{"id":107410,"date":"2024-07-10T06:23:48","date_gmt":"2024-07-10T06:23:48","guid":{"rendered":"https:\/\/mallorcamedicalgroup.com\/?p=107410"},"modified":"2025-11-25T14:31:05","modified_gmt":"2025-11-25T14:31:05","slug":"treatment-of-xanthelasmas","status":"publish","type":"post","link":"https:\/\/mallorcamedicalgroup.com\/en\/blog\/plastic-surgery-en\/treatment-of-xanthelasmas\/","title":{"rendered":"Treatment of Xanthelasma"},"content":{"rendered":"<p style=\"text-align: center;\"><div id=\"ez-toc-container\" class=\"ez-toc-v2_0_82_2 ez-toc-wrap-left counter-hierarchy ez-toc-counter ez-toc-grey ez-toc-container-direction\">\n<div class=\"ez-toc-title-container\">\n<p class=\"ez-toc-title\" style=\"cursor:inherit\">Tabla de Contenidos<\/p>\n<span class=\"ez-toc-title-toggle\"><a href=\"#\" class=\"ez-toc-pull-right ez-toc-btn ez-toc-btn-xs ez-toc-btn-default ez-toc-toggle\" aria-label=\"Toggle Table of Content\"><span class=\"ez-toc-js-icon-con\"><span class=\"\"><span class=\"eztoc-hide\" style=\"display:none;\">Toggle<\/span><span class=\"ez-toc-icon-toggle-span\"><svg style=\"fill: #999;color:#999\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\" class=\"list-377408\" width=\"20px\" height=\"20px\" viewBox=\"0 0 24 24\" fill=\"none\"><path d=\"M6 6H4v2h2V6zm14 0H8v2h12V6zM4 11h2v2H4v-2zm16 0H8v2h12v-2zM4 16h2v2H4v-2zm16 0H8v2h12v-2z\" fill=\"currentColor\"><\/path><\/svg><svg style=\"fill: #999;color:#999\" class=\"arrow-unsorted-368013\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\" width=\"10px\" height=\"10px\" viewBox=\"0 0 24 24\" version=\"1.2\" baseProfile=\"tiny\"><path d=\"M18.2 9.3l-6.2-6.3-6.2 6.3c-.2.2-.3.4-.3.7s.1.5.3.7c.2.2.4.3.7.3h11c.3 0 .5-.1.7-.3.2-.2.3-.5.3-.7s-.1-.5-.3-.7zM5.8 14.7l6.2 6.3 6.2-6.3c.2-.2.3-.5.3-.7s-.1-.5-.3-.7c-.2-.2-.4-.3-.7-.3h-11c-.3 0-.5.1-.7.3-.2.2-.3.5-.3.7s.1.5.3.7z\"\/><\/svg><\/span><\/span><\/span><\/a><\/span><\/div>\n<nav><ul class='ez-toc-list ez-toc-list-level-1 ' ><li class='ez-toc-page-1 ez-toc-heading-level-3'><a class=\"ez-toc-link ez-toc-heading-1\" href=\"#\" data-href=\"https:\/\/mallorcamedicalgroup.com\/en\/blog\/plastic-surgery-en\/treatment-of-xanthelasmas\/#What_is_xanthelasma\" >What is xanthelasma?<\/a><\/li><li class='ez-toc-page-1 ez-toc-heading-level-3'><a class=\"ez-toc-link ez-toc-heading-2\" href=\"#\" data-href=\"https:\/\/mallorcamedicalgroup.com\/en\/blog\/plastic-surgery-en\/treatment-of-xanthelasmas\/#Medical_Treatments\" >Medical Treatments<\/a><ul class='ez-toc-list-level-4' ><li class='ez-toc-heading-level-4'><a class=\"ez-toc-link ez-toc-heading-3\" href=\"#\" data-href=\"https:\/\/mallorcamedicalgroup.com\/en\/blog\/plastic-surgery-en\/treatment-of-xanthelasmas\/#1_Intralesional_Sodium_Heparin\" >1. Intralesional Sodium Heparin<\/a><\/li><li class='ez-toc-page-1 ez-toc-heading-level-4'><a class=\"ez-toc-link ez-toc-heading-4\" href=\"#\" data-href=\"https:\/\/mallorcamedicalgroup.com\/en\/blog\/plastic-surgery-en\/treatment-of-xanthelasmas\/#2_Intralesional_Bleomycin\" >2. Intralesional Bleomycin<\/a><\/li><\/ul><\/li><li class='ez-toc-page-1 ez-toc-heading-level-3'><a class=\"ez-toc-link ez-toc-heading-5\" href=\"#\" data-href=\"https:\/\/mallorcamedicalgroup.com\/en\/blog\/plastic-surgery-en\/treatment-of-xanthelasmas\/#Laser_Treatments\" >Laser