[Yellow lumps around the eyes?] Xanthelasma Treatment

Yellow lumps around your eyes or on your eyelids, wondering what they are and if they can be treated?

Xanthelasma is a lesion that appears as yellowish, raised, thick deposits of cholesterol and lipid components on the skin around the eyelids.

Since it's a condition that causes raised bumps rather than flat areas, topical treatments alone will not easily make it disappear. Precise laser treatment tailored to the depth and extent of the lesion is absolutely necessary.

Kkeut Korean Medicine Clinic cleanly treats yellowish, raised xanthelasma with a dual laser technique using both Er:YAG and CO2 lasers.

Kkeut Korean Medicine Clinic's Xanthelasma Dual Laser Technique

Kkeut Korean Medicine Clinic's xanthelasma treatment is not simply a procedure that indiscriminately scrapes away the yellow areas deeply.

The eyelid skin is thin and sensitive, so laser settings must be delicately adjusted, considering the lesion's thickness, depth of deposition, skin texture around the eyes, and potential for scarring.

Therefore, Kkeut Korean Medicine Clinic approaches treatment by precisely refining the surface and to a certain depth with an Er:YAG laser, and if the lesion is deeply located, finishing with a CO2 laser.

1. First, design the scope and thickness of the lesion

Xanthelasma may appear as small yellow lumps on the eyelids, but in reality, they often spread widely under the skin or have indistinct, continuous borders.

Before treatment, Kkeut Korean Medicine Clinic considers not just the visible yellow areas, but also checks the thickness of the lesion, its spread direction, and even the eyelid fold lines to determine the removal scope.

The outwardly protruding parts are cleanly reduced, and the borders are delicately refined to blend naturally with the surrounding skin.

2. Precise, Layer-by-Layer Removal with Minimal Scarring using Er:YAG Laser

The Er:YAG laser is suitable for precise epidermal ablation, which involves thinly shaving off skin, and is thus utilized for delicate removal of lesions in thin and sensitive areas like around the eyes.

Er:YAG laser has been reported to have advantages in precise removal and recovery aspects for xanthelasma treatment.

Kkeut Korean Medicine Clinic does not deeply excavate the yellow deposited areas all at once, but instead removes them layer by layer, starting from the surface and carefully checking each layer.

This approach minimizes damage to normal skin and allows for a natural reduction of the lesion, matching the skin texture around the eyes.

3. Finishing the Base and Border with CO2 Laser if Necessary

Even if only the visible yellow part of xanthelasma is removed, if deposited tissue remains at the base, it can reappear as a raised lesion.

CO2 laser can be used to vaporize and cauterize lesions, and is therefore reported as one of the treatment options for xanthelasma.

However, it is not the primary option because redness and scarring can last longer compared to Er:YAG.

After precisely refining the lesion with Er:YAG, Kkeut Korean Medicine Clinic lightly finishes the base and borders, which are prone to residual tissue, with a CO2 laser if necessary.

Instead of an indiscriminately aggressive burning method, the output and treatment area are finely adjusted to match the depth of the lesion and the condition of the eyelid skin.

4. Natural Finish Considering Eye Area Skin Texture

Xanthelasma treatment doesn't end with "just removing the yellow part."

Since even small scars or color differences are easily noticeable on the eyelids, a smooth finish that blends with the surrounding skin after removal is crucial to prevent an uneven skin surface.

Kkeut Korean Medicine Clinic treats not only the central part of the lesion but also delicately refines its borders, allowing the eye line to recover as naturally as possible after the procedure.

5. Treatment Plan Considering the Possibility of Recurrence

Xanthelasma is a lesion that can recur even after removal. Especially if it's related to lipid metabolism or cholesterol levels, it can reappear after the procedure, so it's advisable to consider blood tests or lifestyle management together if necessary.

Kkeut Korean Medicine Clinic assesses the size and depth of the lesion and guides patients toward a staged treatment approach if necessary, reducing the risk of scarring and hyperpigmentation, rather than attempting aggressive deep removal in one go.

We consider the beautiful recovery of the eye area skin just as important as the clean removal of the lesion.

Xanthelasma Dual Laser: Benefits include

Minimizing scars while removing yellow deposited lesions around the eyes

Thin and precise layer-by-layer ablation with Er:YAG laser

Ability to finish the base and borders with CO2 laser

Delicate power adjustment tailored for thin and sensitive areas like the eyelids

Customized procedure based on the size and depth of the lesion

Refining borders to blend naturally with surrounding skin

Improvement in protrusion, yellowish appearance, and overall untidy impression around the eyes

Recommended for those who...

Have yellow lumps on their eyelids or around their eyes

Thought it was melasma, but it looks yellow and thick/raised

Are concerned about yellow lesions around their eyes that are not well-covered by makeup

Feel that the lesions are gradually growing over time

Are worried about scars or hyperpigmentation because it's near the eyes

Had them removed in the past, but they have reappeared in the same area

Want precise removal with a laser rather than surgery

Are concerned about looking tired or older due to yellow lesions around their eyes

Procedure Steps

STEP 01. 1:1 Customized Consultation

We check if the yellow lesions around the eyes are xanthelasma, and assess the extent and depth of the lesions.

STEP 02. Prepare the Treatment Area

The skin around the eyes is thoroughly cleansed, and the area to be removed is designed.

STEP 03. Apply Anesthetic Cream

Anesthesia is applied to reduce discomfort around the eyelids.

STEP 04. Precise Er:YAG Laser Removal

The yellow deposits are precisely removed layer by layer, starting from the surface.

STEP 05. CO2 Laser Finishing

If necessary, the base and borders are lightly cauterized to clear any remaining lesions.

STEP 06. Regenerative Cream

Post-Procedure Precautions

ㆍAfter the procedure, redness, swelling, stinging, oozing, and tiny scabs may occur.

ㆍDo not forcibly remove scabs; allow them to fall off naturally.

ㆍKeep the treated area from drying out by using a regenerative cream, or products like Duoderm or Duogel.

ㆍAvoid rubbing or harshly scrubbing the area around your eyes.

ㆍIt is best to avoid using colored makeup, eyeshadow, and eyeliner until the treated area has healed.

ㆍAvoid saunas, steam rooms, swimming, alcohol consumption, and smoking for about 1 week.

ㆍSun exposure can cause hyperpigmentation, so be diligent about sun protection.

ㆍIf the lesions are deep or wide, repeat procedures may be necessary.

ㆍXanthelasma can recur depending on individual constitution or lipid metabolism.