Is bleeding observed after removal of xanthelasma (yellowish patches on the skin)

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Last updated: March 7, 2025View editorial policy

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From the Research

Bleeding is not explicitly mentioned as a common occurrence after xanthelasma removal in the most recent and highest quality study available, which used plasma sublimation for treatment 1. However, considering the nature of the procedure, which involves disrupting tissue, some bleeding can be expected. The study published in 2020, which is the most recent one, does not report any cases of bleeding, but this does not necessarily mean that bleeding cannot occur after the procedure.

Expected Outcome

After xanthelasma removal, patients may experience some mild bleeding at the treatment site, although this is not explicitly stated in the most recent study 1. If bleeding does occur, it typically stops within minutes with gentle pressure. The doctor may apply pressure immediately after the procedure and may use a styptic agent or cauterization to control any persistent bleeding.

Post-Procedure Care

After treatment, patients should keep the area clean and follow their doctor's instructions for wound care, which usually includes:

  • Applying antibiotic ointment
  • Keeping the area covered for 24-48 hours Bleeding, if it occurs, is likely due to the disruption of small blood vessels in the delicate eyelid skin during the removal procedure.

Important Consideration

If patients experience heavy or prolonged bleeding that doesn't stop with gentle pressure, they should contact their healthcare provider immediately, as this is not normal 1. Most patients can manage post-procedure bleeding with simple pressure and proper wound care.

Treatment Methods

Different methods for xanthelasma removal, such as surgical excision, laser therapy, cryotherapy, or chemical treatments, may have varying risks of bleeding, but the most recent study 1 does not provide information on this aspect. Older studies, such as the one published in 2006 2, discuss the use of trichloroacetic acid for xanthelasma treatment but do not focus on bleeding as a primary outcome. Given the lack of explicit information on bleeding in the most recent and highest quality study, the general principles of wound care and management of potential bleeding are based on the nature of the procedure and general medical knowledge.

References

Research

Plasma sublimation for the treatment of xanthelasma palpebrarum.

Acta dermatovenerologica Alpina, Pannonica, et Adriatica, 2020

Professional Medical Disclaimer

This information is intended for healthcare professionals. Any medical decision-making should rely on clinical judgment and independently verified information. The content provided herein does not replace professional discretion and should be considered supplementary to established clinical guidelines. Healthcare providers should verify all information against primary literature and current practice standards before application in patient care. Dr.Oracle assumes no liability for clinical decisions based on this content.

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