have also noticed that the new skin which had formed at the time might have also looked slightly raised compared with the surrounding skin.At a certain point you had forgotten about the wound altogether busy with your daily life commitments and few months later you found that the area had blended in with the rest of the skin.
How does it work?
The best solution is the use of mild peels followed by a lotion containing growth factor to accelerate the natural skin regeneration process. It is very important to select the right peel for the skin type on the eyelid area.
Of course, the type of peel to be used in order to accelerate the blending process is very different to the one used for the ablation of the Xanthelasma for removal. Moreover the eyelid area is more sensitive than the rest of face, hence the peel should be milder than other peels used for skin rejuvenation.
It is well known that the function of beauty cosmetic peels is to mildly ablate the epidermis and stimulate the fiberblasts, in this way the natural regeneration kicks in. However if regrowth is to be accelerated a hydraditng cream with grothfactor should be used soon after the old skin had been peeled off.
It is normally suggested to use hydrating cream because the immediate after effect of cosmetic peels is often dry skin. Also sun protection should be worn during the skin regeneration period. This bis because if the skin is exposed to the sun while regenerating, the ultraviolet rays are more likely to damage the DNA and therefore cause cell mutations. This is the main reason why if prolonged sun exposure following the use of cosmetic peels the likelihood of developing sun spots increases dramatically., hence efeating the whole point of using peels in the first place.
Therefore after the treatment for Xanthelasma removal, in order to accelerate the fading process of the new skin, grown soon after the Xanthelasma ablation, the following protocol can be carried out:
- Apply the appropriate peel on the whole face. It is important that the patient start applying the custom peel starting from the eye area, abnd spead it over the rest of the face.
- After the old skin has completely peeled off apply sun screen twice a day once in the morning and once after lunchtime. The application in the morning will protect the skin from occasional sun exposure throughout the morning. The application soon after lunchtime ( roughly 1.00 pm) will protect the skin from occasional sun exposure throughout the afternoon up to the evening.
- Apply a hydrating cream containing growth factor. The growth factor will stimulate and catalyse the natural regeneration process of the skin. This booster can be applied once in the evening, so that the cell regeneration will occur during the night once sun exposure is not possible therefore minimising the risks of sun damage.