Laissez faire technique after xanthelasma palpebrarum excision: a case report
Xanthelasma palpebrarum is a condition caused by lipid deposition into the dermis. Typical lesions present as yellowish plaques, or papules, commonly affecting the medial aspect of the upper eyelids. Management of xanthelasma palpebrarum generally includes medical, laser, and surgical therapies. The...
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Korean Society of Korean Cosmetic Surgery and medicine
2024-12-01
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Series: | Journal of Cosmetic Medicine |
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Online Access: | http://www.jcosmetmed.org/journal/view.html?doi=10.25056/JCM.2024.8.2.112 |
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author | Jose Miguel Ambat Kunihiro Musashi Naoyuki Morishige Osama AlSheikh Hirohiko Kakizaki |
author_facet | Jose Miguel Ambat Kunihiro Musashi Naoyuki Morishige Osama AlSheikh Hirohiko Kakizaki |
author_sort | Jose Miguel Ambat |
collection | DOAJ |
description | Xanthelasma palpebrarum is a condition caused by lipid deposition into the dermis. Typical lesions present as yellowish plaques, or papules, commonly affecting the medial aspect of the upper eyelids. Management of xanthelasma palpebrarum generally includes medical, laser, and surgical therapies. These treatment modalities cause good outcomes but also show complications, including ectropion, skin discoloration, and eyelid margin deformities. The authors presented the case of 76-year-old female with xanthelasma palpebrarum on both upper and lower eyelids, treated with simple full-thickness surgical excision with laissez-faire technique. The laissez-faire technique is a treatment comprised of healing with secondary intention without other treatment modalities. Healing via the laissez-faire technique was utilized for wound closure. Post-operative cosmesis, eyelid function, and contour were satisfactory up to 3 months post-operatively. The laissez-faire technique is an acceptable treatment for surgical site closure post-excision of xanthelasma palperarum, especially with multiple lesions. This method results in good cosmesis, retention of eyelid function, and avoids sequelae of common treatment modalities. |
format | Article |
id | doaj-art-28e3318a1bf848bd8b6634f8d454720e |
institution | Kabale University |
issn | 2586-0585 |
language | English |
publishDate | 2024-12-01 |
publisher | Korean Society of Korean Cosmetic Surgery and medicine |
record_format | Article |
series | Journal of Cosmetic Medicine |
spelling | doaj-art-28e3318a1bf848bd8b6634f8d454720e2025-01-06T05:22:11ZengKorean Society of Korean Cosmetic Surgery and medicineJournal of Cosmetic Medicine2586-05852024-12-018211211410.25056/JCM.2024.8.2.112JCM.2024.8.2.112Laissez faire technique after xanthelasma palpebrarum excision: a case reportJose Miguel Ambat0Kunihiro Musashi1Naoyuki Morishige2Osama AlSheikh3Hirohiko Kakizaki4Department of Oculoplastic, Orbital & Lacrimal Surgery, Aichi Medical University Hospital, Nagakute, JapanDepartment of Ophthalmology, Musashi Eye Clinic, Osaka, JapanDepartment of Ophthalmology, Oshima Eye Hospital, Fukuoka, JapanDepartment of Ophthalmology, King Khaled Eye Specialist Hospital, Riyadh, Saudi ArabiaDepartment of Oculoplastic, Orbital & Lacrimal Surgery, Aichi Medical University Hospital, Nagakute, JapanXanthelasma palpebrarum is a condition caused by lipid deposition into the dermis. Typical lesions present as yellowish plaques, or papules, commonly affecting the medial aspect of the upper eyelids. Management of xanthelasma palpebrarum generally includes medical, laser, and surgical therapies. These treatment modalities cause good outcomes but also show complications, including ectropion, skin discoloration, and eyelid margin deformities. The authors presented the case of 76-year-old female with xanthelasma palpebrarum on both upper and lower eyelids, treated with simple full-thickness surgical excision with laissez-faire technique. The laissez-faire technique is a treatment comprised of healing with secondary intention without other treatment modalities. Healing via the laissez-faire technique was utilized for wound closure. Post-operative cosmesis, eyelid function, and contour were satisfactory up to 3 months post-operatively. The laissez-faire technique is an acceptable treatment for surgical site closure post-excision of xanthelasma palperarum, especially with multiple lesions. This method results in good cosmesis, retention of eyelid function, and avoids sequelae of common treatment modalities.http://www.jcosmetmed.org/journal/view.html?doi=10.25056/JCM.2024.8.2.112eyelid; laissez-faire; xanthelasma palpebrarum |
spellingShingle | Jose Miguel Ambat Kunihiro Musashi Naoyuki Morishige Osama AlSheikh Hirohiko Kakizaki Laissez faire technique after xanthelasma palpebrarum excision: a case report Journal of Cosmetic Medicine eyelid; laissez-faire; xanthelasma palpebrarum |
title | Laissez faire technique after xanthelasma palpebrarum excision: a case report |
title_full | Laissez faire technique after xanthelasma palpebrarum excision: a case report |
title_fullStr | Laissez faire technique after xanthelasma palpebrarum excision: a case report |
title_full_unstemmed | Laissez faire technique after xanthelasma palpebrarum excision: a case report |
title_short | Laissez faire technique after xanthelasma palpebrarum excision: a case report |
title_sort | laissez faire technique after xanthelasma palpebrarum excision a case report |
topic | eyelid; laissez-faire; xanthelasma palpebrarum |
url | http://www.jcosmetmed.org/journal/view.html?doi=10.25056/JCM.2024.8.2.112 |
work_keys_str_mv | AT josemiguelambat laissezfairetechniqueafterxanthelasmapalpebrarumexcisionacasereport AT kunihiromusashi laissezfairetechniqueafterxanthelasmapalpebrarumexcisionacasereport AT naoyukimorishige laissezfairetechniqueafterxanthelasmapalpebrarumexcisionacasereport AT osamaalsheikh laissezfairetechniqueafterxanthelasmapalpebrarumexcisionacasereport AT hirohikokakizaki laissezfairetechniqueafterxanthelasmapalpebrarumexcisionacasereport |