Eyelid Xanthelasma: surgical treatment as the first choice
Introduction: Eyelid xanthelasma is the most common form of cutaneous xanthoma, characterized by yellowish patches on the eyelid’s skin. Despite being a benign condition and not presenting with functional limitations, it is an important aesthetic complaint that impacts the patient’s social...
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| Format: | Article |
| Language: | English |
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Thieme Revinter Publicações Ltda.
2022-12-01
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| Series: | Revista Brasileira de Cirurgia Plástica |
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| Online Access: | http://www.rbcp.org.br/export-pdf/3215/en_v37n4a17.pdf |
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| author | Marilho Tadeu Dornelas Nathália Villarins Pedrosa Gabriel Victor Dornelas Alfredo Chaoubah Andrey da Silva Fernandes Emmanuel de Lima Carvalho Larissa Vitoria Dornelas Thaíssa Ramim Reis Belgo |
| author_facet | Marilho Tadeu Dornelas Nathália Villarins Pedrosa Gabriel Victor Dornelas Alfredo Chaoubah Andrey da Silva Fernandes Emmanuel de Lima Carvalho Larissa Vitoria Dornelas Thaíssa Ramim Reis Belgo |
| author_sort | Marilho Tadeu Dornelas |
| collection | DOAJ |
| description | Introduction:
Eyelid xanthelasma is the most common form of cutaneous xanthoma, characterized by yellowish patches on the eyelid’s skin. Despite being a benign condition and not presenting with functional limitations, it is an important aesthetic complaint that impacts the patient’s social and emotional life. There are clinical therapeutic options, but the most widespread approach is the surgical approach with excision of the lesions, a simple procedure with few complications and lower local recurrence rates. This study aims to describe the surgical treatment of palpebral xanthelasma, to assess postoperative patient satisfaction and post-surgical recurrence rates.
Methods:
This is a retrospective study with a sample of 25 patients undergoing surgical treatment of eyelid xanthelasmas. Postoperative follow-up was performed at intervals of 7 days, 30 days, 90 days and 12 months with an interview, physical examination and application of a questionnaire that included the identification of local recurrences, postoperative complications and satisfaction with the aesthetic result.
Results:
Four patients evolved with local recurrence, and only two expressed dissatisfaction with the aesthetic result after the outcome. No patient who underwent surgical resection of lesions associated with autograft recurrence or dissatisfaction with the aesthetic result was observed.
Conclusions:
Surgical treatment as the first option in the therapeutic approach of eyelid xanthelasmas should be considered, given the aesthetic and psychological impact of such a condition. It is a simple technique, easy to apply and reproducible, effective, and safe, with relevant satisfaction rates and low recurrences. |
| format | Article |
| id | doaj-art-177bd52088a646b4812d62eede232e4e |
| institution | DOAJ |
| issn | 1983-5175 2177-1235 |
| language | English |
| publishDate | 2022-12-01 |
| publisher | Thieme Revinter Publicações Ltda. |
| record_format | Article |
| series | Revista Brasileira de Cirurgia Plástica |
| spelling | doaj-art-177bd52088a646b4812d62eede232e4e2025-08-20T02:53:07ZengThieme Revinter Publicações Ltda.Revista Brasileira de Cirurgia Plástica1983-51752177-12352022-12-01370449850410.5935/2177-1235.2022RBCP.601-enEyelid Xanthelasma: surgical treatment as the first choiceMarilho Tadeu Dornelas0Nathália Villarins Pedrosa1Gabriel Victor Dornelas2Alfredo Chaoubah3Andrey da Silva Fernandes4Emmanuel de Lima Carvalho5Larissa Vitoria Dornelas6Thaíssa Ramim Reis Belgo7Universidade Federal de Juiz de Fora, Hospital Universitário, Juiz de Fora, MG, BrazilUniversidade Federal de Juiz de Fora, Hospital Universitário, Juiz de Fora, MG, BrazilSanta Casa de Misericórdia de Juiz de Fora, Departamento de Cirurgia Geral, Juiz de Fora, MG, BrazilUniversidade Federal de Juiz de Fora, Instituto de Ciências Exatas, Departamento de Estatística, Juiz de Fora, MG, BrazilUniversidade Federal de Juiz de Fora, Faculdade de Medicina, Juiz de Fora, MG, BrazilUniversidade Federal de Juiz de Fora, Faculdade de Medicina, Juiz de Fora, MG, BrazilFaculdade de Ciências Médicas e da Saúde de Juiz de Fora, Faculdade de Medicina, Juiz de Fora, MG, BrazilUniversidade Federal de Juiz de Fora, Faculdade de Medicina, Juiz de Fora, MG, BrazilIntroduction: Eyelid xanthelasma is the most common form of cutaneous xanthoma, characterized by yellowish patches on the eyelid’s skin. Despite being a benign condition and not presenting with functional limitations, it is an important aesthetic complaint that impacts the patient’s social and emotional life. There are clinical therapeutic options, but the most widespread approach is the surgical approach with excision of the lesions, a simple procedure with few complications and lower local recurrence rates. This study aims to describe the surgical treatment of palpebral xanthelasma, to assess postoperative patient satisfaction and post-surgical recurrence rates. Methods: This is a retrospective study with a sample of 25 patients undergoing surgical treatment of eyelid xanthelasmas. Postoperative follow-up was performed at intervals of 7 days, 30 days, 90 days and 12 months with an interview, physical examination and application of a questionnaire that included the identification of local recurrences, postoperative complications and satisfaction with the aesthetic result. Results: Four patients evolved with local recurrence, and only two expressed dissatisfaction with the aesthetic result after the outcome. No patient who underwent surgical resection of lesions associated with autograft recurrence or dissatisfaction with the aesthetic result was observed. Conclusions: Surgical treatment as the first option in the therapeutic approach of eyelid xanthelasmas should be considered, given the aesthetic and psychological impact of such a condition. It is a simple technique, easy to apply and reproducible, effective, and safe, with relevant satisfaction rates and low recurrences.http://www.rbcp.org.br/export-pdf/3215/en_v37n4a17.pdfblepharoplastyreconstructive surgical procedureshypercholesterolemiaxanthomatosis. |
| spellingShingle | Marilho Tadeu Dornelas Nathália Villarins Pedrosa Gabriel Victor Dornelas Alfredo Chaoubah Andrey da Silva Fernandes Emmanuel de Lima Carvalho Larissa Vitoria Dornelas Thaíssa Ramim Reis Belgo Eyelid Xanthelasma: surgical treatment as the first choice Revista Brasileira de Cirurgia Plástica blepharoplasty reconstructive surgical procedures hypercholesterolemia xanthomatosis. |
| title | Eyelid Xanthelasma: surgical treatment as the first choice |
| title_full | Eyelid Xanthelasma: surgical treatment as the first choice |
| title_fullStr | Eyelid Xanthelasma: surgical treatment as the first choice |
| title_full_unstemmed | Eyelid Xanthelasma: surgical treatment as the first choice |
| title_short | Eyelid Xanthelasma: surgical treatment as the first choice |
| title_sort | eyelid xanthelasma surgical treatment as the first choice |
| topic | blepharoplasty reconstructive surgical procedures hypercholesterolemia xanthomatosis. |
| url | http://www.rbcp.org.br/export-pdf/3215/en_v37n4a17.pdf |
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