The Effects of Radiofrequency in Xanthelasma of Eyelid: Case Report

Xanthelasma palpebrarum is the most common form of xanthoma, which is mostly located on the eyelids. Various treatment options are available. All have applications, and none produce satisfactory outcomes. Radiofrequency thermal energy induces ionic agitation with vaporization at the cellular level in tissues. It uses a controlled radiofrequency current to reduce the tissue volume in a precise and controlled mode. To the best of our knowledge, there are few published reports on the use of radiofrequency energy in the treatment of xanthelasma palpebrarum. Here, we report a case of a 48-year-old woman with xanthelasma palpebrarum involving four lesions on the eyelids that was treated by radiofrequency. Three of the lesions had regressed at the sixth postoperative month, and the fourth (left superior medial angle of eyelid) was reduced in size, with minimal ectropium. Radiofrequency is an easy, safe, quick, inexpensive, and effective treatment for xanthelasma palpebrarum. After treatment, wound healing is quick and successful. Cosmetic results are satisfactory. Controlled prospective studies are needed to compare outcomes at different voltages. Case report (J Int Dent Med Res 2013; 6: (3), pp. 128-131)