1064 nm Q-Switched Photo-Acoustic Laser Ablation of Xanthelasma Palpebrarum

Leonardo Marini
Pages: 48-51

Xanthelasma palpebrarum is the most common xanthomatous lesion of the skin and a common persisting cutaneous condition involving delicate peri-ocular regions. Currently there are several ablative and non-ablative treatments available with various degrees of effectiveness. Preliminary studies using 1064 nm Q-Switched Nd:YAG laser have shown promising results of xanthelasma treatment when high intensities were used. To assess the safety and efficacy of a single session of 1064 nm Q-Switched Photo-Acoustic Laser Ablation on xanthelasmas, twelve Fitzpatrick II-III patients with 20 palpebral lesions were included in the study. All patients completed their post-operative clinical evaluation by two different dermatologists. The results after 1064 nm Q-S laser treatment were rated from good to excellent in all patients. The moderate swelling observed immediately after treatment was cleared after 5 to 7 days, and 120 days after the procedure no scars were observed.

The 1064 nm Q-Switched laser was therefore regarded as a safe and effective solution to treat xanthelasma palpebrarum when photo-acoustic ablative parameters are used.

Key words: Q-Switched Nd:YAG, laser treatment, photo-acoustic effect, xanthelasma palpebrarum

Article: J. LA&HA, Vol. 2013, No.1; pp. 48-51.

1064 nm Q-Switched Photo-Acoustic Laser Ablation of Xanthelasma Palpebrarum