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I have been successfully treating xanthelasmas around the eyes for over three decades with electrocautery, which is a simple, effective, and inexpensive modality to use for this purpose anywhere in the world. I have found this method preferable to the use of strong acids, such as BCA, which have been recommended, and certainly at least as efficient and certainly more cost-effective as compared to ablative laser therapy or surgery with stitches. Following local anesthesia to numb the sites, the electrocautery probe is simply touched to the skin overlying the xanthelasma and the heat generated leads to immediate shrinkage of the fat deposit and a wound which results in minimal scarring or discoloration. In experienced hands, the procedure should take no more than about five minutes to perform. Make sure, however, that you consult with a board certified aesthetic physician. Best of luck to you.
Hello and thank you for your excellent question. I typically excise this with just local anesthesia. It is essential that you have an in-person consultation to develop a treatment plan that specifically addresses your personal surgical goals, and your body’s anatomy. Preoperative visualization and surgical simulation with the Crisalix system may help refine this plan. I recommend that you find a board-certified, or board-eligible plastic surgeon with whom you are comfortable. Be sure to have all of your questions answered during a face-to-face meeting with your surgeon, and review before and after pictures of similar patients whom have had this procedure. If you have any questions, call our office for assistance. Good luck! Best, Jon Ver Halen, MD FACS Harvard educated plastic surgeon Texas “Top Doc”
Hi: Even though you are 3 weeks after upper lid blepharoplasty, from the photo it looks like you still have some swelling and bruising. If you develop webbing, it would be best to wait 3-6 months before undergoing additional surgery, such as z-plasty, Time will allow the incisions and...
Dear Fresno,Festoons and malar mounds indicate swollen mounds that can appear on the cheek and lower eyelid region. They usually occur with age and are more common in individuals with lighter skin types. They then to have their origins in previous sun exposure in our lives. They can make a ...
Patient are usually cleared to resume contact lenses and makeup usage about two weeks after surgery, but it is always best to check with your surgeon.