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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.

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