schließen (X)


Laser ablation of xanthelasma palpebrarum – the pinhole method

Keywords | Summary | Correspondence | References


, , , ,



Background and Objectives: Xanthelasma palpebrarum is a xanthoma arising on the eyelids. When the lesion is large, surgical removal may cause distortion, and total laser ablation or chemoablation can cause scarring and delayed healing. Here, we introduced an adequate method to treat a large xanthelasma palpebrarum lesion. Materials and Methods: Patients were treated with either CO2 or Er:YAG laser with a beam size of 1.5 – 2 mm (interbeam distance: 1 – 2 mm). Three independent plastic surgeons assessed the degree of improvement, scarring, and pigmentation. Results: A total of 13 patients were treated using the pinhole method (7 women and 6 men). The mean patient age was 50.1 ± 8.72 years. The mean follow-up period was 8.3 months. The mean number of treatments was 3 times. The mean grade of improvement was 3.54. Nonetheless, there were 3 cases of hypopigmentation that occurred with a larger lesion size and darker skin color. Conclusion: Large xanthelasmas were treated successfully using the pinhole method. The pinhole method appears to be effective for treating large xanthelasma palpebrarum lesions while avoiding scarring or distortion.


Leider haben Sie sich nicht eingeloggt, um den Beitrag lesen zu können. Bitte loggen Sie sich ein oder beantragen Sie Ihre Zugangsberechtigung. Vielen Dank. Weitere Informationen finden Sie hier>

Address of Correspondence

Dr. Deok-Woo Kim
Dept. of Plastic and Reconstructive Surgery
Korea University
Ansan Hospital
123, Jeokgeum-ro, Danwon-gu,

Conflict of Interests

No conflict of interest.


1. Bergman R (1994) The pathogenesis and clinical significance of xanthelasma palpebrarum. J Am Acad Dermatol 30: 236-42.

 2. Kavoussi H, Ebrahimi A, Rezaei M, Ramezani M, Najafi B, and Kavoussi R (2016) Serum lipid profile and clinical characteristics of patients with xanthelasma palpebrarum. An Bras Dermatol. 91: 468-71.

3. Pandhi D, Gupta P, Singal A, Tondon A, Sharma S, Madhu SV (2012) Xanthelasma palpebrarum: a marker of premature atherosclerosis (risk of atherosclerosis in xanthelasma). Postgrad Med J 88: 198-204.

 4. Elabjer BK, Busić M, Sekelj S, Krstonijević EK (2009) Operative treatment of large periocular xanthelasma. Orbit 28: 16-9.

 5. Nahas TR, Marques JC, Nicoletti A, Cunha M, Nishiwaki-Dantas MC, Filho JV (2009) Treatment of eyelid xanthelasma with 70% trichloroacetic acid. Ophthalmic Plast Reconstr Surg 25: 280-3.

6. Delgado Navarro C, Lanuza García A, Llorca Cardeñosa A, Bañón-Navarro R, Corchero Martin G (2013) Application of laser CO2 for the treatment of xanthelasma palpebrarum. Arch Soc Esp Oftalmol 88: 320-2.

 7. Mannino G, Papale A, De Bella F, Mollo R, Morgia P, Gabrieli CB (2001) Use of Erbium:YAG laser in the treatment of palpebral xanthelasmas. Ophthalmic Surg Lasers 32: 129-33.

8. le Roux P (1977) Modified blepharoplasty incisions: their use in xanthelasma. Br J Plast Surg 30: 81-3.

9. Eedy DJ (1996) Treatment of xanthelasma by excision with secondary intention healing. Clin Exp Dermatol 21: 273-5.

10. Güngör S, Canat D, Gökdemir G (2014) Erbium: YAG laser ablation versus 70% trichloroacetıc acid application in the treatment of xanthelasma palpebrarum. J Dermatolog Treat 25: 290-3.

11. Hawk JL (2000). Cryotherapy may be effective for eyelid xanthelasma. Clin Exp Dermatol 25: 351.

12. Ahn KJ, Kang JS, Cho SB (2013) Treatment of xanthelasma palpebrarum by the pinhole method using a 10,600-nm carbon dioxide laser. Med Laser 2: 70-2.



Lost your password?