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Is Chemical Peel A Safe Method To Remove Slightly Fluffy And Pinkish Yellow Discoloration Around The Eyes?

Posted on Tue, 6 Jun 2023

Question: Hello doctor,

I have 3 marks around my eyes, which are slightly fuffy and pinkish yellow in color(pic attached) since about an year. I visited a dermatologist a few months back and was told that its Xanthelasma and was advised to undergo lipid profile test and chemical peel to get rid of marks.
I underwent these tests and few others in december and the cholestrol levels came excellent, although Vitamin B12, Vitamin D was very low(report attached). Now I have few concerns and questions:
1. Is chemical peel a safe method to remove these marks as they are very near to the eyes. Also, a second doctor(physician) advised against chemical peel due to same reason.
2. I am noticing that the marks are still increasing in size and number, so how to stop them from increasing?
3. Is it fine to go for a removal process even when the marks are increasing?
4. I came across an article: https:/XXXX.uk/download/0000.pdf which suggests that Vitamin B12 deficiency may cause Xanthelasma and can be cured with it. Please let me know your opinion about it.

Thanks and Regards,
XXXX

Answered by Dr. Dr. Kakkar (28 minutes later)

Brief Answer:
Spot peeling with Tri Chloro Acetic acid

Detailed Answer:

Hello,

You have Xanthelasma. Yellowish-orange raised patches/plaques on eyelids.

You may go for peeling. Spot peeling with 25-50% Tri Chloro Acetic acid (TCA) is the treatment of choice. May need 3-4 or more sessions at 2 weeks intervals. To be taken under guidance of dermatologist.

Despite lipid profile being in the normal range, it has been noted that many patients with Xanthelasma have high normal values of serum cholesterol and triglycerides.

Hope I have answered your query. Let me know if I can assist you further.

Regards,
Dr. Kakkar S.
Dermatologist

Above answer was peer-reviewed by : Dr. Vaishalee Punj

Follow up: Dr. Dr. Kakkar (12 minutes later)

Hello doctor,

Thanks for your reply.
Please also reply to question number 2,3,4.

Regards,
XXXX

Answered by Dr. Dr. Kakkar (4 hours later)

Brief Answer:
Xanthelasma

Detailed Answer:

Hi,

Yes, you can take a spot peel even if you feel that they are increasing. Treating existing patches is the goal of treatment. In addition I generally advice my patients to follow a healthy and active lifestyle and avoid fatty foods, as much as possible.

Hope I have answered your query.

Regards,
Dr. Kakkar S.
Dermatologist

Note: Hope the answers resolves your concerns, however for further guidance of skin related queries consult our Dermatologist.Click here to book a consultation

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar