Treatment of Xanthelasma Palpebrarum by the Pinhole Method Using a 10,600-nm Carbon Dioxide Laser

Xanthelasma palpebrarum (XP) presents clinically as yellowish plaques on the upper and/or lower eyelids. To date, several studies have reported on the therapeutic efficacies of ablative and non-ablative lasers for treatment of XP, including 10,600-nm carbon dioxide (CO2) lasers, erbium-doped yttrium aluminum garnet (YAG) lasers, 1,550-nm erbiumdoped fractional lasers, pulsed dye lasers, Q-switched neodymium: YAG lasers, and 1,450-nm diode lasers. Here, we report on a case of XP effectively treated using the pinhole method. The pinhole method utilized a CO2 laser in order to make multiple small holes, which mimicked sweat pores on skin lesions. CO2 lasers are among the most widely available laser devices; therefore, implementation of their use in performance of the pinhole procedure for treatment of XP in Asian patients would be relatively easy and inexpensive.