The use of CO₂ laser for the treatment of xanthelasma palpebrarum in Korea

Background: Xanthelasma palpebrarum does not regress spontaneously, its appearance is often seen as cosmetically disturbing. Treatment of xanthelasma palpebrarum may prove difficult due to its delicate location at the periorbit and sometimes its extensive dimension. Treatments include excision, electrodesiccation, chemical cautery and laser surgery. Objective: This study was designed to evaluate the effect of a CO₂ laser for the treatment of xanthelasma palpebrarum. Methods: Twenty patients with a total of 56 xanthelasma lesions, were treated with a CO₂ laser. The Follow-up period of observation was between 12 and 84 months. Results: All lesions could be removed completely with a single laser treatment. Only transient pigmental change (hypopigmentation 1/20, hyperpigmentation 1/20) was observed without scarring. 8 patients developed a recurrence of xanthelasma. Conclusion: The CO₂ laser represents an effective means for treating xanthelasma, but recurrence is common.