Treatments<\/a><ul class='ez-toc-list-level-4' ><li class='ez-toc-heading-level-4'><a class=\"ez-toc-link ez-toc-heading-6\" href=\"#\" data-href=\"https:\/\/mallorcamedicalgroup.com\/en\/blog\/plastic-surgery-en\/treatment-of-xanthelasmas\/#1_Erbium_laser_Er_YAG\" >1. Erbium laser (Er:YAG)<\/a><\/li><li class='ez-toc-page-1 ez-toc-heading-level-4'><a class=\"ez-toc-link ez-toc-heading-7\" href=\"#\" data-href=\"https:\/\/mallorcamedicalgroup.com\/en\/blog\/plastic-surgery-en\/treatment-of-xanthelasmas\/#2_CO2_Laser_Carbon_Dioxide\" >2. CO2 Laser (Carbon Dioxide)<\/a><\/li><li class='ez-toc-page-1 ez-toc-heading-level-4'><a class=\"ez-toc-link ez-toc-heading-8\" href=\"#\" data-href=\"https:\/\/mallorcamedicalgroup.com\/en\/blog\/plastic-surgery-en\/treatment-of-xanthelasmas\/#Comparison_between_Erbium_Laser_and_CO2_Laser\" >Comparison between Erbium Laser and CO2 Laser<\/a><\/li><li class='ez-toc-page-1 ez-toc-heading-level-4'><a class=\"ez-toc-link ez-toc-heading-9\" href=\"#\" data-href=\"https:\/\/mallorcamedicalgroup.com\/en\/blog\/plastic-surgery-en\/treatment-of-xanthelasmas\/#Other_Laser_Treatments\" >Other Laser Treatments<\/a><\/li><li class='ez-toc-page-1 ez-toc-heading-level-4'><a class=\"ez-toc-link ez-toc-heading-10\" href=\"#\" data-href=\"https:\/\/mallorcamedicalgroup.com\/en\/blog\/plastic-surgery-en\/treatment-of-xanthelasmas\/#1_1064_nm_Nd_YAG_Laser\" >1. 1064 nm Nd:YAG Laser<\/a><\/li><li class='ez-toc-page-1 ez-toc-heading-level-4'><a class=\"ez-toc-link ez-toc-heading-11\" href=\"#\" data-href=\"https:\/\/mallorcamedicalgroup.com\/en\/blog\/plastic-surgery-en\/treatment-of-xanthelasmas\/#2_Pulsed_Diode_Laser\" >2. Pulsed Diode Laser<\/a><\/li><\/ul><\/li><li class='ez-toc-page-1 ez-toc-heading-level-3'><a class=\"ez-toc-link ez-toc-heading-12\" href=\"#\" data-href=\"https:\/\/mallorcamedicalgroup.com\/en\/blog\/plastic-surgery-en\/treatment-of-xanthelasmas\/#Surgical_Treatments\" >Surgical Treatments<\/a><ul class='ez-toc-list-level-4' ><li class='ez-toc-heading-level-4'><a class=\"ez-toc-link ez-toc-heading-13\" href=\"#\" data-href=\"https:\/\/mallorcamedicalgroup.com\/en\/blog\/plastic-surgery-en\/treatment-of-xanthelasmas\/#1_Surgical_Extirpation\" >1. Surgical Extirpation<\/a><\/li><li class='ez-toc-page-1 ez-toc-heading-level-4'><a class=\"ez-toc-link ez-toc-heading-14\" href=\"#\" data-href=\"https:\/\/mallorcamedicalgroup.com\/en\/blog\/plastic-surgery-en\/treatment-of-xanthelasmas\/#2_Plasma_Ablation\" >2. Plasma Ablation<\/a><\/li><\/ul><\/li><li class='ez-toc-page-1 ez-toc-heading-level-3'><a class=\"ez-toc-link ez-toc-heading-15\" href=\"#\" data-href=\"https:\/\/mallorcamedicalgroup.com\/en\/blog\/plastic-surgery-en\/treatment-of-xanthelasmas\/#Pharmacological_Treatments\" >Pharmacological Treatments<\/a><ul class='ez-toc-list-level-4' ><li class='ez-toc-heading-level-4'><a class=\"ez-toc-link ez-toc-heading-16\" href=\"#\" data-href=\"https:\/\/mallorcamedicalgroup.com\/en\/blog\/plastic-surgery-en\/treatment-of-xanthelasmas\/#1_Statins_and_Other_Hypolipidemic_Agents\" >1. Statins and Other Hypolipidemic Agents<\/a><\/li><\/ul><\/li><li class='ez-toc-page-1 ez-toc-heading-level-3'><a class=\"ez-toc-link