Xanthelasma palpebral may sound unfamiliar to us, but it is actually a common benign tumor in dermatology. The symptoms are soft, yellowish, flat, wart-like protrusions on the eyelid skin, which often occur symmetrically on the inner canthus of both sides. In severe cases, it may even spread to the periorbital area. This disease is related to the patient's blood lipids, so it is necessary to pay attention to the patient's blood lipid conditions. So what is the best treatment for xanthelasma? Xanthelasma is a type of xanthelasma disease, characterized by soft, yellowish, flat, wart-like protrusions on the eyelid skin, often occurring symmetrically on the bilateral inner canthi. Xanthelasma is a single or several small yellow spots that gradually grow larger, bulge and fuse, and become round or oval in shape. They may form a horseshoe or irregular shape around the inner canthus, but do not extend beyond the orbital area. They are generally the size of a grain of rice to a bean, have no subjective symptoms, develop slowly, and cannot disappear on their own. People believe that the occurrence of this disease is the formation of lipid-containing tissue cells in the skin, but it is sometimes accompanied by hyperlipidemia, lipoproteinemia, atherosclerosis, etc., so it is also considered to be an external skin manifestation of lipid metabolism disorders within the system. Erbium laser is a solid-state pulsed laser with a wavelength of 2.94 microns, which is in the infrared region of the spectrum that is invisible to the human eye. When erbium laser pulses act on the skin, the energy is quickly absorbed by the tissue, causing the rapid heating of the superficial skin, resulting in instantaneous vaporization, separation and precise exfoliation of the tissue. Because the effect is shallow and the wound heals quickly, it is most suitable for darker skin and Asian skin types. The divergence angle of CO2 laser is extremely small and the energy density is high. After focusing, it can reach a power of several kilowatts per square centimeter. It can be used in medicine to vaporize, burn or cut the lesion tissue, so the CO2 laser therapy device is also called a laser knife. The unfocused original light beam irradiating the diseased tissue can produce a coagulation effect. CO2 laser is an infrared light with a wavelength of 10.6nM. It can penetrate tissues deeply and, after beam expansion, can provide heat therapy for deep tissues. 【Indications】 Xanthelasma, also known as xanthelasma palpebrae, is the most common xanthelasma and a metabolic skin disease. Once it occurs, it mostly occurs near the medial canthus on both sides, which is the central part of the face. It is often symmetrically distributed. The rash is relatively persistent, progressive and multiple, and may combine with each other. 【Contraindications】 (1) It is contraindicated for patients with pacemakers, cardiac electrodes or other metal devices in their bodies. (2) Pregnant women. (3) It is contraindicated for use by patients with immune deficiency, hypertension, or coronary heart disease. (4) Patients with scar-prone constitution and skin infection in the area to be treated. (5) Patients suspected of having skin cancer. (6) Those who have unrealistic expectations. 【Notes】 (1) Preventing pigmentation: Mainly, you should avoid light as much as possible. You can choose to treat it in winter. In addition, for newly healed wounds, you can cover them with gauze for a period of time. This method helps to reduce pigmentation. (2) The scab will fall off 7 to 14 days after the operation, and temporary skin erythema or pigmentation will appear in the operated area. After 1 month, the erythema and pigmentation will gradually subside, and the pigmentation will basically return to normal after 3 months. Avoiding sunlight for 3 months after treatment is key to preventing worsening pigmentation. (3) Postoperative care: Patients should be advised not to allow the wound to get wet to prevent infection. Avoiding sunlight and radiation can effectively reduce pigmentation. Patients with chloasma and freckles have a longer recovery period for pigmentation. This should be informed in advance so that they can understand and cooperate with the treatment. |
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