Ultrapulsed CO₂ ablation in the treatment of xanthelasma palpebrarum: high satisfaction treatment with low recurrence

Xanthelasma are localized accumulation of lipid deposits on the eyelids. Lesions are typically asymptomatic and treatment is often sought for cosmetic purposes. Unfortunately, there is paucity of strong evidence in the literature for the effective treatment of normolipidaemic xanthelasmas. Lasers have been used in the management of xanthelasma and in this article the experience with ultrapulsed CO₂ laser is discussed with efficacy, complications and risk of recurrence explained.