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Xanthelasma A Case Series Victoria Smith BSc (Hons) ITEC VTCT Director of Aesthetics.

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Presentation on theme: "Xanthelasma A Case Series Victoria Smith BSc (Hons) ITEC VTCT Director of Aesthetics."— Presentation transcript:

1 Xanthelasma A Case Series Victoria Smith BSc (Hons) ITEC VTCT Director of Aesthetics

2 Portrait of Mona Lisa painted in 1506 Suggests Xanthelasma prevalent in 16 th 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 = yrs 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 Seborrhoeic Keratosis Dermatosis Papulosa Nigra Age spots

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

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

11 Technique 2 Dotting used if plaques dont 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 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





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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