Xanthelasma

Xanthelasma is primarily the result of lipid (fat) buildup, specifically cholesterol, in the skin. It tends to occur in adults between the ages of 35 and 60, and while anyone can develop it, certain risk factors increase susceptibility including high blood cholesterol or triglyceride levels, genetic predisposition, diabetes, obesity and poor diet.

It’s important to note that about 50% of people with xanthelasma have elevated blood lipid levels, making it more than just a cosmetic concern. It can serve as an external clue to internal cholesterol imbalance and a potential risk for cardiovascular disease.

There are several effective cosmetic treatments available for xanthelasma at Apex Skin Center. The right choice depends on the size, location, and depth of the plaques, as well as your skin type and preferences. The xanthelasma treatment process begins with a comprehensive consultation with board-certified, fellowship trained dermatologic surgeon Dr. Thomas Knackstedt who will evaluate your concerns, discuss your goals, and develop a personalized treatment plan. All treatment types are performed under local anesthesia in our state-of-the-art dermatology office in Fuquay Varina, NC.

Laser Therapy

Laser treatment is one of the most popular options for xanthelasma removal. It works by precisely targeting and vaporizing the cholesterol deposits with minimal damage to surrounding skin. Laser treatment offers:

• Minimal scarring
• Quick recovery time
• High precision, especially for small or superficial plaques

Multiple sessions may be required, and there’s a small risk of recurrence over time.

Surgical Excision

For larger or deeper lesions, minor surgical removal under local anesthesia may be recommended. This involves cutting out the plaque and carefully suturing the area. This method offers:

• Immediate and complete removal
• Suitability for larger plaques

Scarring is possible but often minimal, especially when performed by an experienced dermatologic surgeon.

Chemical Peels

Some superficial cases may respond to trichloroacetic acid (TCA) peels, which help dissolve the cholesterol deposits. Chemical peels are less invasive and are applied directly to the affected area. However, multiple treatments may be necessary, and this method is not suitable for deeper or more extensive xanthelasma.

Cryotherapy or Electrodesiccation Destruction

Cryotherapy involves freezing the lesions with liquid nitrogen and electrodesiccation uses controlled electrical energy to destroy the xanthelasma plaques. Both treatments can be appropriate for small xanthelasma areas with minimal downtime.

Recovery time after xanthelasma treatment is minimal. You may experience mild discomfort, swelling, or bruising which can be managed with over-the-counter pain medication and cold compresses. Board-certified dermatologist Dr. Knackstedt and his team will provide you with postoperative instructions and recommendations for caring for your procedure site during the healing process.

In most cases, recovery from xanthelasma treatment is relatively quick. Patients can resume normal activities within a few days, depending on the extent of the procedure. Over time, swelling will diminish, and the final results will become apparent, leaving you with natural-looking results.