Xanthelasma is more common in women than in men and the peak incidence is in the fourth to fifth decades.
Xanthelasma may be an indication of abnormal lipid levels (elevated LDL and cholesterol) and the patient might be at high risk of cardiovascular disease.
CO2 laser has been used for the treatment of patients with xanthelasma. This office procedure done under local anesthesia is fast and easy. The yellow plaques are accurately photovaporized in a bloodless field, layer by layer, until the lesion is totally eradicated. The treated area heals by reepithelization, ostensibly with virtually no scar contraction.