ez-toc-heading-17\" href=\"#\" data-href=\"https:\/\/mallorcamedicalgroup.com\/en\/blog\/plastic-surgery-en\/treatment-of-xanthelasmas\/#Video_about_xanthelasma\" >Video about xanthelasma<\/a><\/li><li class='ez-toc-page-1 ez-toc-heading-level-3'><a class=\"ez-toc-link ez-toc-heading-18\" href=\"#\" data-href=\"https:\/\/mallorcamedicalgroup.com\/en\/blog\/plastic-surgery-en\/treatment-of-xanthelasmas\/#General_Considerations\" >General Considerations<\/a><\/li><li class='ez-toc-page-1 ez-toc-heading-level-3'><a class=\"ez-toc-link ez-toc-heading-19\" href=\"#\" data-href=\"https:\/\/mallorcamedicalgroup.com\/en\/blog\/plastic-surgery-en\/treatment-of-xanthelasmas\/#References\" >References<\/a><\/li><\/ul><\/nav><\/div>\n<h3><span class=\"ez-toc-section\" id=\"What_is_xanthelasma\"><\/span>What is xanthelasma?<span class=\"ez-toc-section-end\"><\/span><\/h3>\n<p><strong>Xanthelasma<\/strong> is a type of lump or yellowish spot that appears on the eyelids, usually near the eye. It is formed by the accumulation of fat under the skin and is more common in people with high cholesterol, although it can also appear in those with normal levels. <\/p>\n<p>It does not hurt or itch, but it can grow over time and become more noticeable. Although it is not dangerous to health, many people seek to remove it for cosmetic reasons, using treatments such as laser, surgery or injections. <\/p>\n<h3><span class=\"ez-toc-section\" id=\"Medical_Treatments\"><\/span>Medical Treatments<span class=\"ez-toc-section-end\"><\/span><\/h3>\n<p>If you are considering <b>surgery in Mallorca<\/b> we invite you to contact us to schedule a consultation with our team of experts. We will happily answer your questions, address your concerns, and help you make an informed decision.<\/p>\n<h4><span class=\"ez-toc-section\" id=\"1_Intralesional_Sodium_Heparin\"><\/span>1. Intralesional Sodium Heparin<span class=\"ez-toc-section-end\"><\/span><\/h4>\n<p>&#8211; Method: Intralesional injections of sodium heparin.<br \/>\n&#8211; Efficacy: Preliminary studies have shown significant reductions in the size and appearance of xanthelasmas with minimal side effects. The results showed that 73% of the patients obtained a resolution of more than 75% of the lesion, and 20% achieved a resolution of 50-75%, positioning this treatment as a simple, safe and effective option for <a href=\"https:\/\/mallorcamedicalgroup.com\/blog\/cirugia-plastica\/clasificacion-del-xantelasma-por-grados\/\" target=\"_blank\" rel=\"noopener\">grade I and II<\/a> xanthelasmas.<\/p>\n<h4><span class=\"ez-toc-section\" id=\"2_Intralesional_Bleomycin\"><\/span>2. Intralesional Bleomycin<span class=\"ez-toc-section-end\"><\/span><\/h4>\n<p>&#8211; Method: Injection of bleomycin directly into the lesions.<br \/>\n&#8211; Efficacy: This treatment has shown promising results in the reduction of xanthelasmas.<\/p>\n<h3><span class=\"ez-toc-section\" id=\"Laser_Treatments\"><\/span>Laser Treatments<span class=\"ez-toc-section-end\"><\/span><\/h3>\n<h4><span class=\"ez-toc-section\" id=\"1_Erbium_laser_Er_YAG\"><\/span>1. Erbium laser (Er:YAG)<span class=\"ez-toc-section-end\"><\/span><\/h4>\n<p>&#8211; Method: It uses a wavelength of 2940 nm, highly absorbed by water, ideal for vaporization and ablation of skin tissues.