Xanthelasma A Case Series

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Presentation transcript:

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

Portrait of Mona Lisa painted in 1506 www.absoluteaesthetics.co.uk Portrait of Mona Lisa painted in 1506 Suggests Xanthelasma prevalent in 16th Century

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

Causes Cause unknown High cholesterol High level of plasma lipids High BP Heart disease Genetic factors www.absoluteaesthetics.co.uk

Who gets Xanthelasma? Rare More prevalent in women 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

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

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

Advanced Electrolysis Lumps, Bumps and Skin lesions Skin tags Milia Telangiectasia Seborrhoeic Keratosis Dermatosis Papulosa Nigra “Age spots” www.absoluteaesthetics.co.uk www.absoluteaesthetics.co.uk www.absoluteaesthetics.co.uk

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

Technique 1 “Scratching” removal of epithelial layer “scratching” with needle to lift plaques www.absoluteaesthetics.co.uk

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

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

Results 10 patients (M:F 4:6 Age: 39-53years) 7 completed treatment 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

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

Before and After Images www.absoluteaesthetics.co.uk www.absoluteaesthetics.co.uk

Before and After Images www.absoluteaesthetics.co.uk www.absoluteaesthetics.co.uk

Before and After Images www.absoluteaesthetics.co.uk www.absoluteaesthetics.co.uk

Before and After Images www.absoluteaesthetics.co.uk www.absoluteaesthetics.co.uk

Before and After Images www.absoluteaesthetics.co.uk www.absoluteaesthetics.co.uk

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