Xanthelasma

Xanthelasma is a yellowish lipid deposit accumulation primarily located on the eyelids, often near the inner corner of the eye. Although generally benign and asymptomatic, it can be an aesthetic concern for some individuals. Additionally, its presence may be associated with elevated cholesterol levels or underlying metabolic disorders.

Several therapeutic options are available to treat xanthelasma:

Surgical excision:
This method involves the direct removal of xanthelasma plaques under local anesthesia. It is particularly indicated for extensive or deep lesions. The surgeon makes an incision to remove the lipid deposits and then closes the wound with fine sutures, minimizing visible scarring. However, this approach can sometimes lead to scarring or pigment changes. 

CO₂ laser treatment:
The ablative CO₂ laser is used to vaporize fatty deposits in a controlled manner. This technique is less invasive than traditional surgery and offers increased precision, allowing for the preservation of surrounding tissues. However, several sessions may be necessary to achieve optimal results, and skin discoloration or scarring may occur. 

Important considerations:
It is essential to consult a qualified healthcare professional to evaluate the most appropriate treatment method based on the size, location, and number of lesions. Additionally, it is recommended to check and manage any underlying risk factors, such as elevated cholesterol levels, to prevent the recurrence of xanthelasma. 

Although these treatments are generally effective, there is a risk of xanthelasma recurrence. Regular monitoring and management of associated risk factors are therefore recommended to minimize this risk.