CO2 Laser for Xanthelasma: An Analysis

CO2 laser treatment options available from healthcare providers – Improvement?


While specialized lasers like the Erbium or Carbon Dioxide (CO2) laser can be utilized for various dermatological procedures, their application for xanthelasma cosmetic improvement is accompanied by significant risks and a high potential for unsatisfactory outcomes. One of the primary issues, widely noted by cosmetic professionals, is the high rate at which xanthelasma reappears following laser procedures. The cosmetic results are often short-lived.


The mechanism behind this is straightforward. The intense energy from the laser affects the skin tissue. This process can inadvertently displace the lipid deposits that form the xanthelasma, pushing them to the borders of the treated area. As the skin heals, these displaced deposits can reform, often resulting in a larger ring of xanthelasma surrounding the original site.

This can lead to a cycle of repeated procedures, each making the cosmetic concern more complex and difficult to address.
Despite these considerable drawbacks, this guide will walk through the procedural aspects of CO2 laser application for xanthelasma to help you make a fully informed choice about the best cosmetic approach for your needs.

co2 laser

Laser Cosmetic Procedures for Xanthelasma and Xanthomas

A cosmetic laser procedure for xanthelasma is typically performed by a specialist and takes about 15-20 minutes per eyelid. Due to the inherent danger of directing a high-powered laser at the eye, protective metal eye shields must be placed directly on the eyeball, under the eyelid, for the duration of the procedure. This is a critical safety step to prevent the laser from damaging the optic nerve or causing permanent vision impairment.
While radiofrequency devices have also been suggested as a less aggressive alternative, they share similar underlying issues regarding the high potential for recurrence after each cosmetic session.

CO2 laser treatment room for cosmetic dermatological procedures

Xanthelasma Cosmetic Improvement With Lasers

Surgical excision remains a more definitive professional option that may offer a lower risk of recurrence, albeit at a significantly higher cost. It is typically considered when the plaques are very large and their cosmetic improvement would have a significant impact on the eyelid’s appearance.
Fractional laser systems have also been explored, but they generally present the same complications and high recurrence rates associated with traditional CO2 laser procedures. The consensus within the professional community is that laser treatments for xanthelasma frequently lead to disappointing short-term and long-term cosmetic outcomes. The potential for creating a more widespread and persistent cosmetic issue is a major deterrent for most experienced practitioners.

Professional consultation about xanthelasma cosmetic improvement options

CO2 Lasers for Cosmetic Skin Improvement

Carbon dioxide lasers have a long history in cosmetic medicine, particularly for skin resurfacing to improve the appearance of fine lines. Different types of lasers, such as the Nd:YAG, operate at various wavelengths and have specific applications in dermatology.

However, while lasers have a valid place in the broader field of cosmetic skin enhancement, their use for xanthelasma is a specific case where the significant risks and high probability of an unsatisfactory result outweigh any potential short-term cosmetic benefits. The fundamental rule of “do not point lasers at eyes” is particularly relevant here. According to the American Academy of Ophthalmology (AAO), laser radiation can cause severe, permanent eye damage in an instant.

The Superior Approach for Cosmetic Enhancement

The most effective approach is a specialized cosmetic solution designed for a single application to improve and enhance the appearance of xanthelasma.

Xanthel® offers a modern, sophisticated cosmetic gel formulated for the unique characteristics of xanthelasma. It provides a non-invasive way to achieve maximum cosmetic effectiveness and helps maintain a stunningly improved appearance, all from the convenience and safety of your own home. Experience the power of advanced cosmetic science developed specifically for you.

Xanthel ®, Xanthelasma Care, Simplified

Legal: This product is for cosmetic use only. This product is not intended to diagnose, treat, cure, or prevent any medical condition. Consult a healthcare professional regarding any skin condition.