Archive

Winter 2003, Vol. 11 No. 4

H.K. Dermatol. Venereol. Bull. (2003) 11, 200-202

Pearls in Dermatology

How I treat xanthelasma palpebrarum

WKK Fung 馮健港

Abstract
Xanthelasma palpebrarum occurring around the eyes may signify the presence of hyperlipidaemia and its removal is mainly for cosmetic reasons. Treatment options include control of hyperlipidaemia if present, topical trichloroacetic acid (TCAA), cryotherapy, cauterization, surgical excision, laser ablation, and combination method using laser plus topical acid. A combination of carbon dioxide laser ablation with topical trichloroacetic acid application can achieve complete removal of the lesion with good cosmetic result and low recurrence rate.