Journal of Asia Pacific Aesthetic Sciences

Abstract: Xanthelasma are yellowish plaque on or near the eyelids, more common seen in women and those of Asian or Mediterranean descent. Anyone is susceptible to xanthelasma however the risk of developing xanthelasma is higher in those who are overweight or hyperlipidemic. Classical treatment option remain surgical excision, alternatively in our setting, chemical peel utilizing Trichloroacetic acid (TCA) and laser treatment using carbon dioxide, erbium, pulsed dye, argon, and Nd:YAG lasers can be used to treat xanthelasma palpebrarum. We hereby present a case of a 52-year-old Malay gentleman, who had 10 years history of yellowish plaque over inferonasal region of bilateral eyes. He was successfully treated with a single session of CO2 ablative laser under local anesthesia for total removal of yellowish plaque following the diagnosis made based on his clinical presentation. In conclusion, CO2 ablative lasers are effective in treatment for total removal of yellowish plaque within one session.