628 Intralesional electrosurgery of eyelid xanthelasma: a case report

Xanthelasma is the most common type of xanthoma in periorbital region with clinical diagnosis. About 50% patients have hypercholesterolemia laboratory tests - inferring importance to this condition. We aim report a case 55-year-old female patient presenting yellowish papules on upper eyelids diagnosed as Xanthelasma. She had and II diabetes use rosuvastatin 10mg metformin 1000mg. complaint significant aesthetic discomfort that affected her interpersonal activities. It was performed intralesional electrosurgery good outcome. The procedure starts asepsis antisepsis followed by local anesthetic button 2% lidocaine adrenaline. Next xanthelasma punctured same anesthesia needle leaving small portion exposed so there contact electrocautery. radiofrequency applied works an conductor energy, always using lowest frequency capable generating whitening which denotes denaturation lipids. Finally, removed concluded being instructed ointment retinol acetate 10,000 IU, amino acids 25mg, methionine 5mg chloramphenicol vehicle: methylparaben, propylparaben, cetyl alcohol, lanolin, solid petroleum jelly microcrystalline wax (trade name Epitezan or Regencel) twice daily for 14 days. proposed treatment results, low cost complexity, pain tolerance short recovery time. disease has few options available among them does not require technologies, results.