<br \/>\n&#8211; Efficacy:<br \/>\n&#8211; Results: Effective in removing xanthelasmas with minimal risk of scarring. Comparative studies have shown that Er:YAG has a shallower depth of penetration, reducing the risk of thermal damage to surrounding tissues<br \/>\n&#8211; Advantages: High precision, less damage to adjacent tissues, shorter recovery time, and fewer side effects such as post-inflammatory hyperpigmentation.<br \/>\n&#8211; Disadvantages: May require several sessions to completely remove xanthelasmas, especially if deep or extensive. <\/p>\n<h4><span class=\"ez-toc-section\" id=\"2_CO2_Laser_Carbon_Dioxide\"><\/span>2. CO2 Laser (Carbon Dioxide)<span class=\"ez-toc-section-end\"><\/span><\/h4>\n<p>&#8211; Method: It uses a wavelength of 10,600 nm, allowing precise and effective ablation, with the ability to perform precise cuts and simultaneous coagulation.<br \/>\n&#8211; Efficacy:<br \/>\n&#8211; Results: Highly effective for xanthelasma removal, providing complete removal in a single session in most cases. The depth of penetration allows treatment of deeper and more extensive lesions.<br \/>\n&#8211; Advantages: High efficacy in the complete elimination of lesions, reduced bleeding due to simultaneous coagulation, and lower risk of recurrence.<br \/>\n&#8211; Disadvantages: Increased risk of scarring and post-treatment pigmentation changes. Requires specialized operator skills to minimize risks.<\/p>\n<h4><span class=\"ez-toc-section\" id=\"Comparison_between_Erbium_Laser_and_CO2_Laser\"><\/span>Comparison between Erbium Laser and CO2 Laser<span class=\"ez-toc-section-end\"><\/span><\/h4>\n<p>&#8211; Precision: The erbium laser provides greater precision and control in the ablation of the surface, making it ideal for more superficial lesions.<br \/>\n&#8211; Depth of Penetration: The CO2 laser has a greater depth of penetration, beneficial for treating deeper and more extensive lesions.<br \/>\n&#8211; Recovery Time: The erbium laser generally offers faster recovery time and fewer side effects such as scarring and pigmentation changes.<br \/>\n&#8211; Side Effects: Both lasers can cause side effects, but the CO2 laser has a higher risk of scarring and pigmentary changes due to its greater penetration and thermal effect.<\/p>\n<h4><span class=\"ez-toc-section\" id=\"Other_Laser_Treatments\"><\/span>Other Laser Treatments<span class=\"ez-toc-section-end\"><\/span><\/h4>\n<h4><span class=\"ez-toc-section\" id=\"1_1064_nm_Nd_YAG_Laser\"><\/span>1. 1064 nm Nd:YAG Laser<span class=\"ez-toc-section-end\"><\/span><\/h4>\n<p>&#8211; Method: Use of laser to remove fat deposits.<br \/>\n&#8211; Efficacy: Effective in the removal of xanthelasmas, although it may require multiple sessions and has a risk of scarring.<\/p>\n<h4><span class=\"ez-toc-section\" id=\"2_Pulsed_Diode_Laser\"><\/span>2. Pulsed Diode Laser<span class=\"ez-toc-section-end\"><\/span><\/h4>\n<p>&#8211; Method: Use of pulsed laser to treat lesions.<br \/>\n&#8211; Efficacy: Effective in several cases, with risk of post-inflammatory hyperpigmentation.