ABSTRACT
To report the therapy of xanthelesma with a green laser as an alternative to surgery. A prospective study including 20 patients with xanthelasma of the eyelid were included in this study. The mean follow-up period was 5.8 months [range, 3 to 24 months]. All patients were satisfied regarding the laser therapy and the cosmetic result. Remarkably, the wounds were dry after laser therapy. No infections of the wounds occurred; wounds were epithelialized after 2 to 3 weeks by a normal-appearing epithelium. The area of argon laser treatment was less pigmented than the surrounding skin in one case. One case of relapse occurred in a patient with dyslipemia. Green laser therapy of xanthelasma seems to be a useful alternative to traditional surgery. It is easy to perform, well tolerated by the patients and shows excellent cosmetic results