Background of Objective: Treatment of xanthelasma palpebrarum may prov
e difficult due to its delicate location at the periorbita and its som
etimes extensive dimension. During recent years, carbon dioxide and ar
gon lasers have been used with good results. However, local anesthesia
is always required, and there is a concrete risk of scarring and pigm
entation changes after the treatment. Study Design/Patients and Method
s: In this case report, we describe for the first time the treatment o
f xanthelasmas with the pulsed dye laser. Results: This technique can
be carried out without anesthesia and shows excellent cosmetic results
. Conclusion: We see the pulsed dye laser as a good alternative to the
hitherto used other two laser types in the treatment of xanthelasma p
alpebrarum. (C) 1996 Wiley-Liss, Inc.