Subject Area
Dermatology
Article Type
Original Study
Abstract
Background: Semisolid, yellowish deposits known as Xanthelasma palpebrarum (XP) may develop at the inner and outer corners of the eyelids. The goals of ideal XP treatment are complete clearance with no recurrence, ensuring safety, comfort, and affordability, with no or minimal undesirable side effects, including pigmentary changes or scarring. One non-ablative electrosurgical method is plasma sublimation therapy, which involves generating plasma from atmospheric gas using radio frequency energy. This process creates ionized and mixed chemicals, which then sublimate epidermal tissue. Aim: to evaluate the efficacy of plasma energy devices in treatment of xanthelasma palpebrarum. Patients and methods: The current study included 35 cases with xanthelasma palpebrarum. Informed consent was taken from each patient. The whole study design was approved by the institutional review board, faculty of medicine, Mansoura university (MS.23.11.2605). The cases were subjected to full history taking, general examination and dermatological examination. An electrosurgical, non-ablative procedure, plasma sublimation therapy uses RF energy to create ionized and mixed molecules from air gas to sublimate epidermal tissue. Carbonized deposits were periodically removed and repeated until they disappeared. All patients were photographed before initiating treatment, immediately following treatment and three months following the application, they were asked to gauge their level of satisfaction with the cosmetic outcome. Results: The mean area of the lesions before treatment was 11.06 ± 6.61mm with a range between 2 and 25mm. After treatment, there was complete clearance of the lesions in all cases. The reported complications were erythema in 19 cases (54.3%), edema in 16 cases (45.7%), pain during application in 16 cases (45.7%), hyperpigmentation in 9 cases (25.7%) and only one case showed recurrence. Excellent response was reported in all the cases. There were 15 satisfied cases (42.9%) and 20 cases (57.1%) highly satisfied. Conclusion: Excellent cosmetic results followed xanthelasma eradication with plasma-generating equipment. This plasma-energy gadget makes xanthelasma eradication a breeze, with minimal risk, recovery time, and high patient satisfaction.
Recommended Citation
Azab, Merna; Saafan, Fawzia A; and Wagdy, Amal
(2025)
"Treatment Of Xanthelasma palpebrarum With Plasma Energy Device,"
Mansoura Medical Journal: Vol. 55
:
Iss.
1
, Article 15.
Available at:
https://doi.org/10.58775/2735-3990.1478
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This work is licensed under a Creative Commons Attribution 4.0 International License.