<\/p>\n<h3><span class=\"ez-toc-section\" id=\"Surgical_Treatments\"><\/span>Surgical Treatments<span class=\"ez-toc-section-end\"><\/span><\/h3>\n<h4><span class=\"ez-toc-section\" id=\"1_Surgical_Extirpation\"><\/span>1. Surgical Extirpation<span class=\"ez-toc-section-end\"><\/span><\/h4>\n<p>&#8211; Method: Surgical removal of xanthelasmas.<br \/>\n&#8211; Efficacy: Traditional method that offers immediate results, although it may leave scars.<br \/>\n&#8211; References: Historically used as an effective treatment.<\/p>\n<h4><span class=\"ez-toc-section\" id=\"2_Plasma_Ablation\"><\/span>2. Plasma Ablation<span class=\"ez-toc-section-end\"><\/span><\/h4>\n<p>&#8211; Method: Use of plasma technology to vaporize fat deposits.<br \/>\n&#8211; Efficacy: Recent methods have shown positive results with less risk of scarring.<\/p>\n<h3><span class=\"ez-toc-section\" id=\"Pharmacological_Treatments\"><\/span>Pharmacological Treatments<span class=\"ez-toc-section-end\"><\/span><\/h3>\n<h4><span class=\"ez-toc-section\" id=\"1_Statins_and_Other_Hypolipidemic_Agents\"><\/span>1. Statins and Other Hypolipidemic Agents<span class=\"ez-toc-section-end\"><\/span><\/h4>\n<p>&#8211; Method: Use of drugs to reduce blood cholesterol levels.<br \/>\n&#8211; Efficacy: May help in the prevention of new xanthelasmas and in the reduction of existing xanthelasmas in patients with dyslipidemias.<\/p>\n<h3><span class=\"ez-toc-section\" id=\"Video_about_xanthelasma\"><\/span>Video about xanthelasma<span class=\"ez-toc-section-end\"><\/span><\/h3>\n<p style=\"text-align: center;\"><iframe title=\"YouTube video player\" src=\"https:\/\/www.youtube.com\/embed\/cs8p3Ok-GiM?si=ZPTP1MxuQ-h4P8nH\" width=\"560\" height=\"315\" frameborder=\"0\" allowfullscreen=\"allowfullscreen\"><\/iframe><\/p>\n<h3><span class=\"ez-toc-section\" id=\"General_Considerations\"><\/span>General Considerations<span class=\"ez-toc-section-end\"><\/span><\/h3>\n<p>&#8211; Choice of Treatment: It will depend on the extent of xanthelasmas, patient preference, tolerance to possible side effects and availability of treatments.<br \/>\n&#8211; Follow-up: Post-treatment follow-up is crucial to assess efficacy and detect possible recurrences or side effects.<\/p>\n<p>These treatments offer various options for managing xanthelasmas, and the choice of one or the other will depend on the specific situation of each patient.<\/p>\n<p><b>At MMG we offer you different therapeutic options to treat xanthelasmas. <\/b>Request your <a href=\"https:\/\/mallorcamedicalgroup.com\/contacto-y-reserva-de-cita\/\" target=\"_blank\" rel=\"noopener\">consultationnow<\/a><\/p>\n<h3 style=\"text-align: center;\"><\/h3>\n<h3><span class=\"ez-toc-section\" id=\"References\"><\/span>References<span class=\"ez-toc-section-end\"><\/span><\/h3>\n<p>1. Azendour et al., 2022 on Intralesional Sodium Heparin:<a href=\"https:\/\/onlinelibrary.wiley.com\/doi\/10.1111\/ijd.16509\" target=\"_blank\" rel=\"noopener\">https:\/\/piel-l.org\/perla-no2-xantelasma-tratado-con-heparina<\/a><\/p>\n<p>2. Intralesional Bleomycin, Intralesional Pingyangmycin, Plasma Ablation, and Statins and Other Hypolipidemic Agents: <a href=\"https:\/\/www.springermedizin.de\/examining-treatment-strategies-for-xanthelasma-palpebrarum-a-comprehensive-literature-review-of-contemporary-modalities\" target=\"_blank\" rel=\"noopener\">https:\/\/www.springermedizin.de\/examining-treatment-strategies-for-xanthelasma-palpebrarum-a-comprehensive-literature-review-of-contemporary-modalities<\/a><\/p>\n<p>3. 