XANTHELASMA IDENTIFICATION
Symptoms: bumpy yellow patches on the inside corners of the eyelids or
around the eyes is a condition known as Xanthelasma palpebrarum (XP). It is a
soft, yellowish, fatty deposit that forms under the skin.
High LDL ("bad") cholesterol or low HDL ("good")
cholesterol is inherited high cholesterol, a Liver disease called primary biliary
cirrhosis, which can raise cholesterol levels.
Xanthelasma may be an early warning sign that cholesterol has started to
build up in the blood vessels. This build-up is called atherosclerosis, and it
can lead to heart disease, heart attack, or stroke. Inform your client to go
and check their cholesterol levels, blood pressure, and other heart risks as a
precaution.
POSSIBLE TREATMENTS
Possible treatments: Cryotherapy: This involves freezing the Xanthelasma with liquid nitrogen or another chemical Laser surgery Traditional surgery Radiofrequency advanced electrolysis (RAF) and Plasma fibroblast.
Chemical peels
often improve the appearance of Xanthelasma, but they may not completely
eliminate the lumps.
Medication the statin drug simvastatin (Zocor) — which treats high
cholesterol — may also treat Xanthelasma. "Xanthelasma
may reappear after any of these treatments.”
PLASMA - FIBROBLAST YES or NO
YES → A good reason for adopting this method is the lack of stitches
and reduced bleeding. Ensure your client does not have a bleeding disorder prior
to treatment to prevent excessive bleeding. If you do not have experience in
plasma fibroblast do not attempt this procedure.
PLASMA - FIBROBLAST MAPPING - PROCEDURE
- Prep client with Artelac eye
drops or similar
- Numb the area very carefully so as not
to get the numbing cream into your client’s eyes
- Cover with cling wrap
- Wait for numbing to take effect
- Remove cling wrap
- Proceed with treatment
- Ask the client throughout treatment
if comfortable
- Use a quick medium ablation
spray technique
- Remember to wipe off the carbon
residues from time to time to see the level you have reached
- Keep on doing this until you
see you have removed all the yellow cholesterol substances, (NB! You can only
use this method if you have done a patch test and pre-treated a small area on
your client’s skin beforehand) in order to avoid pigmentation issues! If not
rather only do the spray or dot method and leave it as is to be safe.
- For deep yellow cholesterol patches, you have to work very carefully and precise, rather inform the client to come back for resurfacing work if you feel uncomfortable going too deep, “Safety first”
- Lightly dab area clean
- When complete, apply a thin
layer of Antibiotic Cream to the area
- Give the client your aftercare
instructions to follow at home
- Advise Client to avoid the sun at all costs
PLASMA - FIBROBLAST MAPPING - TECHNIQUE
See the mapping procedure pictures for Xanthelasma in the training manual 6: https://rosass.gumroad.com/l/Lbkmu
Healing
Inform the client
the first 48 hours are vital to keep the area clean and the importance for them
to follow the aftercare to avoid any possible infection, and that
healing can take up to 3 weeks to fully heal depending on the size of the wound. Inform
your client that Xanthelasma could come back, in 40% of the cases it comes back.
Treatments can be repeated 8 – 12 weeks apart.
TIPS (FOR Technicians)
Be very
careful NOT to get the numbing cream in your client’s eyes "Only use Emla
or similar numbing cream near the very rim of eyes" NB! All other numbing
creams could result in complications or worse a cornea burn that can bring blindness if it should get
into the eyes. Always pre-treat eyes with Artelac eye drops or similar for
precaution.
Healing
Inform the client
the first 48 hours are vital to keep the area clean and the importance for them
to follow the aftercare to avoid any possible infection, and that
healing can take up to 3 weeks to fully heal depending on the size of the wound. Inform
your client that Xanthelasma could come back, 40% of the cases it comes back.
Treatments can be repeated 8 – 12 weeks apart.
Inform your client what to expect after treatment
The most
common effect of Plasma Fibroblast treatment feels like a mild sunburn, with
redness, swelling, itchiness, and stinging on areas worked on for a few days
after treatment.
Important tips for taking care of the skin after treatment:
- To apply a cold compress
covered in a clean hand towel to reduce swelling, redness and help with
discomfort, which are normal side effects. Regular application should resolve
these issues while the new skin is forming
- NB! Not to touch the area for
the 1st 48 hours post treatment, to prevent infection!
- Please ask your client not to
scrub or pick at the site
- To consider taking pain
medication, avoid aspirin and non-steroidal inflammatory drugs such as
naproxen, ibuprofen, and diclofenac. These can cause some bleeding
- To protect the area from the
sun and to use the right sunscreen. For sunscreen, they will need something to
treat sensitive skin because, after the procedure, the area treated will need
some extra care
- Client to be sure to clean the
skin two to three times a day, with water, saline, or a diluted solution cleaning methods you may recommend
- To help prevent infection, the
client is to apply petroleum jelly, (Vaseline or Aquaphor) or an antibiotic such
as bacitracin, two to three times daily to prevent a scab from forming, more
important is to keep a coating of ointment over the treatment site
What helps wounds heal faster?
- Aloe Vera
- To keep the site moist
- To reduce sun exposure
- To follow a balanced diet
containing high levels of vitamin C, and fish oil
- Not to smoke
Possible side effects
- If redness extends more than 1
cm from the incision site, or if there is draining pus, a fever or significant
pain, please ask them to contact their doctor for appropriate medication. Some
anti-inflammatory creams or antibiotics can help, and they are available with a
doctor's prescription
- Signs of infection could
include redness and swelling
- The skin might have problems
healing after the procedure. The risk of healing problems is higher if the
client is older, smokes, or has other skin conditions
- Client to ensure when applying
the petroleum jelly that the treated area is properly cleaned and disinfected
before doing so, otherwise, bacteria and other pathogens can get trapped inside
and delay the healing process
- They may be left with a scar
after the procedure. It could fade in time, but there will probably always be a
small mark on the skin