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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 k

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

16 Before and After Images

17 Before and After Images

18 Before and After Images

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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