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Xanthelasma A Case Series

Xanthelasma A Case Series. Victoria Smith BSc ( Hons ) ITEC VTCT Director of Aesthetics. Portrait of Mona Lisa painted in 1506. Suggests Xanthelasma prevalent in 16 th Century. What is Xanthelasma ?. Lipoprotein Yellow plaques flat or slightly raised Eyelids lower and upper

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Xanthelasma A Case Series

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  1. XanthelasmaA Case Series Victoria Smith BSc (Hons) ITEC VTCT Director of Aesthetics

  2. Portrait of Mona Lisa painted in 1506 Suggests Xanthelasma prevalent in 16th Century

  3. What is Xanthelasma? Lipoprotein Yellow plaques flat or slightly raised Eyelids lower and upper Harmless cosmetically unattractive, irritating Can grow 3mm – 6cm diameter Sharp distinct border

  4. Causes Cause unknown High cholesterol High level of plasma lipids High BP Heart disease Genetic factors

  5. Who gets Xanthelasma? Rare Hampton R. Oct 2011, Medscape More prevalent in women F:M ratio = 2:1 (Christoffersen et al. BMJ 2011\0 Age of onset = 15 - 73yrs Peak age = 40 – 50 yrs

  6. Existing Treatments for Xanthelasma Surgery - skin grafts, flaps Cryotherapy- Liquid Nitrogen Laser e.g. Nd:YAG Trichloroacetic acid Camouflage Make Up

  7. History of Electrolysis Invented by Dr Charles E Michel 1875 Developed for Trichiasis Uses galvanic/short wave diathermy current Insertion of needle - emitting current FDA approved for permanent hair removal

  8. Advanced Electrolysis Lumps, Bumps and Skin lesions Skin tags Milia Telangiectasia SeborrhoeicKeratosis DermatosisPapulosaNigra “Age spots”

  9. The Procedure Clean environment Short wave diathermy 17-19 MHz Sterex (UK) One piece stainless steel needle 2 techniques used

  10. Technique 1 “Scratching” removal of epithelial layer “scratching” with needle to lift plaques

  11. Technique 2 “Dotting” used if plaques don’t raise repeated “tapping”of plaque heat accumulates plaque darkens and crusts

  12. After Procedure No discomfort Area resembles a graze Sometimes bleeds - before scab forms Scab comes away 5 - 7 days

  13. Results 10 patients (M:F 4:6 Age: 39-53years) 1 failed to complete 2 part way through treatment 7 completed treatment all xanthelasma removed 100% patient satisfaction 4wks - 1year post treatment variable healing, blemish remaining all: would have the treatment repeated would recommend

  14. Results at 1 year 2 patients at 1 year No re-growth in treated area Slight pink scarring easy to cover Little re-growth in new areas Increased self esteem

  15. Before and After Images

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  19. Before and After Images

  20. Conclusion Successful removal of xanthelasma Scrapping technique more exposed wound - longer to heal Dotting technique less of an open wound - quicker to heal Significant increase in patient self esteem Low cost Low downtime

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