1064 nm Nd:YAG and Pulsed Diode Laser: <a href=\"https:\/\/www.springermedizin.de\/examining-treatment-strategies-for-xanthelasma-palpebrarum-a-comprehensive-literature-review-of-contemporary-modalities\" target=\"_blank\" rel=\"noopener\">https:\/\/www.springermedizin.de\/examining-treatment-strategies-for-xanthelasma-palpebrarum-a-comprehensive-literature-review-of-contemporary-modalities<\/a><\/p>\n<p>4. Surgical Extirpation:<br \/>\nExamining treatment strategies for xanthelasmas palpebrarum: a comprehensive review of contemporary modalities<a href=\"https:\/\/www.springermedizin.de\/examining-treatment-strategies-for-xanthelasma-palpebrarum-a-comprehensive-literature-review-of-contemporary-modalities\" target=\"_blank\" rel=\"noopener\">:https:\/\/www.springermedizin.de\/examining-treatment-strategies-for-xanthelasma-palpebrarum-a-comprehensive-literature-review-of-contemporary-modalities<\/a><\/p>\n<p>5.Examining treatment strategies for xanthelasma palpebrarum: a comprehensive literature review of contemporary modalities: <a href=\"https:\/\/link.springer.com\/article\/10.1007\/s00403-024-02863-y\" target=\"_blank\" rel=\"noopener\">https:\/\/link.springer.com\/article\/10.1007\/s00403-024-02863-y <\/a><\/p>\n<p>[\/vc_column_text][\/vc_column][\/vc_row]<\/p>\n","protected":false},"excerpt":{"rendered":"<p>What is xanthelasma? Xanthelasma is a type of lump or yellowish spot that appears on the eyelids, usually near the [&hellip;]<\/p>\n","protected":false},"author":1,"featured_media":107408,"comment_status":"open","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[115,123,682],"tags":[272],"class_list":["post-107410","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-plastic-surgery-en","category-laser-en-3","category-consejos-cirugia-plastica-en","tag-xantelasmas-en"],"_links":{"self":[{"href":"https:\/\/mallorcamedicalgroup.com\/en\/wp-json\/wp\/v2\/posts\/107410","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/mallorcamedicalgroup.com\/en\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/mallorcamedicalgroup.com\/en\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/mallorcamedicalgroup.com\/en\/wp-json\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/mallorcamedicalgroup.com\/en\/wp-json\/wp\/v2\/comments?post=107410"}],"version-history":[{"count":13,"href":"https:\/\/mallorcamedicalgroup.com\/en\/wp-json\/wp\/v2\/posts\/107410\/revisions"}],"predecessor-version":[{"id":108208,"href":"https:\/\/mallorcamedicalgroup.com\/en\/wp-json\/wp\/v2\/posts\/107410\/revisions\/108208"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/mallorcamedicalgroup.com\/en\/wp-json\/wp\/v2\/media\/107408"}],"wp:attachment":[{"href":"https:\/\/mallorcamedicalgroup.com\/en\/wp-json\/wp\/v2\/media?parent=107410"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/mallorcamedicalgroup.com\/en\/wp-json\/wp\/v2\/categories?post=107410"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/mallorcamedicalgroup.com\/en\/wp-json\/wp\/v2\/tags?post=107410"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}